Talent.com
Benefits Configuration Analyst
Benefits Configuration AnalystSmithRx • Worcester, MA, US
[error_messages.no_longer_accepting]
Benefits Configuration Analyst

Benefits Configuration Analyst

SmithRx • Worcester, MA, US
[job_card.variable_days_ago]
[job_preview.job_type]
  • [job_card.full_time]
[job_card.job_description]

Benefits Configuration Analyst

SmithRx is a rapidly growing, venture-backed Health-Tech company. Our mission is to disrupt the expensive and inefficient Pharmacy Benefit Management (PBM) sector by building a next-generation drug acquisition platform driven by cutting edge technology, innovative cost saving tools, and best-in-class customer service. With hundreds of thousands of members onboarded since 2016, SmithRx has a solution that is resonating with clients all across the country.

We pride ourselves for our mission-driven and collaborative culture that inspires our employees to do their best work. We believe that the U.S healthcare system is in need of transformation, and we come to work each day dedicated to making that change a reality. At our core, we are guided by our company values :

  • Integrity : Always operate with honesty and transparency so we earn the trust of our clients.
  • Courage : Demonstrate the courage needed to take on a broken industry and continuously improve what we offer to optimize health outcomes.
  • Together : Foster a collaborative and inclusive environment that values teamwork, respect, and open communication, and encourages creativity and diversity of thought.

As a Benefits Configuration Analyst , you will support cross-functional teams during implementations and build and manage pharmacy benefit plans on various platforms to ensure a high quality SmithRx product. This role will also be responsible for supporting the Plan Operations team with core benefits operations functions while building and maintaining accurate benefit configuration.

In order to be eligible for this position applicants must be based in one of the following states : Arkansas, Arizona, California, Colorado, Florida, Georgia, Kansas, Minnesota, Missouri, Nevada, Ohio, Pennsylvania, Tennessee, Texas, Utah, Virginia, Washington, Wisconsin.

What you will do :

  • Work with clients, identifying and understanding benefit plan requirements. Build and maintain pharmacy benefit plans for client groups.
  • Aid in the organization of benefit configuration and structure for the accounts assigned by monitoring plan data integrity.
  • Assist in determining process improvement efforts.
  • Maintain prior authorizations and step therapy rules.
  • Grandfather / transition new clients and update formularies with changes at the direction of the clinical team.
  • Communicate project status, escalating issues when appropriate. Provide insight into changes to improve workflow efficiency.
  • Collaborate with member support and customer success teams to review and resolve inquiries related to benefits timely to improve member experience.
  • Provide troubleshooting support for our claims adjudication process.
  • Support new client implementations, conduct go-live testing, perform post go-live auditing and support to ensure plans are configured to confirm accuracy.

    • What SmithRx Offers You :

  • Highly competitive wellness benefits including Medical, Pharmacy, Dental, Vision, and Life Insurance and AD&D Insurance
  • Flexible Spending Benefits
  • 401(k) Retirement Savings Program
  • Short-term and long-term disability
  • Discretionary Paid Time Off
  • 12 Paid Holidays
  • Wellness Benefits
  • Commuter Benefits
  • Paid Parental Leave benefits
  • Employee Assistance Program (EAP)
  • Well-stocked kitchen in office locations
  • Professional development and training opportunities
    • [job_alerts.create_a_job]

    Configuration Analyst • Worcester, MA, US

    [internal_linking.related_jobs]
    Flexible Remote Work – Get Paid to Share Your Opinions on Top Brands

    Flexible Remote Work – Get Paid to Share Your Opinions on Top Brands

    OCPA • Brookline, New Hampshire, us
    [filters.remote]
    [job_card.part_time] +1
    Product Testers are wanted to work from home nationwide in the US to fulfill upcoming contracts with national and international companies. We guarantee 15-25 hours per week with an hourly pay of bet...[show_more]
    [last_updated.last_updated_30] • [promoted]
    Quality Assurance Compliance Specialist

    Quality Assurance Compliance Specialist

    Integrated Resources, Inc ( IRI ) • Westborough, MA, US
    [job_card.full_time]
    Title : QA Compliance Specialist (Data Review).The Compliance Specialist CMC, Quality Assurance will perform critical QA tasks in support of GMP and non-GMP manufacturing programs and Regulatory Sub...[show_more]
    [last_updated.last_updated_variable_days] • [promoted]
    Compliance Risk Analyst

    Compliance Risk Analyst

    Staffing • Marlborough, MA, US
    [job_card.full_time]
    Marlborough MA 2+ Months Potential To Extend Hybrid - Onsite Tuesdays And Wednesdays.The team oversees compliance, products (food and drug) all recalls, all product safety initiatives.Involves big ...[show_more]
    [last_updated.last_updated_variable_hours] • [promoted] • [new]
    Flexible Study Participant (Hiring Immediately)

    Flexible Study Participant (Hiring Immediately)

    Maxion Research • Greenville, Rhode Island, US
    [job_card.part_time]
    Join Our Part-Time Research Studies Today!.Are you eager to earn extra income from the comfort of your home? We are looking for motivated individuals to participate in paid research studies includi...[show_more]
    [last_updated.last_updated_30] • [promoted]
    Senior Claims Analyst - Workers Compensation

