Pharmacy Benefit Configuration Specialist

Job Summary

A company is looking for a Benefit Configuration Specialist.

Key Responsibilities:

• Execute end-to-end testing and validation of pharmacy benefit plan configurations across various lines of business
• Perform detailed implementation audits to ensure compliance with client intent and regulatory standards
• Identify and document configuration discrepancies, collaborating with teams for timely resolution

Required Qualifications:

• Bachelor's degree in Healthcare Administration, Business, Information Systems, or related field (or equivalent experience)
• 3-5 years of experience in pharmacy benefit management, health plan operations, or benefit configuration
• Direct experience supporting Medicare lines of business
• Strong knowledge of formulary design and benefit structures
• Proficiency in Microsoft Excel for data review and reporting