Remote (Country)

GR8 Tech is hiring a Benefits Configuration Analyst

About the Role

Who We Are: SmithRx is an innovative, venture-backed Health-Tech enterprise revolutionizing the Pharmacy Benefit Management (PBM) landscape through advanced technological solutions, groundbreaking cost reduction strategies, and exceptional customer service. Since 2016, we've successfully onboarded hundreds of thousands of members nationwide with our transformative approach. Our organizational culture is mission-driven and collaborative, dedicated to reimagining healthcare's potential. We are guided by core values: • Integrity: Maintaining honest and transparent operations to cultivate client trust • Courage: Boldly challenging industry norms and continuously enhancing our offerings • Together: Nurturing an inclusive environment that champions teamwork, respect, and diverse perspectives Job Summary: As a Benefits Configuration Analyst, you will support cross-functional teams during implementations and build and manage pharmacy benefit plans across various platforms to ensure a high-quality SmithRx product. This role encompasses supporting Plan Operations with core benefits functions while constructing and maintaining precise benefit configurations. Applicants must be located in: Arkansas, Arizona, California, Colorado, Florida, Georgia, Kansas, Minnesota, Missouri, Nevada, Ohio, Pennsylvania, Tennessee, Texas, Utah, Virginia, Washington, Wisconsin. What You Will Do: • Collaborate with clients to identify and understand benefit plan requirements, building and maintaining pharmacy benefit plans • Organize benefit configuration and structure for assigned accounts by monitoring plan data integrity • Assist in process improvement initiatives • Maintain prior authorizations and step therapy rules • Grandfather/transition new clients and update formularies as directed by clinical team • Communicate project status, escalate issues, and provide workflow efficiency insights • Collaborate with member support and customer success teams to resolve benefit-related inquiries • Provide claims adjudication process troubleshooting support • Support new client implementations, conduct go-live testing, perform post go-live auditing What You Will Bring to SmithRx: • 4+ years of payer/claims and benefit configuration experience • Analytical skills and Microsoft Excel proficiency • Strong communication abilities across various platforms • Self-starter mentality with creative problem-solving capabilities • Execution-focused approach with solutions-oriented mindset • Flexibility and adaptability in a fast-paced technological environment What SmithRx Offers: • Comprehensive wellness benefits package • Competitive medical, dental, vision, and life insurance • Flexible spending and retirement savings programs • Disability coverage • Discretionary paid time off • 12 paid holidays • Wellness and commuter benefits • Parental leave • Employee assistance program • Professional development opportunities • Well-stocked office kitchen

Required Skills
Benefit ConfigurationClaims ProcessingMicrosoft ExcelData AnalysisProject ManagementClient CommunicationHealthcare SystemsProblem-SolvingWorkflow OptimizationTechnical Documentation
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GR8 Tech

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Job Details
Category other
Posted 4 months ago