Benefit Analyst III

WellDyne

Benefit Analyst III providing support on client benefit configurations, coding, testing, and plan maintenance. Collaborate with clients and internal teams to ensure accuracy and timely completion.

Posted 7/31/2026full-timeRemote • 🇺🇸 United StatesMid-LevelSeniorWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in Benefit Configuration Design and Client Relationship Management, utilizing the RxClaim Operating System for accurate plan setup and maintenance. Strong analytical skills and attention to detail are essential for ensuring compliance with client specifications and managing multiple priorities effectively.

Highest-signal resume keywords

RxClaim Adjudication PlatformBenefit DesignClient Relationship ManagementAnalytical SkillsCommunication Skills

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Benefit Configuration DesignPlan MaintenanceEnd-to-End TestingResearch SkillsClient Specifications

Soft Skills

Attention to DetailTime ManagementTeam CollaborationPresentation SkillsNegotiation Skills

Tools & Technologies

RxClaim Operating System

Certifications & Qualifications

Bachelor’s Degree

Industry Keywords

PBM Benefit DesignClient SatisfactionChange RequestsClaim ResearchExternal Auditor Reviews

About the role

Key responsibilities & impact

Provides client satisfaction through accurate benefit configuration design and set up, including consultation and collaboration with external clients, brokers and internal business partners
Plan maintenance and benefit change requests for existing clients, including updates annually to member cost share and accumulators
Manages the pre-assessment of benefit change requests by performing research to ensure plan configuration will meet client specifications, providing options for meeting the client intent
Utilize the RxClaim operating system to design, build and maintain client plans and components
End-to-end testing and validation of plans to ensure plan benefits meet client specifications
Ability to determine and prioritize client needs to ensure all change requests meet client deadlines
Research and provide feedback for claim-related inquiries
Participate in external auditor reviews, including claim research
Training current team members and any new hires
Ability to work additional hours as workload dictates
Additional duties as assigned

Requirements

What you’ll need

Bachelor’s degree or equivalent of education and experience
Proficiency in RxClaim adjudication platform, including experience in PBM benefit design
Ability to work in a fast-paced environment with minimal instruction and a high degree of accuracy and attention to detail
Strong verbal and written communication skills including presentation skills and client relationship management
Sets priorities and manages workflow to ensure efficient, timely and accurate deliverables
Ability to manage and negotiate multiple priorities and deadlines
Maintain a cordial and effective relationship with clients and co-workers and work in a team environment
Strong Analytical skills

Benefits

Comp & perks

EOE M/F/D/V – WellDyne and HealthDyne are equal opportunity employer and prohibits discrimination of any kind
Health insurance
401(k) matching
Flexible work hours
Paid time off
Remote work options