[Remote] Pharmacy Benefits QA Analyst

Remote Full-time
Note: The job is a remote job and is open to candidates in USA. SmithRx is a rapidly growing, venture-backed Health-Tech company focused on transforming the Pharmacy Benefit Management sector. The Benefits Quality Assurance Analyst will oversee core operations, processes, and quality standards to ensure the delivery of high-quality products while collaborating with engineers and maintaining data integrity. Responsibilities • Communicate project status and escalate issues for improved workflow efficiency • Collaborate with engineers on system 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 integrity • Maintain and capture department metrics, identify areas of opportunity for process improvement, and develop quality acceptance standards. • Identify quality improvement opportunities and present to Manager/Team Leaders for consideration and approval • Develops and deploys daily audits to assess the quality and accuracy of the Benefit Configuration Specialists/Analysts work products. • Ensures the quality and accurate analysis of benefit plan designs throughout their lifecycle, from pre-implementation to post-implementation in pharmacy or medical settings. Skills • Bachelors degree or equivalent work experience in healthcare and/or PBM required • Comprehensive knowledge of benefits administration, benefits configuration, eligibility requirements, benefit provisions, and enrollment protocols required • Robust analytical skills; advanced skills in Microsoft Excel • Strong communication skills via face-to-face meetings, conference calls and written correspondence • Self-starter mentality: ability to make informed decisions, find creative approaches to difficult challenges, and deliver on commitments • Execution-focused ethos - you are a solutions-oriented problem solver and efficiency driven • Flexible, adaptable, and able to respond under the pressure of a fast-paced technology company • 4+ years of experience as a Pharmacy QA Analyst preferred Benefits • Highly competitive wellness benefits including Medical, Pharmacy, Dental, Vision, and Life Insurance and AD&D Insurance • Flexible Spending Benefits • 401(k) Retirement Savings Program • Short-term and long-term disability • Discretionary Paid Time Off • 12 Paid Holidays • Wellness Benefits • Commuter Benefits • Paid Parental Leave benefits • Employee Assistance Program (EAP) • Well-stocked kitchen in office locations • Professional development and training opportunities Company Overview • SmithRx is reinventing PBMs with modern technology, client alignment, and 100% transparency. It was founded in 2016, and is headquartered in San Francisco, California, USA, with a workforce of 501-1000 employees. Its website is Apply tot his job
Apply Now →

Similar Jobs

Experienced Registered Behavior Technician for In-Home ABA Therapy - Atlanta, GA

Remote

Immediate Hiring: Experienced Registered Behavioral Technician (RBT) for Clinic-Based ABA Therapy Services

Remote

Experienced Registered Behavioral Technician (RBT) - ABA Therapy for Children with Autism Spectrum Disorder

Remote

Experienced Registered Nurse - Telehealth: Providing Remote Care Coordination and Patient Support

Remote

Experienced Substitute Teacher for Riverside County Schools - Join Scoot Education's Innovative Team

Remote

Experienced Substitute Teacher for San Bernardino County - Flexible Schedules & Competitive Pay

Remote

Experienced School Year Instructional Coach for High-Dosage Tutoring Programs in Edgewater Park, NJ

Remote

Experienced School Year Tutor for K-8 Students in Math and Literacy - Mickleton, NJ

Remote

Experienced Secondary Social Studies Teacher for Kansas - Flexible Hybrid Remote Arrangement

Remote

USPS Office Helper

Remote

**Experienced Remote Data Entry Specialist - Data Accuracy & Integrity Expert at Scalesforth**

Remote

Experienced Data Entry Specialist for Remote Work Opportunities at blithequark

Remote

Account Executive

Remote

Experienced Online Tech Product Reviewer and Tester – Remote Work Opportunity for Tech Enthusiasts with No Prior Experience Required

Remote

**Experienced Hulu Originals Documentary Development Intern – Summer/Fall 2025 Work-from-Home Opportunity**

Remote

Bilingual Customer Service Representative (Remote)

Remote

Cracker Processing Lead | 3rd shift | $29/hr

Remote

Customer Service Leadership Expert - Fully Remote Opportunity with blithequark

Remote

Director of HR Systems

Remote

Remote Hedis Project Manager Urgent Opening

Remote
← Back