Senior Benefits Configuration Tester

Responsibilities

• Organize testing suites, create test plans, and submit complex test cases to validate benefit configuration accuracy
• Serve as a key liaison with senior Benefit Operations members to resolve configuration discrepancies and clarify plan designs
• Provide support, guidance, and peer review for junior team members regarding claims adjudication and upstream/downstream processes
• Perform advanced logic validation for Clinical/Prior Authorization and Financial Accumulators, ensuring accurate out-of-pocket maximums and cost-shares
• Document detailed defect reports and assist in developing process improvements for efficiency and accuracy

Requirements

• 2-4 years of experience in benefits configuration or testing within the healthcare industry
• Associate degree or equivalent work experience
• Strong understanding of benefit design standards, including HIPAA and NCPDP
• Proficiency in Microsoft Excel
• Strong critical thinking skills and the ability to analyze data to draw logical conclusions
• Excellent written and verbal communication skills for cross-functional collaboration

Preferred Qualifications

• Experience in Pharmacy Benefit Management (PBM) or managed care

Benefits

• Medical, Pharmacy, Dental, and Vision Insurance (SmithRx pays up to 90% for you and your family)
• Fully paid Life insurance and Disability benefits
• 3 weeks of PTO
• 401(k) Retirement Savings Program
• Flexible Spending Benefits
• Generous Paid Parental Leave
• Professional development, training, and career growth opportunities

About the Company

SmithRx is a rapidly growing, venture-backed Health-Tech company on a mission to disrupt the expensive and inefficient Pharmacy Benefit Management (PBM) sector. We are building a next-generation drug acquisition platform driven by cutting-edge technology, innovative cost-saving tools, and best-in-class customer service.