Benefits Configuration Specialist

Understand client intent for prescription benefit plan setups and complete configuration for new and existing clients, including account structure, clinical programs, drug coverage, networks, and billing. Identify test case scenarios to confirm setup accuracy and audit all configuration elements to ensure alignment with client requirements. Develop continuous improvement approaches to maintain internal controls and industry standards while assisting the team with claim inquiries and training documentation. Adjust processes to support internal operations and ensure seamless implementation of plan designs.