Manager, Benefits Plan Configuration

Job Description

RxSense is a healthcare technology and service company that offers innovative technology platforms to the pharmacy benefit services industry.  The combination of leading-edge systems and comprehensive operational capability allow us to be a valued added partner to a variety of prospects in the pharmacy benefits management marketplace.

Primary Duties

• Develop a high degree of knowledge about pharmacy claims and RxSense claims platforms.
• Set up and maintain benefits, pricing and hierarchies
• Establish and maintain relationships with client services, pharmacy networks, implementations, UAT/QA, IT, finance and clinical staff with focus on accurate implementing requests
•  Assist implementation team during client implementation calls focused on benefit and hierarchy configurations
•  Gain a thorough understanding of client benefit designs and implement accurately
• Test set ups prior to implement to production
• Troubleshoot benefits set up issues and propose solutions including updating processes to avoid future issues
• Coordinate impact analysis for identified issues
• Assist management in developing and maintaining department policy and procedures
•  Assist the Director and staff with process and development projects
• Other duties as assigned

Education & Experience

• High School Diploma required, Bachelor’s degree preferred
• Minimum 3yrs industry experience