Benefits Configuration Analyst

The job overview for the Benefits Configuration Analyst role is to support cross-functional teams during implementations and build and manage pharmacy benefit plans on various platforms. This includes working with clients to understand their benefit plan requirements, organizing benefit configuration and structure, maintaining prior authorizations and step therapy rules, and communicating project status. The analyst will also collaborate with member support and customer success teams to resolve inquiries and provide troubleshooting support for the claims adjudication process.

• Work with clients to identify and understand benefit plan requirements
• Build and maintain pharmacy benefit plans for client groups
• Organize benefit configuration and structure for assigned accounts 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 and escalate issues when necessary
• Provide insight into changes to improve workflow efficiency
• Collaborate with member support and customer success teams to review and resolve inquiries related to benefits in a timely manner
• Provide troubleshooting support for the claims adjudication process
• Support new client implementations

• Work with clients to identify and understand benefit plan requirements
• Build and maintain pharmacy benefit plans for client groups
• Aid in the organization of benefit configuration and structure for assigned accounts
• Monitor 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
• Communicate project status and escalate issues when necessary
• Provide insight into changes to improve workflow efficiency
• Collaborate with member support and customer success teams to resolve inquiries related to benefits
• Provide troubleshooting support for claims adjudication process
• Support new client implementations

• Highly competitive wellness benefits including Medical, Pharmacy, Dental, Vision, Life insurance
• Flexible Spending Benefits
• Discretionary Time Off
• 401(k) Retirement Savings Program
• Commuter Benefits
• Paid Parental Leave benefits
• Professional development and training opportunities