Talent.com
Benefits Configuration Analyst
Benefits Configuration AnalystSmithRx • Oxnard, CA, US
[error_messages.no_longer_accepting]
Benefits Configuration Analyst

Benefits Configuration Analyst

SmithRx • Oxnard, CA, 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 • Oxnard, CA, US

    [internal_linking.related_jobs]
    Remote Feedback Contributor (Hiring Immediately)

    Remote Feedback Contributor (Hiring Immediately)

    Earn Haus • Oxnard, California, US
    [filters.remote]
    [job_card.full_time] +1
    We are urgently looking for people interested in taking online surveys for Fortune 500 brands.If you are a self-starter, looking for flexible hours throughout the week, this may be for you! Earn up...[show_more]
    [last_updated.last_updated_30] • [promoted]
    Certified EPIC Beacon Analyst(100% REMOTE / NO C2C) (Oxnard)

    Certified EPIC Beacon Analyst(100% REMOTE / NO C2C) (Oxnard)

    Amerit Consulting • Oxnard, CA, US
    [filters.remote]
    [job_card.part_time] +1
    Our client, a Medical Center facility under the aegis of a California Public Ivy university and one of largest health delivery systems in California, seeks an accomplished.NOTE- THIS IS 100% REMOTE...[show_more]
    [last_updated.last_updated_variable_days] • [promoted]
    FINANCIAL SYSTEMS ANALYST 1

    FINANCIAL SYSTEMS ANALYST 1

    VSolvit LLC • Oxnard, CA, US
    [job_card.full_time]
    POSITION IS ONSITE IN PORT HUENEME • • • • • •SECRET SECURITY CLEARANCE REQUIRED • • • Job Summary VSolvit is seeking an experienced, qualified candidate for a full time Financial Systems Analyst 1 positio...[show_more]
    [last_updated.last_updated_30] • [promoted]
    Mid-Level Management Analyst

    Mid-Level Management Analyst

    International Executive Service Corps • Port Hueneme, CA, United States
    [job_card.full_time]
    ICI Services is a 100% Employee-Owned small business celebrating our 25th year delivering superior products and responsive services aligned to customers’ needs. Our employee-owners include acquisiti...[show_more]
    [last_updated.last_updated_variable_days] • [promoted]
    (C) RCM Analyst

    (C) RCM Analyst

    The McHenry Management Group • Port Hueneme, CA, United States
    [job_card.part_time]
    This positions requires a background check.This job will perform RCM analysis on a Wiggins forklift truck.Conduct RCM analyses for required systems using Origina Equipment Manufacturer's (OEM) tech...[show_more]
    [last_updated.last_updated_variable_days] • [promoted]
    Application Systems Analyst II (Hospital Billing)

    Application Systems Analyst II (Hospital Billing)

    Community Memorial Health System • Ventura, CA, United States
    [job_card.full_time]
    The pay range above represents the lowest possible rate for the position and the highest possible rate.Factors that may be used to determine where newly hired employees will be placed in the pay ra...[show_more]
    [last_updated.last_updated_30] • [promoted]
    Benefits Specialist - Work From Home

    Benefits Specialist - Work From Home

    Spade Recruiting • Oxnard, CA, US
    [filters.remote]
    [job_card.permanent]
    AIL is a leading insurance and supplemental benefits provider.The company provides its clients with value and unbeatable customer service with complete transparency and integrity.That's what makes ...[show_more]
    [last_updated.last_updated_30] • [promoted]
    Program Analyst

    Program Analyst

    TechOp Solutions International • Oxnard, CA, US
    [job_card.full_time]
    TechOp Solutions is seeking a Program Analyst to support a high-visibility federal program.The ideal candidate has proven experience managing deliverables, supporting program operations, engaging s...[show_more]
    [last_updated.last_updated_variable_days] • [promoted]
    IT Business Integration Specialist

    IT Business Integration Specialist

    Ventura County • Ventura, California, USA
    [job_card.full_time] +2
    The County of Ventura offers an attractive compensation and benefits addition to the base salary of approximately $101856. Associate Bachelors or graduate degree (if educational attainments are not...[show_more]
    [last_updated.last_updated_variable_days] • [promoted]
    Billing Specialist

