Senior Benefits Administration Analyst

RxSense

Benefits Administration Senior Analyst for RxSense overseeing client implementations and mentoring team members. Expertise in pharmacy benefit management and shaping benefit design strategies.

Posted 6/3/2026full-timeRemote • 🇺🇸 United StatesSenior💰 $75,000 - $113,000 per yearWebsite

About the role

Key responsibilities & impact

Own and lead the full implementation lifecycle for large, complex, or strategic clients from initiation through production deployment, ensuring all contractual deliverables are met on time and within scope.
Serve as the primary benefits configuration expert on client implementations, leading all discovery, requirements gathering, and configuration sessions.
Anticipate and proactively mitigate implementation risks; develop contingency plans and communicate issues to leadership with recommended solutions.
Review and validate benefit set-ups performed by junior analysts prior to client go-live.
Configure and maintain complex benefit designs, clinical rules, pharmacy networks, pricing structures, accumulators, and hierarchies across the RxSense platform.
Develop deep expertise in RxSense claims platforms and serve as an internal resource for platform capabilities and limitations.
Lead root-cause analysis on complex benefit set-up issues; develop and implement process changes to prevent recurrence.
Conduct impact analysis for platform changes, client requests, and identified issues affecting benefit configurations.
Build and sustain trusted advisor relationships with clients, serving as a consultative partner on benefit design strategy and platform optimization.
Represent Benefits Administration in cross-functional meetings, client steering committees, and escalation calls.
Partner with Client Services, Pharmacy Networks, UAT/QA, IT, Finance, and Clinical teams to drive flawless implementations and ongoing client satisfaction.
Provide mentorship, training, and day-to-day guidance to Benefits Administration Analysts and other team members.
Develop and deliver training materials for internal staff and private-label clients on benefit set-up requirements and platform best practices.
Act as an escalation point for the team on complex or ambiguous benefit configuration challenges.
Identify and lead initiatives to improve departmental workflows, documentation, and quality standards.
Assist the Director in developing and maintaining department policies, procedures, and best practices.
Contribute to strategic projects and product initiatives as a subject matter expert.

Requirements

What you’ll need

Bachelor's degree or equivalent experience in healthcare, pharmacy benefit management (PBM), or a related field
5+ years of experience in pharmacy benefit management, client implementations, or plan builds, with at least 2 years in a senior or lead capacity
Experience with PBM claims processing platforms required; RxSense platform experience strongly preferred
Prior experience in a consultative client-facing role strongly preferred

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills & Tools

benefits configurationrequirements gatheringroot-cause analysisimpact analysisprocess changestraining materials developmentworkflow improvementdocumentation standardsquality standardsclient implementations

Soft Skills

leadershipcommunicationmentorshipconsultative partnershiprelationship buildingproblem-solvingstrategic thinkingteam guidancerisk mitigationclient satisfaction