Benefits Configuration Specialist

EmpiRx Health is in unprecedented growth, and we're seeking a highly skilled and experienced Benefits Configuration Specialist. In this critical role, you will ensure our clients are set up with their prescription benefit plan details correctly in our systems to enable seamless implementation of their plan design. You will contribute to operational accuracy, client satisfaction, and compliance by supporting configuration, documentation, and validation of benefit designs.

Key Responsibilities:

Understanding client’s intent for the setup of their benefit plans.
Completing configuration of new clients and maintaining changes for existing clients, including but not limited to; account structure, benefit plan design, clinical program, drug coverage, network and billing.
Identifying all test cases scenarios that will be used to confirm the setup of the plan is accurate.
Auditing 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.
Assisting internal team with claim inquiries and training.
Creating and maintaining training documentations.
Adjusting our process to support internal teams.

Required Qualifications & Experience:

Bachelor’s degree or other a relevant experience as determined by the company
5 years benefit configuration experience within a PBM or Healthplan.
Plan setup testing
Excellent attention to detail and strong communication.

Preferred Qualifications & Experience:

Pharmacy Technician experience