Talent.com
Lead, Benefits Testing
Lead, Benefits TestingSmithRx • Plano, TX, US
Lead, Benefits Testing

Lead, Benefits Testing

SmithRx • Plano, TX, US
[job_card.variable_days_ago]
[job_preview.job_type]
  • [job_card.full_time]
[job_card.job_description]

Job Description

Job Description

Who We Are :

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 : Our purpose guides our actions and gives us confidence in the path ahead. With unwavering honesty and dependability, we embrace the pressure of challenging the old and exemplify ethical leadership to create the new.
  • Courage : We face continuous challenges with grit and resilience. We embrace the discomfort of the unknown by balancing autonomy with empathy, and ownership with vulnerability. We boldly challenge the status quo to keep moving forward—always.
  • Together : The success of SmithRx reflects the strength of our partnerships and the commitment of our team. Our shared values bind us together and make us one. When one falls, we all fall; when one rises, we all rise.

Job Summary :

As the Lead, Benefits Testing, you are responsible for managing, coaching, and developing a team of benefits testing specialists. You will ensure the quality and accuracy of benefit operations by overseeing comprehensive audits, testing, and documentation to drive the highest level of performance. This role will also be responsible for supporting the Plan Operations team with core quality assurance functions and best practices.

What you will do :

  • Manage team members in the delivery of benefit operations quality assurance, including testing and documentation, to meet or exceed service level agreements.
  • Manage employee performance through defined employee scorecards and performance metrics.
  • Provide ongoing feedback and coaching to ensure performance targets are met and provide appropriate levels of direction and support to your team members.
  • Develop and deploy daily audits to assess the quality and accuracy of the Benefit Configuration Specialists / Analysts work products.
  • Analyze audit results to identify trends, discrepancies, and areas for improvement.
  • Develop and implement quality improvement plans and corrective actions.
  • Provide leadership support to team members for escalations and complex configuration requests.
  • Communicate project status to leadership, escalating issues when appropriate, and drive changes to improve workflow efficiency.
  • Participate in initiatives to support process and workflow improvements and leverage new system capabilities.
  • Collaborate with engineers and benefit operations teams on system enhancements to create workflow automation and resolve issues.
  • Participate in the development and enhancement of quality assurance policies and procedures.

    • What you will bring to SmithRx :

  • Bachelor's degree or equivalent work experience required.
  • 2+ years in a leadership role with direct reports, preferably leading people in a remote or hybrid setting.
  • 5+ years of working knowledge of claims processing, medical billing, healthcare benefits, and / or pharmacy benefits in a PBM or payer environment.
  • Strong analytical skills with the ability to interpret complex data sets and benefit plan designs.
  • Strong communication and interpersonal skills (via face-to-face meetings, conference calls, and written correspondence).
  • Excellent attention to detail and organizational skills.
  • Knowledge of industry regulations and standards.
  • Experience with Six Sigma or other quality improvement methodologies is preferred.
  • Self-starter mentality : ability to make informed decisions, find creative approaches to difficult challenges, and deliver on commitments.
  • Execution-focused ethos : you are a solutions-oriented problem solver and efficiency driven.
  • Flexible, dependable, adaptable, and able to respond under the pressure of a fast-paced technology company.

    • 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
  • Paid Company 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]

    Testing Lead • Plano, TX, US

    [internal_linking.similar_jobs]
    Test Products from Home – $25-$45 / hr + Freebies

    Test Products from Home – $25-$45 / hr + Freebies

    OCPA • Wylie, Texas, us
    [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]
    TEST LEAD

    TEST LEAD

    HCL Technologies Ltd. • Dallas, TX, United States
    [job_card.full_time]
    Test Lead, Selenium Automation, GTUI automation Job Summary We are seeking a highly skilled QA professional with strong expertise in Guidewire ClaimCenter, integrations, and end-to-end functional...[show_more]
    [last_updated.last_updated_variable_days] • [promoted]
    WFH - Product Assessments - $25-$45 per hour (No Experience)

    WFH - Product Assessments - $25-$45 per hour (No Experience)

    Online Consumer Panels America • Plano, Texas, 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]
    Benefits Advisor (Mid-Level) - Health & Wellness (PLANO)

    Benefits Advisor (Mid-Level) - Health & Wellness (PLANO)

    USAA • Plano, TX, US
    [job_card.full_time]
    Why USAA? At USAA, our mission is to empower our members to achieve financial security through highly competitive products, exceptional service and trusted advice. We seek to be the 1 choice for the...[show_more]
    [last_updated.last_updated_variable_days] • [promoted]
    Remote Product Feedback Specialist (Hiring Immediately)

    Remote Product Feedback Specialist (Hiring Immediately)

    Earn Haus • Richardson, Texas, 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]
    Accessibility QA Tester

