SmithRx
Join to apply for the
Benefits Configuration Analyst
role at
SmithRx
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.
Our culture
is mission-driven and collaborative, inspiring employees to do their best work. 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.
Job Summary 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. Eligible applicants must be based in one of the following states: Arizona, Arkansas, California, Colorado, Florida, Georgia, Kansas, Minnesota, Missouri, Nevada, New Jersey, 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 you will bring to SmithRx
4+ years of experience in payer/claims and benefit configuration required.
Analytical skills; Microsoft Excel skills.
Strong communication skills via face-to-face meetings, conference calls and written correspondence.
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
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
Seniority level
Mid-Senior level
Employment type
Full-time
Job function
Information Technology
Industries
Hospitals and Health Care
Referrals increase your chances of interviewing at SmithRx by 2x
Get notified about new Configuration Analyst jobs in Lehi, UT.
We’re unlocking community knowledge in a new way. Experts add insights directly into each article, started with the help of AI.
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Benefits Configuration Analyst
role at
SmithRx
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.
Our culture
is mission-driven and collaborative, inspiring employees to do their best work. 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.
Job Summary 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. Eligible applicants must be based in one of the following states: Arizona, Arkansas, California, Colorado, Florida, Georgia, Kansas, Minnesota, Missouri, Nevada, New Jersey, 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 you will bring to SmithRx
4+ years of experience in payer/claims and benefit configuration required.
Analytical skills; Microsoft Excel skills.
Strong communication skills via face-to-face meetings, conference calls and written correspondence.
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
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
Seniority level
Mid-Senior level
Employment type
Full-time
Job function
Information Technology
Industries
Hospitals and Health Care
Referrals increase your chances of interviewing at SmithRx by 2x
Get notified about new Configuration Analyst jobs in Lehi, UT.
We’re unlocking community knowledge in a new way. Experts add insights directly into each article, started with the help of AI.
#J-18808-Ljbffr