EmpiRx Health
201 - 500 employees
Founded 2014
🏥 Healthcare
đź’Š Pharmaceuticals
⚕️ Healthcare Insurance
Healthcare • Pharmaceuticals • Healthcare Insurance
EmpiRx Health is a clinically-driven, pharmacist-led pharmacy benefits management (PBM) company that focuses on medication optimization and value-based pharmacy care. The company centers pharmacists in its operating model, leveraging AI-powered analytics and population health tools to make evidence-based medication recommendations, improve patient outcomes, and reduce total drug spending for plan sponsors. EmpiRx offers a technology-enabled PBM platform and services to employers, health plans, and pharmacies, emphasizing customer-first service, guaranteed clinical savings, and preservation of community pharmacies.
Benefits Configuration Specialist
🔥 0 minutes ago
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EmpiRx Health
201 - 500 employees
Founded 2014
🏥 Healthcare
đź’Š Pharmaceuticals
⚕️ Healthcare Insurance
Healthcare • Pharmaceuticals • Healthcare Insurance
EmpiRx Health is a clinically-driven, pharmacist-led pharmacy benefits management (PBM) company that focuses on medication optimization and value-based pharmacy care. The company centers pharmacists in its operating model, leveraging AI-powered analytics and population health tools to make evidence-based medication recommendations, improve patient outcomes, and reduce total drug spending for plan sponsors. EmpiRx offers a technology-enabled PBM platform and services to employers, health plans, and pharmacies, emphasizing customer-first service, guaranteed clinical savings, and preservation of community pharmacies.
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 benefit configuration experience within a PBM or health plan • Plan setup testing experience • 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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