Benefit Configuration Tester

Posted 16 Days Ago
Be an Early Applicant
2 Locations
In-Office
15-25 Hourly
Junior
Pharmaceutical
The Role
As a Benefits Configuration Tester, you will execute test plans, manage testing suites, and ensure compliance with benefit design standards to enhance accuracy and efficiency in pharmacy benefit management.
Summary Generated by Built In

This is an hourly role and can only be based in Plano or Lehi. 

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 of: 

  • Integrity: Do the right thing. Especially when it’s hard.
  • Courage: Embrace the challenge.
  • Together: Build bridges and lift up your colleagues 

Job Summary: 

Benefits Configuration Tester 

As a Benefits Configuration Tester, you will be responsible for performing the necessary configuration testing to ensure requirements are met for new implementations and as well maintenance changes. In this role you will be responsible for creating new and maintaining testing suites.  

What will you do: 

  • Organize testing suites based on requirements and plan designs 
  • Create test plans, test documentation, and execute batch testing for assigned projects. 
  • Acquire understanding of SmithRx claims adjudication system and upstream/downstream processes 
  • Comply with standards set forth regarding benefit design and configuration including HIPAA, NCPDP, and SmithRx internal business standards
  • Follow department process flow to include issue resolution and utilization of company reporting tools.
  • Contribute toward department performance and service level guarantees and achieve individual performance goals around accuracy and timeliness
  • Assist in the development of process improvements that focus on efficiency and accuracy
  • Ability to communicate effectively (written, verbal/presentation, and active listening) 

What will you bring to SmithRx: 

  • Associate degree or equivalent work experience is required 
  • At least 2 years of claims processing, healthcare benefits, pharmacy benefits, and/ or commercial health insurance experience 
  • PBM or managed care is preferred, but not required 
  • Previous testing experience is preferred
  • Moderate skills in Microsoft Excel required
  • Problem solving and analytical skills
  • Impeccable attention to detail and accuracy in work product
  • Strong organizational, problem solving, written and verbal communication, and interpersonal skills
  • Ability to work independently as well as part of an extended, cross-functional team
  • Self-driven, results-oriented work ethic with a positive outlook
  • Ability to take initiative with little to no direction 

 What SmithRx Offers You:

  • Highly competitive wellness benefits including Medical, Pharmacy, Dental and Vision Insurance. SmithRx pays up to 90% for you and your family.
  • Fully paid Life insurance and Disability benefits
  • 3 weeks PTO
  • 401(k) Retirement Savings Program
  • Flexible Spending Benefits
  • Generous Paid Parental Leave benefits
  • Professional development, training and career growth opportunities
  • Well-stocked kitchen

Top Skills

Hipaa
Excel
Ncpdp
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The Company
San Francisco, CA
46 Employees
Year Founded: 2016

What We Do

SmithRx is committed to providing a straightforward approach to reducing drug costs and improving health outcomes. We understand that reducing pharmacy costs is top of mind for us all. We utilize cloud technologies to deliver the most streamlined and cost-effective PBM solution: one that is modularized and can be tailored to meet individual needs.
Our compelling value proposition can be summarized simply as follows: - 100% Pass-through Pricing & Lowest Total Costs - The Most Advanced Cloud PBM
- Best Health Outcomes

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