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Benefits Configuration Analyst - Remote

Posted Yesterday
All others
Full Time
USA

Overview

PDMI is looking to add a Benefits Configuration Analyst to our team! As a Benefits Configuration Analyst, you’ll play a vital role in ensuring client benefit plans are configured accurately and efficiently. The Benefits Configuration Analyst role requires full knowledge of product-specific plan designs and benefit structures across product lines related to their specific product designation in alignment with PDMI’s organizational goals. The Benefits Configuration Analyst is responsible for the daily operations that support the products within their scope.

In Short

  • Analyze, configure, and maintain client benefit plan designs with a high degree of accuracy.
  • Interpret business requirements and translate them into system configurations within the claims adjudication platform.
  • Support new client implementations and ongoing updates for existing clients, including testing and validation of changes.
  • Maintain clear and accurate documentation of system configurations and processes.
  • Partner with internal teams to support client needs across claims, eligibility, accumulators, and reporting.
  • Participate in projects and recommend process improvements to enhance operational efficiency.
  • Perform quality assurance reviews to ensure configuration accuracy and compliance with standards.
  • Troubleshoot and resolve issues proactively, minimizing escalation.
  • Contribute to team performance by meeting service levels and individual accuracy/timeliness goals.
  • Support knowledge sharing, training, and development of team members.

Requirements

  • Bachelor’s degree preferred or equivalent industry (i.e., healthcare or insurance) experience required.
  • Prior experience with benefits and compiling analytical data and reports required.
  • Background encompassing electronic claims processing preferred.

Benefits

  • Best Employer: PDMI was voted Best Employer in Ohio for the 5th consecutive year in 2025!
  • Meaningful Work: Contribute to improving healthcare quality and efficiency.
  • Collaborative Environment: Work with passionate professionals who share your drive.
  • Exciting Challenges: Every day brings new opportunities to excel.
  • Flexible Work: Fully remote opportunity with a company that cares.
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Pharmacy Data Management

Pharmacy Data Management, Inc. (PDMI) has been a leader in pharmacy data processing since 1984, providing flexible and scalable solutions to help clients achieve their business goals. The company specializes in transparent, pass-through pharmacy processing services for private label Pharmacy Benefit Managers (PBMs), health plans, and hospital systems. PDMI also offers a range of services including Pharmacy Benefit Administrative Services, 340B Administration, and support for Hospice and Long-Term Care. Recognized as a Best Employer in Ohio for four consecutive years, PDMI fosters a collaborative and innovative work environment, emphasizing meaningful work and continuous improvement while offering fully remote opportunities.

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