Senior Benefits Configuration Tester

SmithRx

Senior Benefits Configuration Tester at SmithRx managing complex benefit configurations and guiding junior testers. Responsible for validating requirements and liaising with Benefit Operations.

Posted 7/10/2026full-timeRemote • 🇺🇸 United StatesSeniorWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in benefits configuration and testing within healthcare, with a strong understanding of benefit design standards, including HIPAA and NCPDP. Capable of providing guidance and support to junior team members while effectively communicating and collaborating across teams.

Highest-signal resume keywords

Benefits ConfigurationTesting in HealthcareHIPAA ComplianceNCPDP StandardsMicrosoft Excel

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Test PlansTest CasesAdvanced Logic ValidationClinical/Prior AuthorizationFinancial AccumulatorsDefect ReportingProcess ImprovementData AnalysisBenefit Design StandardsClaims Adjudication Systems

Soft Skills

Critical ThinkingEffective CommunicationCollaborationPeer ReviewActive Listening

Certifications & Qualifications

Associate Degree

Industry Keywords

HealthcarePBMManaged CareBenefit OperationsConfiguration Discrepancies

About the role

Key responsibilities & impact

Organize testing suites, create test plans, and submit moderately difficult test cases to validate the accuracy of complex benefit configuration setups.
Serve as a key liaison with senior members of the Benefit Operations team, actively communicating to resolve configuration discrepancies, clarify plan designs, and report actionable insights back to the testing team.
Provide support, guidance, and peer review for junior team members to ensure testing accuracy, helping them understand SmithRx claims adjudication systems and upstream/downstream processes.
Handle Advanced Logic Validation such as Clinical/Prior Authorization and Financial Accumulators. Ensuring patient out-of-pocket maximums and cost-shares remain accurate.
Document detailed defect reports for issues uncovered during testing and assist in the development of process improvements focusing on efficiency and accuracy.

Requirements

What you’ll need

Minimum of 2 - 4 years of related experience in benefits configuration or testing in healthcare. PBM or managed care experience is preferred but not required.
Associate degree or equivalent work experience is required.
Strong understanding of benefit design standards, including HIPAA, NCPDP, and SmithRx internal business standards, alongside moderate skills in Microsoft Excel.
Ability to work with little instruction on daily work, relying on general instructions only for newly introduced assignments.
Strong critical thinking skills, such as analyzing data, drawing logical conclusions, and applying smart solutions to moderately difficult situations.
Communicate effectively (written, verbal/presentation, and active listening) to successfully act as a liaison and collaborate cross-functionally.