    Billing Specialist

    Tobii Dynavox • Oxnard, CA, US
    [job_card.full_time]
    We're on a mission to empower people with disabilities to do what they once did or never thought possible.As the world-leader in assistive communication solutions, we empower our customers to expre...[show_more]
    [last_updated.last_updated_variable_days] • [promoted]
    Remote Benefits Enrollment Agent

    Remote Benefits Enrollment Agent

    American Income Life Insurance Company • Oxnard, CA, US
    [filters.remote]
    [job_card.full_time]
    [filters_job_card.quick_apply]
    American Income Life is an international Company protecting working families in the United States, Canada, New Zealand, and through our wholly-owned subsidiary, National Income Life Insurance Compa...[show_more]
    [last_updated.last_updated_30]
    Remote Brand Feedback Specialist (Hiring Immediately)

    Remote Brand Feedback Specialist (Hiring Immediately)

    Earn Haus • Port Hueneme, California, US
    [filters.remote]
    [job_card.full_time] +2
    We are urgently looking for people interested in taking online surveys for Fortune 500 brands.If you are a self-starter, looking for flexible hours throughout the week, this may be for you! Earn up...[show_more]
    [last_updated.last_updated_30] • [promoted]
    Work-at-Home Inbound Insurance Agent (Paid Training & Licensing)

    Work-at-Home Inbound Insurance Agent (Paid Training & Licensing)

    MCI • Oxnard, CA, US
    [filters.remote]
    [job_card.full_time]
    MCI is a leading Business Process Outsourcing (BPO) company that specializes in delivering tailored solutions to meet the diverse needs of our clients. With a commitment to excellence and a focus on...[show_more]
    [last_updated.last_updated_30] • [promoted]
    CAT / CAIS Reporting Analyst Remote Flexibility for Qualified Candidates

    CAT / CAIS Reporting Analyst Remote Flexibility for Qualified Candidates

    Raymond James Financial • Oxnard, CA, US
    [filters.remote]
    [job_card.full_time]
    Regulatory Operations Analyst (CAT / CAIS Reporting Analyst).We are seeking a detail-oriented professional with hands-on experience in regulatory reporting, specifically with CAT and CAIS, to support...[show_more]
    [last_updated.last_updated_30] • [promoted]
    Appeals and Grievances Analyst

    Appeals and Grievances Analyst

    Tufts Health Plan • Oxnard, CA, US
    [job_card.full_time]
    Member Appeals And Grievance Analyst.Under the general direction of the Member Appeals and Grievance Supervisor the Member Appeals and Grievance Analyst is responsible per State and Federal regulat...[show_more]
    [last_updated.last_updated_variable_days] • [promoted]
    Configuration Management Specialist I (Contingent)

    Configuration Management Specialist I (Contingent)

    Centurum • Port Hueneme, CA, US
    [job_card.full_time]
    [filters_job_card.quick_apply]
    The Configuration Management Specialist I provides entry-level support for configuration and Integrated Logistics Support (ILS) tasks in support of Navy systems. This includes establishing and maint...[show_more]
    [last_updated.last_updated_variable_days]
    Navy Reliability & Maintainability (R&M) Analyst (4802)

    Navy Reliability & Maintainability (R&M) Analyst (4802)

    Gateway Ventures Ltd • Port Hueneme, CA, United States
    [job_card.full_time]
    Three Saints Bay, LLC, and a Federal Government Contractor industry leader, is seeking a.Navy Shipboard Readiness Analyst. Education / Experience : Baccalaureate degree from an accredited college or un...[show_more]
    [last_updated.last_updated_variable_days] • [promoted]
    Claims Analyst, Asbestos (Asbestos Claims Handling Experience Required)

    Claims Analyst, Asbestos (Asbestos Claims Handling Experience Required)

    The Riverstone Group • Oxnard, CA, US
    [job_card.full_time]
    RiverStone is seeking individuals to join a growing and dynamic team tasked with changing the future of the national mass tort and pollution litigation through thoughtful, creative claim handling, ...[show_more]
    [last_updated.last_updated_30] • [promoted]