Benefits Configuration Specialist

About the company

EmpiRx Health is the leading clinically-driven pharmacy benefits management company. As the pioneer in value-based pharmacy care, EmpiRx Health puts its customers and members first by enabling them to take control of their pharmacy benefits, healthcare outcomes, and financial results. We place more emphasis on member care than any other PBM by focusing on health outcomes first. Our pharmacists and clinicians are at the center of everything we do—and our population health solution delivers tailored strategies for our clients. Leveraging our newly launched, AI-powered pharmacy care platform, Clinically™, EmpiRx Health’s pharmacists and client experience teams provide the highest quality pharmacy care to our clients and their members. This enables benefits plan sponsors to keep their members healthy, happy, and productive, while substantially reducing prescription drug spending.

Responsibilities

• Understand client’s intent for the setup of their benefit plans.
• Complete configuration of new clients and maintain changes for existing clients, including but not limited to: account structure, benefit plan design, clinical program, drug coverage, network, and billing.
• Identify all test case scenarios that will be used to confirm the setup of the plan is accurate.
• Audit all configuration elements to ensure accuracy and alignment with the client’s intent.
• Develop and maintain a continuous improvement approach to confirm processes and internal controls are in place and updated to meet industry, business, and technology standards.
• Assist internal teams with claim inquiries and training.
• Create and maintain training documentation.
• Adjust processes to support internal teams.

Requirements

• Bachelor’s degree or other relevant experience as determined by the company.
• 5 years of benefit configuration experience within a PBM or Healthplan.
• Experience with plan setup testing.
• Excellent attention to detail and strong communication skills.

Preferred Qualifications

• Pharmacy Technician experience.

Work Environment

Remote

Benefits

• Paid Time Off
• 401(k) program
• Health Insurance including Dental & Vision coverage
• Student Loan Reimbursement
• Health Savings Account
• Employee Assistance Program