Plan Administration Specialist - Remote

Overview

The Plan Administration Specialist applies strong analytical and problem-solving skills to review plan data, resolve configuration issues, and collaborate with internal teams to ensure smooth operations.

In Short

• Support the PLAD team with implementation efforts, including plan-building activities within the claims adjudication system for new and existing clients.
• Assist with testing plan builds, system changes, and program modifications while documenting testing results.
• Assist with testing software releases, including regression testing and software enhancements.
• Maintain accountability for timely resolution of configuration errors.
• Monitor claims for processing errors.
• Research and respond to claim inquiry questions.
• Assist with documenting, building, maintaining, and testing pharmacy networks.
• Educate others on system capabilities, implementation approach, and test results.
• Cultivate positive relationships and collaborate effectively with internal teams.
• Participate in ongoing professional development to stay updated on PBM products and services.

Requirements

• Associate’s degree or equivalent work experience.
• 1–3 years of experience in a PBM environment, with preferred experience in claims processing systems, plan design system implementation, or pharmacy network management.
• Exceptional critical thinking and problem-solving skills.
• Exceptional organizational, time management, and multitasking skills.
• Proficiency in Microsoft Office products (Word, Excel).

Benefits

• Competitive salary and bonuses that reward performance.
• Comprehensive health, dental, and vision insurance + additional benefits.
• 401(k) with company match to secure your future.
• Generous paid time off and holidays.
• Opportunities for professional growth and development.
• A vibrant and collaborative work culture.