    Accessibility QA Tester

    TEKsystems • Addison, TX, United States
    [job_card.full_time]
    Job Title : •Accessibility QA Tester.The Accessibility Tester will be responsible for evaluating digital products and applications to ensure they meet. This role involves testing web and mobile inter...[show_more]
    [last_updated.last_updated_variable_days] • [promoted]
    Remote Customer Service Representative – Product Testing

    Remote Customer Service Representative – Product Testing

    GLOCPA • McKinney, Texas
    [filters.remote]
    [job_card.full_time]
    We’re looking for Customer Support Product Testers across the US to work from home and help top brands improve their products before they hit the market.[show_more]
    [last_updated.last_updated_30] • [promoted]
    Data Entry Product Support - No Experience

    Data Entry Product Support - No Experience

    GLOCPA • McKinney, Texas
    [job_card.full_time]
    We’re looking for Customer Support Product Testers across the US to work from home and help top brands improve their products before they hit the market.[show_more]
    [last_updated.last_updated_30] • [promoted]
    Test Lead with Guidewire Claim Center (Plano)

    Test Lead with Guidewire Claim Center (Plano)

    Raas Infotek • Plano, TX, US
    [job_card.part_time]
    I have an immediate requirement, please let me know if you are interested in this role.Role- Test Lead, Selenium Automation, GTUI automation. Job Location : San Antonio, TX; Plano, TX, Phoenix AZ (On...[show_more]
    [last_updated.last_updated_variable_days] • [promoted]
    Consumer Product Feedback Participant - High Compensation - Flexible Remote and In-Person Opportunities (Hiring Immediately)

    Consumer Product Feedback Participant - High Compensation - Flexible Remote and In-Person Opportunities (Hiring Immediately)

    Maxion Research • Murphy, Texas, US
    [filters.remote]
    [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]
    Lead Associate Principal, Software Engineering : Software Development Test (SDET)

    Lead Associate Principal, Software Engineering : Software Development Test (SDET)

    The Options Clearing Corporation • Dallas, TX, United States
    [job_card.full_time]
    Senior Engineer with deep experience in testing Kafka-based event-driven architectures, Spring boot microservices and writing salable automation framework using Java and cucumber.This role works cl...[show_more]
    [last_updated.last_updated_30] • [promoted]
    Director, Test Automation Frameworks

    Director, Test Automation Frameworks

    The Options Clearing Corporation • Dallas, TX, United States
    [job_card.full_time]
    Technology leader responsible for delivering enterprise-wide test automation frameworks.This role will architect and implement automation framework solutions across applications, data and platforms...[show_more]
    [last_updated.last_updated_variable_days] • [promoted]
    Test Lead

    Test Lead

    HCLTech • Plano, Texas, United States
    [job_card.full_time]
    HCLTech is looking for a highly talented and self- motivated.Data analytics professional with hands-on experience in Guidewire - Claims Center, Selenium Automation & GTUI automation.Very Strong Gui...[show_more]
    [last_updated.last_updated_variable_days] • [promoted]
    Benefits Advisor (Mid-Level) - Health & Wellness

    Benefits Advisor (Mid-Level) - Health & Wellness

    USAA Careers • Plano, Texas, US
    [job_card.full_time]
    Why USAA? At USAA, our mission is to empower our members to achieve financial security through highly competitive products, exceptional service and trusted advice. We seek to be the #1 choice for th...[show_more]
    [last_updated.last_updated_variable_days] • [promoted]
    Experience Delivery Lead

    Experience Delivery Lead

    Unisys Corporation • Dallas, TX, United States
    [job_card.full_time]
    What success looks like in this role : .Your key areas of responsibilities will be : .Take full responsibility for the successful delivery of experience as a service, monitoring automation progress,.Se...[show_more]
    [last_updated.last_updated_30] • [promoted]
    Performance Tester (Remote)

    Performance Tester (Remote)

    Scale AI • Dallas, Texas, United States
    [filters.remote]
    [job_card.full_time]
    Join a global community of talented professionals to shape the future of AI.Earn up to $15 USD / hr and additional rewards based on quality of submission. Outlier is committed to improving the intelli...[show_more]
    [last_updated.last_updated_variable_days] • [promoted]
    Entry Level Sales To Leadership

    Entry Level Sales To Leadership

    Team Sellors Agencies • Dallas, TX, US
    [job_card.full_time]
    The Team Sellors Agencies, a vital unit of the Liberty National-Worksite Division, is in the midst of significant expansion, fueled by consecutive years of remarkable market growth.Our mission exte...[show_more]
    [last_updated.last_updated_30] • [promoted]
    Treatment Tech

    Treatment Tech

    BrightSpring Health Services • Anna, TX, United States
    [job_card.full_time]
    Pate Rehabilitation is seeking a compassionate and energetic individual to fill the role of Clinical Assistant Rehab Tech (CART). In this position, the ideal technician will provide assistance to cl...[show_more]
    [last_updated.last_updated_variable_days] • [promoted]