Base: $75,000 - $90,000 usd; bonus/equity: not spe...
Remote
Pharmacy benefit plan configurations
Testing and validation
Regulatory requirements
The Benefit Configuration Specialist is responsible for supporting the testing and validation of pharmacy benefit plan configurations across multiple lines of business, including Commercial, Medicaid, Exchange, and Medicare
Job Summary
The Benefit Configuration Specialist is responsible for supporting the testing and validation of pharmacy benefit plan configurations across multiple lines of business, including Commercial, Medicaid, Exchange, and Medicare.
Responsibilities include reviewing plan design specifications, performing scenario-based testing, identifying configuration discrepancies, and collaborating with cross-functional teams to resolve issues.
Judi Health provides a comprehensive suite of solutions for employers and health plans, including PBM solutions, health benefit management solutions, and an Enterprise Health Platform.
Matching Summary
The Benefit Configuration Specialist is responsible for supporting the testing and validation of pharmacy benefit plan configurations across multiple lines of business, including Commercial, Medicaid, Exchange, and Medicare.
Salary
Base: $75,000 - $90,000 USD; Bonus/Equity: Not specified; Benefits: Medical, dental, vision, FSA, HSA, life insurance, disability, EAP, wellness program, 401(k) with match
Skills & Requirements
Must-have
pharmacy benefit plan configurations
testing and validation
regulatory requirements
scenario-based testing
claim administration workflows
Nice-to-have
rebuilding trust in healthcare
fast-paced environment
process improvements
client-facing discussions
Key Requirements
3-5 years of experience in PBM or health plan operations
Direct experience supporting Medicare lines of business