Senior Benefits Administration Analyst

Emploi pas sur LinkedIn

🕒 il y a 13 jours

🇺🇸 États-Unis – Télétravail

💵 $75 000 - $113 000 / an

⏰ Temps Plein

🟠 Senior

🖥️ Administrateur

🦅 Parrain de Visa H1B

Cette entreprise a parrainé des visas H1B par le passé.

Postuler Maintenant

Trouver des Emplois à Distance Similaires

Recevoir des emails pour des emplois à distance

📊 Vérifiez votre score de CV pour ce poste

Améliorez vos chances d'obtenir un entretien en vérifiant votre score de CV avant de postuler.

Télécharger le CV

RxSense

Site WebLinkedInTous les Emplois

201 - 500 employés

⚕️ Assurance santé

💊 Pharmaceutique

☁️ SaaS

💰 Private Equity Round en 2020-05

Healthcare Insurance • Pharmaceuticals • SaaS

RxSense est une entreprise HealthTech dédiée à la modernisation de la gestion des avantages pharmaceutiques. Elle développe des produits de pointe qui optimisent l'adjudication et l'analyse des réclamations, dans le but de réduire les coûts et d'améliorer l'accès au sein de l'écosystème pharmaceutique. RxSense propose des solutions pour les gestionnaires d'avantages pharmaceutiques (PBM), les pharmacies, les fabricants de produits pharmaceutiques, les payeurs et les consommateurs, soutenant de meilleurs résultats pour des millions de personnes chaque jour. Leurs produits incluent des outils avancés tels que le moteur d'adjudication RxIQ Enterprise, la plateforme d'analyse de l'intelligence d'affaires et l'optimisation des prix basée sur l'intelligence artificielle. Ils sont connus pour leur marque phare de réduction des coûts de prescription, SingleCare, qui aide les consommateurs à obtenir des prix abordables tout en bénéficiant des partenaires pharmaceutiques.

Description

• Own and lead the full implementation lifecycle for large, complex, or strategic clients from initiation through production deployment, ensuring all contractual deliverables are met on time and within scope. • Serve as the primary benefits configuration expert on client implementations, leading all discovery, requirements gathering, and configuration sessions. • Anticipate and proactively mitigate implementation risks; develop contingency plans and communicate issues to leadership with recommended solutions. • Review and validate benefit set-ups performed by junior analysts prior to client go-live. • Configure and maintain complex benefit designs, clinical rules, pharmacy networks, pricing structures, accumulators, and hierarchies across the RxSense platform. • Develop deep expertise in RxSense claims platforms and serve as an internal resource for platform capabilities and limitations. • Lead root-cause analysis on complex benefit set-up issues; develop and implement process changes to prevent recurrence. • Conduct impact analysis for platform changes, client requests, and identified issues affecting benefit configurations. • Build and sustain trusted advisor relationships with clients, serving as a consultative partner on benefit design strategy and platform optimization. • Represent Benefits Administration in cross-functional meetings, client steering committees, and escalation calls. • Partner with Client Services, Pharmacy Networks, UAT/QA, IT, Finance, and Clinical teams to drive flawless implementations and ongoing client satisfaction. • Provide mentorship, training, and day-to-day guidance to Benefits Administration Analysts and other team members. • Develop and deliver training materials for internal staff and private-label clients on benefit set-up requirements and platform best practices. • Act as an escalation point for the team on complex or ambiguous benefit configuration challenges. • Identify and lead initiatives to improve departmental workflows, documentation, and quality standards. • Assist the Director in developing and maintaining department policies, procedures, and best practices. • Contribute to strategic projects and product initiatives as a subject matter expert.

🎯 Exigences

• Bachelor's degree or equivalent experience in healthcare, pharmacy benefit management (PBM), or a related field • 5+ years of experience in pharmacy benefit management, client implementations, or plan builds, with at least 2 years in a senior or lead capacity • Experience with PBM claims processing platforms required; RxSense platform experience strongly preferred • Prior experience in a consultative client-facing role strongly preferred

🏖️ Avantages

• RxSense believes in a diverse workforce • Equal Opportunity and Affirmative Action employer