Benefits Configuration Specialist

Who We Are:

EmpiRx Health is a disruptor in an ever-changing healthcare industry, offering a market-differentiating, value-based pharmacy benefits management solution. We are bold and fearless in our approach to healthcare, how we talk about ourselves, and our use of advanced technology and analytics.

What We Do:

We partner with HR and Benefits managers nationwide to ensure our membership has access to the best pharmacy benefits available. 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. Our pharmaceutical staff daily consults with physicians to drive the greatest clinical and financial outcomes.

Employee-Centric Culture:

At EmpiRx Health, our employees are our most valuable asset. We've earned recognition as an award-winning leader in healthcare by investing in our employees. Our leadership teams drive the employee experience with a strength-based learning and development approach. By leveraging Gallup's Clifton Strengths assessment, we empower our teams to excel and unleash their full potential. We've fostered an environment where every voice is heard, and talents are nurtured. At EmpiRx Health, we celebrate groundbreaking ideas, encourage collaboration, and value open dialogue and continuous improvement.

Who We're Looking For:

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

If you are a highly motivated Benefits Configuration Specialist, 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 including:

• 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 maintain 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.

What you need:

• 5 years benefit configuration experience within a PBM or Healthplan.
• Excellent attention to detail.
• Excellent communication and client facing and stakeholder skills.

At EmpiRx Health, we understand that a fulfilling career goes beyond the tasks at hand. It's about creating an environment where employees thrive both professionally and personally. As a valued member of our team, you'll have access to a range of benefits designed to support your overall wellbeing and enhance your work-life balance:

• Medical, prescription, vision, dental, life, and disability insurance, with coverage for domestic partnerships.
• A 401K match program to secure your financial future.
• Parental leave for childbirth and adoption.
• Student loan reimbursement.

• Additional perks include flexible PTO, hybrid work arrangements, online wellness resources and counseling access, and an employee discount program.

Join EmpiRx Health, where we are transforming the healthcare landscape with innovation and unwavering commitment to our employees and members. Make a difference and grow with us!
Work Environment: Hybrid, Orlando Florida.
***Third party solicitation, submission, and referrals of applicants for this role will not be considered***
EmpiRx Health is an Equal Opportunity Employer
At EmpiRx Health, we wholeheartedly embrace the power of diversity and the magic of inclusion. The kaleidoscope of unique perspectives, backgrounds, and talents fuels our innovation and sets us apart. We're on a mission to build a team as diverse as the world we serve, where everyone is welcome and celebrated. We're not just breaking down barriers; we're actively erasing them to create an environment where opportunity knows no bounds. In unity, we find our strength and invite individuals from all walks of life to join us in our exhilarating journey to shape a brighter, more inclusive future together.
Compensation Structure
The compensation structure for this position at our company is governed by various state Fair Pay Acts. Salaries will vary based on multiple factors, including but not limited to professional and academic experience, training, associated responsibilities, and other business and organizational needs.

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