SmithRx
Health-Tech
PharmacyBenefitsQAAnalyst
Neural analysis suggests this role is
optimal for Mid+ candidates.
“Pharmacy Benefits QA Analyst at SmithRx. Skills: Benefits Quality Assurance Analyst, benefits plan build and maintenance, application functionality, benefit plan designs. overseeing the core operations, processes, and quality standards of the benefits plan build and maintenance to ensure the delivery of a high quality SmithRx product. Communicate project status and escalate issues for improved workflow efficiency”
What You'll Achieve.
ensure the delivery of a high quality SmithRx product; create workflow automation; maintain plan data integrity; identify areas of opportunity for process improvement; develop quality acceptance standards; Identify quality improvement opportunities
Industry & Context.
Robust analytical advanced skills; 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
What They're Looking For.
Must Have
Bachelors degree or equivalent work experience in healthcare and/or PBM required, Comprehensive knowledge of benefits administration, benefits configuration, eligibility requirements, benefit provisions, and enrollment protocols required, Robust analytical advanced skills in Microsoft Excel, 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
Nice to Have
4+ years of experience as a Pharmacy QA Analyst preferred
What You'll Do.
overseeing the core operations
and quality standards of the benefits plan build and maintenance to ensure the delivery of a high quality SmithRx product
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
How You'll Work.
Team & Collaboration
Collaborate with engineers on system enhancements to create workflow automation; present to Manager/Team Leaders for consideration and approval; shared values bind us together and make us one. When one falls, we all when one rises, we all rise.
Communication Scope
communication skills via face-to-face meetings, conference calls and written correspondence
Process & Methodology
Communicate project status and escalate issues for improved workflow efficiency
Full Job Description
Who We Are: SmithRx is a rapidly growing, venture-backed Health-Tech company. Our mission is to disrupt the expensive and inefficient Pharmacy Benefit Management (PBM) sector by building a next-generation drug acquisition platform driven by cutting edge technology, innovative cost saving tools, and best-in-class customer service. With hundreds of thousands of members onboarded since 2016, SmithRx has a solution that is resonating with clients all across the country. We pride ourselves for our mission-driven and collaborative culture that inspires our employees to do their best work. We believe that the U.S healthcare system is in need of transformation, and we come to work each day dedicated to making that change a reality. At our core, we are guided by our company values: Integrity: Our purpose guides our actions and gives us confidence in the path ahead. With unwavering honesty and dependability, we embrace the pressure of challenging the old and exemplify ethical leadership to create the new. Courage: We face continuous challenges with grit and resilience. We embrace the discomfort of the unknown by balancing autonomy with empathy, and ownership with vulnerability. We boldly challenge the status quo to keep moving forward—always. Together: The success of SmithRx reflects the strength of our partnerships and the commitment of our team. Our shared values bind us together and make us one. When one falls, we all fall; when one rises, we all rise. Job Summary: As a Benefits Quality Assurance Analyst, you will be responsible for overseeing the core operations, processes, and quality standards of the benefits plan build and maintenance to ensure the delivery of a high quality SmithRx product. Our company is currently able to offer remote employment for this position in the following states: AR, AZ, CA, CO, CT, FL, GA, IL, IN, KS, KE, MD, MA, MN, MO, NV, NJ, NY, NC, OH, OK, OR, PA, RI, TN, TX, UT, VA, WA, WI. What will you do: Communicate project status and escalate issu
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