Benefits Configuration Specialist

EmpiRx Health

Benefits configuration specialist implementing prescription benefit plans for EmpiRx Health, a clinically driven pharmacy benefits management company. Validating plan setups, testing configurations, and supporting claims inquiries and training.

Posted 8/15/2026full-timeRemote • Montvale • New Jersey • 🇺🇸 United StatesMid-LevelSeniorWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in benefit plan configuration and testing, ensuring accuracy and alignment with client intent. Proficient in developing continuous improvement processes and training documentation to support internal teams.

Highest-signal resume keywords

Benefit Configuration ExperiencePlan Setup TestingAttention To DetailStrong Communication SkillsPharmacy Technician Experience

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Benefit Plan DesignAccount Structure ConfigurationClinical Program ManagementDrug Coverage ManagementBilling ConfigurationTest Case Scenario IdentificationAudit Configuration Elements

Soft Skills

Excellent Attention To DetailStrong Communication Skills

Certifications & Qualifications

Bachelor's DegreePharmacy Technician Certification

Industry Keywords

PBMHealth PlanContinuous Improvement ProcessesInternal Controls

Tech Stack

Tools & technologies

Amazon RedshiftAngularAWSAzureBigQueryCloudCyber SecurityETLGoGoogle Cloud PlatformJavaJavaScriptKafkaMicroservicesMS SQL ServerMySQLOraclePostgresPythonRabbitMQReactRubySQLTypeScriptUnity

About the role

Key responsibilities & impact

Understand clients' intent for the setup of their benefit plans
Complete configuration of new clients and maintain changes for existing clients, including account structure, benefit plan design, clinical program, drug coverage, network, and billing
Identify test case scenarios to confirm plan setup accuracy
Audit configuration elements for accuracy and alignment with client intent
Develop and maintain continuous improvement processes and internal controls aligned with industry, business, and technology standards
Assist internal teams with claim inquiries and training
Create and maintain training documentation
Adjust processes to support internal teams

Requirements

What you’ll need

Bachelor's degree or other relevant experience as determined by the company
5 years of benefit configuration experience within a PBM or health plan
Plan setup testing experience
Excellent attention to detail
Strong communication skills
Pharmacy Technician experience preferred