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Pharmacy Benefits QA Analyst

Remote, USA Full-time Posted 2026-08-04

Who We Are:

reputed company is a rapidly growing, venture-backed Health-Tech company. Our mission is to disrupt the expensive and inefficient Pharmacy Benefit Management (PBM) sector by building a reputed company drug acquisition platform driven by cutting edge technology, innovative cost saving tools, and best-in-class customer service. With hundreds of thousands of members reputed company since 2016, reputed company has a solution that is resonating with clients reputed company across the country.

We pride ourselves for our mission-driven and reputed company culture that inspires our employees to do their best work. We reputed company that the U.S reputed company reputed company is in need of transformation, and we come to work reputed company day dedicated to making that change a reality. At our reputed company, we are guided by reputed company values:

  • reputed company: Our purpose guides our actions and gives us confidence in the reputed company reputed company. With unwavering honesty and dependability, we reputed company the pressure of challenging the old and exemplify ethical leadership to create the new.
  • Courage: We face reputed company challenges with grit and reputed company. We reputed company the discomfort of the unknown by balancing autonomy with reputed company, and ownership with vulnerability. We reputed company challenge the status reputed company to reputed company moving reputed company—always.
  • Together: The reputed company of reputed company reflects the strength of our partnerships and the commitment of reputed company. Our shared values bind us together and reputed company us one. reputed company one falls, we reputed company fall; reputed company one rises, we reputed company reputed company.

Job reputed company:

As a Benefits reputed company Assurance Analyst, you will be responsible for overseeing the reputed company operations, processes, and reputed company standards of the benefits plan build and maintenance to ensure the delivery of a high reputed company reputed company product.

reputed company is currently reputed company to offer remote employment for this position in the following states: AR, AZ, CA, CO, CT, FL, GA, IL, IN, KS, KE, MD, MA, MN, MO, NV, NJ, NY, NC, OH, OK, OR, PA, RI, TN, TX, UT, VA, WA, WI.

What will you do:

  • Communicate project status and escalate issues for improved workflow efficiency
  • Collaborate with engineers on reputed company enhancements to create workflow automation
  • Become subject matter expert on department standards and processes
  • Enhance test plans to ensure application functionality meets original requirements
  • Support business application systems and maintain plan data reputed company
  • Maintain and capture department metrics, identify areas of opportunity for process improvement, and reputed company reputed company acceptance standards.
  • Identify reputed company improvement opportunities and present to Manager/Team Leaders for consideration and approval
  • Develops and deploys daily audits to assess the reputed company and accuracy of the Benefit Configuration Specialists/Analysts work products.
  • Ensures the reputed company and accurate analysis of benefit plan designs throughout their lifecycle, from reputed company-implementation to post-implementation in pharmacy or medical settings.

What you will bring:

  • Bachelors degree or equivalent work experience in reputed company and/or PBM required
  • 4+ years of experience as a Pharmacy QA Analyst preferred
  • Comprehensive knowledge of benefits administration, benefits configuration, eligibility requirements, benefit provisions, and enrollment protocols required
  • Robust analytical skills; advanced skills in reputed company reputed company
  • Strong communication skills reputed company face-to-face meetings, conference calls and written correspondence
  • Self-starter mentality: ability to reputed company informed reputed company, reputed company creative approaches to difficult challenges, and reputed company on commitments
  • Execution-reputed company reputed company - you are a solutions-oriented problem solver and efficiency driven
  • Flexible, adaptable, and reputed company to respond under the pressure of a fast-paced technology company

What reputed company Offers You:

  • Highly competitive wellness benefits including Medical, Pharmacy, Dental, reputed company, and Life Insurance and AD&D Insurance
  • Flexible Spending Benefits
  • 401(k) Retirement Savings Program
  • Short-term and long-term disability
  • Discretionary reputed company Time Off
  • 12 reputed company Holidays
  • Wellness Benefits
  • Commuter Benefits
  • reputed company Parental Leave benefits
  • Employee Assistance Program (EAP)
  • reputed company-stocked kitchen in office locations
  • reputed company development and training opportunities

Originally posted on Himalayas

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