EmpiRx Health
201 - 500 employees
Founded 2014
🏥 Healthcare
⚕️ Healthcare Insurance
🤖 Artificial Intelligence
Healthcare • Healthcare Insurance • Artificial Intelligence
EmpiRx Health is a clinically-driven pharmacy benefits management (PBM) company that uses a Medication Optimization (MO) operating model to improve patient outcomes and lower drug costs. The company combines in-house clinical pharmacists, peer-to-peer physician collaboration, and AI-powered population health and analytics technology (the Clinically™ platform and Population Health Engine) to assess pharmacy claims, identify clinically appropriate medication interventions, guarantee auditable savings to plan sponsors, and provide high-touch member care advocacy. EmpiRx partners with plan sponsors and health plans to replace traditional rebate-driven PBM models with value- and outcomes-based pharmacy care.
Benefits Configuration Specialist
🔥 0 minutes ago
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EmpiRx Health
201 - 500 employees
Founded 2014
🏥 Healthcare
⚕️ Healthcare Insurance
🤖 Artificial Intelligence
Healthcare • Healthcare Insurance • Artificial Intelligence
EmpiRx Health is a clinically-driven pharmacy benefits management (PBM) company that uses a Medication Optimization (MO) operating model to improve patient outcomes and lower drug costs. The company combines in-house clinical pharmacists, peer-to-peer physician collaboration, and AI-powered population health and analytics technology (the Clinically™ platform and Population Health Engine) to assess pharmacy claims, identify clinically appropriate medication interventions, guarantee auditable savings to plan sponsors, and provide high-touch member care advocacy. EmpiRx partners with plan sponsors and health plans to replace traditional rebate-driven PBM models with value- and outcomes-based pharmacy care.
đź“‹ Description
• Understand clients' intent for the setup of their benefit plans • Complete configuration of new clients and maintain changes for existing clients, including account structure, benefit plan design, clinical program, drug coverage, network, and billing • Identify test-case scenarios to confirm plan setup accuracy • Audit configuration elements for accuracy and alignment with client intent • Develop and maintain continuous-improvement processes and internal controls aligned with industry, business, and technology standards • Assist internal teams with claim inquiries and training • Create and maintain training documentation • Adjust processes to support internal teams
🎯 Requirements
• Bachelor's degree or other relevant experience as determined by the company • 5 years of benefits configuration experience within a PBM or health plan • Experience with plan setup testing • Excellent attention to detail • Strong communication skills • Pharmacy Technician experience preferred
🏖️ Benefits
• Paid Time Off • 401(k) program • Health Insurance including Dental & Vision coverage • Student Loan Reimbursement • Health Savings Account • Employee Assistance Program
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