Offer summary

Qualifications:

5 years benefit configuration experience, Knowledgeable with Microsoft Office applications.

Key responsabilities:

Complete configuration of new clients

Maintain configuration of existing clients

Ensure compliance with federal and state mandates

Create and maintain member communication documents

Audit and test all configuration elements

Job description

Who We Are:

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.

What We Do:

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 management 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, which has been on an explosive growth trajectory in recent years.

Who We're Looking For:

EmpiRx Health is in unprecedented growth, and we're seeking a highly skilled and experienced Benefits Configuration Specialist. In this critical role, you will ensure our clients are setup with their Health plan details correctly in our systems to ensure seamless implementation for their plan design.

If you are a highly motivated [job title] with a strong background in [description], and you are passionate about making a meaningful impact in the healthcare industry, we encourage you to apply.

What You'll Do:

As a Benefits Configuration Specialist your role will encompass a wide range of responsibilities; here are a few:

Completing configuration of new clients, including but not limited to; account structure, eligibility, benefit plan design, clinical program, drug coverage, network and billing.
Understanding and documenting client’s intent for the setup of their benefit plans.
Ensuring all plan design components are in compliance with all federal and state mandates.
Maintaining configuration of existing clients, including but not limited to; account structure, eligibility, benefit plan design, clinical program, drug coverage, network and billing.
Creating and maintaining all member communication documents.
Identifying all test cases scenarios that will be used to confirm the setup of the plan is accurate.
Auditing and testing all configuration elements to ensure accuracy and meets the client’s intent.
Developing and maintaining a continuous improvement approach to confirm processes and internal controls are in place and updated to meet industry, business, and technology standards.
Assisting internal team with claim inquiries.
Creating and maintaining Training documentations.

What You Need:

5 years benefit configuration experience within a PBM or Healthplan.
Ability to process testing and interpret results.
Excellent attention to detail.
Excellent communication and client facing and stakeholder skills.
Knowledgeable with Microsoft office applications.

Why Join Us:

EmpiRx Health is on an extraordinary journey where excellence meets innovation.
We are a collaborative team that encourages groundbreaking ideas, values open dialogue, and prioritizes continuous improvement.
You will be part of a dynamic team where success is a shared celebration, collaboration fuels progress, and we redefine healthcare together.
We offer a generous and competitive benefits package.
You will share in the company's success through our discretionary bonus program.

EmpiRx Health is an Equal Opportunity Employer

EmpiRx Health is an equal opportunity employer. We are committed to creating a diverse and inclusive environment for all employees. We prohibit discrimination and harassment of any kind based on race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state, or local laws.

All employment decisions are based on business needs, job requirements, and individual qualifications. We are an inclusive organization and actively promote equality of opportunity for all with the right mix of talent, skills and potential. EmpiRx Health celebrates diversity and is committed to creating an inclusive environment for all employees.

Your career at EmpiRx Health awaits – join us in shaping the future of excellence in healthcare.
Careers - EmpiRx Health

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