    Senior Claims Analyst - Workers Compensation

    Crum & Forster • Worcester, MA, US
    [job_card.full_time]
    The Senior Claims Analyst is responsible for the handling of medical only Workers Compensation claims to ensure timely and accurate processing and superior customer service.The Senior Analyst is ac...[show_more]
    [last_updated.last_updated_30] • [promoted]
    Compliance Risk Analyst

    Compliance Risk Analyst

    TalentBurst • Marlborough, MA, United States
    [job_card.full_time]
    The team oversees compliance, products (food and drug) all recalls, all product safety initiatives.Involves big data, supporting documentation in addition to the actual compliance for the items the...[show_more]
    [last_updated.last_updated_variable_hours] • [promoted] • [new]
    Consumer Experience Senior Analyst

    Consumer Experience Senior Analyst

    CVS Health • Woonsocket, RI, United States
    [job_card.full_time]
    At CVS Health, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care.As the nation's leading h...[show_more]
    [last_updated.last_updated_variable_days] • [promoted]
    Windchill Configuration Analyst

    Windchill Configuration Analyst

    Bose Professional • Hopkinton, MA, US
    [job_card.full_time]
    [filters_job_card.quick_apply]
    Bose Professional is a leader in the professional audio industry, specializing in the design and manufacturing of cutting-edge audio solutions including loudspeakers, amplifiers, signal p...[show_more]
    [last_updated.last_updated_variable_days]
    Cash Management Implementation Analyst I

    Cash Management Implementation Analyst I

    BankTalent HQ • Westborough, MA, United States
    [job_card.full_time]
    This is a Hybrid position located in Westborough MA.The job will require to train on-site and to work 3 days on-site in Westborough, MA. This customer facing role provides a smooth and efficient onb...[show_more]
    [last_updated.last_updated_30] • [promoted]
    Benefits Specialist

    Benefits Specialist

    Interview Hunters • Worcester, MA, US
    [job_card.full_time]
    [filters_job_card.quick_apply]
    We are looking for a representative to join our team.This person will operate as the lead on all critical business accounts. The focus of this vital role is to manage the relationship with the clien...[show_more]
    [last_updated.last_updated_30]
    Remote Financial Analyst - AI Trainer ($150 per hour)

    Remote Financial Analyst - AI Trainer ($150 per hour)

    Mercor • Leominster, Massachusetts, US
    [filters.remote]
    [job_card.full_time]
    UK / Canada / Europe / Singapore / Dubai / Australia-based • •Investment Banking or Private Equity Experts • • for a research project with a leading foundational model AI lab. You are a good fit if you : - Have •...[show_more]
    [last_updated.last_updated_variable_days] • [promoted]
    Compliance Analyst

    Compliance Analyst

    Cresta • Worcester, MA, US
    [job_card.full_time]
    Cresta is on a mission to turn every customer conversation into a competitive advantage by unlocking the true potential of the contact center. Our platform combines the best of AI and human intellig...[show_more]
    [last_updated.last_updated_variable_days] • [promoted]
    Compliance Analyst

    Compliance Analyst

    Employment Hero • Worcester, MA, US
    [job_card.full_time]
    Employment Hero is on a mission to make employment easier and more valuable for everyone.Our Employment Operating System brings hiring, HR, payroll and benefits into an all-in-one solution.Since ou...[show_more]
    [last_updated.last_updated_variable_days] • [promoted]
    Contract Analyst

    Contract Analyst

    Staffmark Group • Marlborough, MA, United States
    [job_card.full_time]
    We are seeking a detail-oriented and collaborative Contract Analyst for a temporary assignment opportunity with our client. In this hybrid role, you will support the Strategic Sourcing team by draft...[show_more]
    [last_updated.last_updated_variable_days] • [promoted]
    Senior Program Financial Analyst

    Senior Program Financial Analyst

    Leonardo DRS • Fitchburg, MA, United States
    [job_card.full_time]
    The Leonardo DRS Naval Power Systems business is a trusted provider of innovative naval gas and hybrid power systems, control technology and support solutions for the U. Navy and navies around the w...[show_more]
    [last_updated.last_updated_30] • [promoted]
    Entry Level Residential Installer

    Entry Level Residential Installer

    TEKsystems • Hollis, NH, United States
    [job_card.full_time]
    We are seeking an entry level security system installer to join the team, we are looking for someone with experience working with basic hand tools, comfortable with heights, has reliable transporta...[show_more]
    [last_updated.last_updated_variable_days] • [promoted]
    Benefits Consultant

    Benefits Consultant

    Interview Hunters • Worcester, MA, US
    [job_card.full_time]
    [filters_job_card.quick_apply]
    We are looking for a representative to join our team.This person will operate as the lead on all critical business accounts. The focus of this vital role is to manage the relationship with the clien...[show_more]
    [last_updated.last_updated_30]
    Travel Board Certified Behavioral Analyst - School (BCBA) in Leominster, MA

    Travel Board Certified Behavioral Analyst - School (BCBA) in Leominster, MA

    AlliedTravelCareers • Leominster, MA, US
    [job_card.full_time]
    AlliedTravelCareers is working with Aequor to find a qualified BCBA - School in Leominster, Massachusetts, 01453!.Aequor is now hiring a full-time Board Certified Behavior Analyst (BCBA) for the 20...[show_more]
    [last_updated.last_updated_30] • [promoted]