Benefits Configuration Analyst
Who We Are: reputed company 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 reputed company drug acquisition platform driven by cutting edge technology, innovative cost saving tools, and best-in-class customer service. With hundreds of thousands of members reputed company since 2016, reputed company has a solution that is resonating with clients reputed company across the country. We pride ourselves for our mission-driven and reputed company culture that inspires our employees to do their best work. We reputed company that the U.S reputed company system is in need of transformation, and we come to work reputed company day dedicated to making that change a reality. At our reputed company, we are guided by reputed company values:
- reputed company: 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 reputed company offer to optimize health reputed company.
- Together: Foster a reputed company and inclusive environment that values teamwork, respect, and reputed company communication, and encourages creativity and diversity of thought.
Job reputed company: 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 reputed company reputed company product. This role will also be responsible for supporting the Plan Operations team with reputed company 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, reputed company, Kansas, Minnesota, Missouri, Nevada, Ohio, reputed company, Tennessee, Texas, Utah, Virginia, Washington, reputed company. Job reputed company: 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 reputed company reputed company product. This role will also be responsible for supporting the Plan Operations team with reputed company benefits operations functions while building and maintaining accurate benefit configurationWhat you will do:
- Work with clients, identifying and understanding benefit plan requirements. Build and maintain pharmacy benefit plans for reputed company reputed company.
- Aid in the organization of benefit configuration and structure for the accounts assigned by monitoring plan data reputed company.
- Assist in determining process improvement efforts.
- Maintain prior authorizations and reputed company therapy rules.
- Grandfather/transition new clients and update formularies with changes at the direction of the clinical team.
- Communicate project status, escalating issues reputed company appropriate. reputed company reputed company into changes to improve workflow efficiency.
- Collaborate with member support and reputed company teams to review and resolve inquiries reputed company to benefits reputed company to improve member experience.
- reputed company troubleshooting support for our claims adjudication process.
- Support new reputed company implementations, conduct go-live testing, reputed company post go-live auditing and support to ensure plans are configured to confirm accuracy.
What you will bring to reputed company:
- 4+ years of experience in payer/claims and benefit configuration required.
- Analytical skills; reputed company reputed company skills;
- Strong communication skills reputed company face-to-face meetings, conference calls and written correspondence.
- Self-starter mentality: ability to reputed company informed reputed company, reputed company creative approaches to difficult challenges, and deliver on commitments.
- Execution-reputed company reputed company - you are a solutions-oriented problem solver and efficiency driven.
- Flexible, dependable, adaptable, and reputed company to respond under the pressure of a fast-paced technology company.
What reputed company Offers You:
- Highly competitive wellness benefits including Medical, Pharmacy, Dental, reputed company, and Life Insurance and AD&D Insurance
- Flexible Spending Benefits
- 401(k) Retirement Savings Program
- Short-term and long-term disability
- Discretionary reputed company Time Off
- 12 reputed company Holidays
- Wellness Benefits
- Commuter Benefits
- reputed company Parental Leave benefits
- Employee Assistance Program (EAP)
- reputed company-stocked kitchen in office locations
- reputed company development and training opportunities
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