01Overview
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 forwardalways.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 issues for improved workflow efficiencyCollaborate with engineers on system enhancements to create workflow automationBecome subject matter expert on department standards and processesEnhance test plans to ensure application functionality meets original requirementsSupport business application systems and maintain plan data integrityMaintain 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 approvalDevelops 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.What you will bring:Bachelors degree or equivalent work experience in healthcare and/or PBM required4+ years of experience as a Pharmacy QA Analyst preferredComprehensive knowledge of benefits administration, benefits configuration, eligibility requirements, benefit provisions, and enrollment protocols requiredRobust analytical skills; advanced skills in Microsoft ExcelStrong communication skills via face-to-face meetings, conference calls and written correspondenceSelf-starter mentality: ability to make informed decisions, find creative approaches to difficult challenges, and deliver on commitmentsExecution-focused ethos - you are a solutions-oriented problem solver and efficiency drivenFlexible, adaptable, and able to respond under the pressure of a fast-paced technology companyWhat SmithRx Offers You:
Highly competitive wellness benefits including Medical, Pharmacy, Dental, Vision, and Life Insurance and AD&D InsuranceFlexible Spending Benefits401(k) Retirement Savings ProgramShort-term and long-term disabilityDiscretionary Paid Time Off12 Paid HolidaysWellness BenefitsCommuter BenefitsPaid Parental Leave benefitsEmployee Assistance Program (EAP)Well-stocked kitchen in office locationsProfessional development and training opportunitiesOriginally posted on .
