SmithRx
SmithRx is a tech-forward PBM committed to changing the way pharmacy benefits are managed.
Pharmacy Benefits QA Analyst
Location
United States
Posted
21 days ago
Salary
Not specified
Bachelor Degree4 yrs expEnglish
Job Description
• Communicate project status and escalate issues for improved workflow efficiency
• Collaborate with engineers on system enhancements to create workflow automation
• Become subject matter expert on department standards and processes
• Enhance test plans to ensure application functionality meets original requirements
• Support business application systems and maintain plan data integrity
• Maintain and capture department metrics, identify areas of opportunity for process improvement, and develop quality acceptance standards.
• Identify quality improvement opportunities and present to Manager/Team Leaders for consideration and approval
• Develops and deploys daily audits to assess the quality and accuracy of the Benefit Configuration Specialists/Analysts work products.
• Ensures the quality and accurate analysis of benefit plan designs throughout their lifecycle, from pre-implementation to post-implementation in pharmacy or medical settings.
Job Requirements
- Bachelors degree or equivalent work experience in healthcare and/or PBM required
- 4+ years of experience as a Pharmacy QA Analyst preferred
- Comprehensive knowledge of benefits administration, benefits configuration, eligibility requirements, benefit provisions, and enrollment protocols required
- Robust analytical skills; advanced skills in Microsoft Excel
- 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, adaptable, and able to respond under the pressure of a fast-paced technology company
Benefits
- 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
- Paid Company Holidays
- Wellness Benefits
- Commuter Benefits
- Paid Parental Leave benefits
- Employee Assistance Program (EAP)
- Well-stocked kitchen in office locations
- Professional development and training opportunities
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