Plan Operations Analyst

SmithRx
·
Posted: 
August 7, 2023
·
Hybrid
Job Commitment
Full-time
Job Commitment
Mid Level
Job Function
Operations
Salary
N/A
Job Commitment
Full-time
Experience Level
Mid Level
Workplace Type
Hybrid
Job Function

This job is closed

We regret to inform you that the job you were interested in has now been closed. Although this specific position is no longer available, we encourage you to continue exploring other opportunities on our job board.

About the position

SmithRx is seeking a Plan Operations Associate to join their Customer Success team. The role involves supporting core Plan Ops functions to ensure the high quality of the SmithRx product. Responsibilities include maintaining platform configurations, communicating project status, driving workflow efficiency improvements, collaborating with member support and customer success teams, and providing subject matter expertise on plan design configuration details. The ideal candidate will have a strong understanding of account structure, eligibility, and accumulator requirements.

Responsibilities

  • Maintain platform configurations necessary for ongoing operations.
  • Communicate project status, escalating issues when appropriate. Drive changes to improve workflow efficiency.
  • Collaborate and provide support for member support and customer success teams.
  • Collaborate with engineers on system enhancements to workflow automation.
  • On engineering projects, become the subject matter go-to for plan design configuration details.
  • Understand and facilitate account structure, eligibility, and accumulator requirements.
  • Maintain plan data integration.
  • Requirements

    • Maintain platform configurations necessary for ongoing operations
    • Communicate project status and escalate issues when necessary
    • Drive changes to improve workflow efficiency
    • Collaborate and provide support for member support and customer success teams
    • Collaborate with engineers on system enhancements to workflow automation
    • Become the subject matter expert for plan design configuration details on engineering projects
    • Understand and facilitate account structure, eligibility, and accumulator requirements
    • Maintain plan data integrity through monitoring organization and structure of plan configurations
    • Validate system configurations for accuracy by monitoring inbound files from external partners
    • Monitor ongoing Engineering operations and provide troubleshooting support for claims adjudication processes including eligibility, accumulators, and reporting
    • Support new trading partner integrations and client implementations
    • Partner closely with internal teams to support all processes during onboarding and maintenance of accounts by working cross functionally to resolve key issues

    Benefits

    • 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

    Job Application Resources

    No items found.

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    SmithRx

    SmithRx is a pharmacy benefits partner built on a modern technology platform that aligns incentives and harnesses data analytics.
    Location
    San Francisco, CA
    Company Size
    51-100
    Workplace Type
    Industries
    Health Care
    Information Technology
    Pharmaceutical
    Health Tech
    Open Roles
    5
    Less details
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    SmithRx

    SmithRx is a pharmacy benefits partner built on a modern technology platform that aligns incentives and harnesses data analytics.
    Company Overview

    SmithRx is a pharmacy benefits partner built on a modern technology platform that aligns incentives and harnesses data analytics.

    Benefits
    • 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
    Less details

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