TL;DR

Senior Benefits Configuration Analyst (Healthcare): Supporting cross-functional teams during implementations, building and managing pharmacy benefit plans to ensure high quality. Focus on monitoring plan data integrity and spearheading process improvement efforts.

Location: Remote

Company

%hirify_global% is a rapidly growing, venture-backed Health-Tech company disrupting the Pharmacy Benefit Management (PBM) sector.

What you will do

Work with clients to identify and understand benefit plan requirements, building and maintaining pharmacy benefit plans.
Own all aspects of benefit configuration organization and structure for assigned accounts by monitoring plan data integrity.
Provide support to team members for escalations and complex configuration requests.
Create and maintain prior authorizations and step therapy rules.
Collaborate with member support and customer success teams to resolve benefit-related inquiries and improve member experience.
Collaborate with engineers on system enhancements to drive automation.

Requirements

Bachelor's degree or equivalent work experience in healthcare and/or PBM required.
6+ years of experience in benefits configuration with a healthcare or health insurance organization required.
Robust analytical skills and advanced skills in Microsoft Excel.
Strong communication skills via face-to-face meetings, conference calls, and written correspondence.
Self-starter mentality with the ability to make informed decisions and find creative approaches to difficult challenges.
Execution-focused ethos with solutions-oriented problem-solving and efficiency-driven approach.

Culture & Benefits

Highly competitive wellness benefits including Medical, Pharmacy, Dental, Vision, and Life Insurance and AD&D Insurance.
Flexible Spending Benefits and 401(k) Retirement Savings Program.
Discretionary Paid Time Off and 12 Paid Holidays.
Paid Parental Leave benefits.
Employee Assistance Program (EAP).
Professional development and training opportunities.