Job Description
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. You will also work with clients, identifying and understanding benefit plan requirements, aid in the organization of benefit configuration and structure for the accounts, assist in determining process improvement efforts, and maintain prior authorizations and step therapy rules. You will 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.
About SmithRx
SmithRx is a rapidly growing, venture-backed Health-Tech company disrupting the Pharmacy Benefit Management sector with its next-generation drug acquisition platform.