MedOne Pharmacy Benefit Solutions
Helping people conveniently access the most appropriate prescription at the most affordable price.
Plan Administration Specialist
Location
Iowa + 1 moreAll locations: Iowa, Kansas
Posted
3 days ago
Salary
Not specified
Associate Degree3 yrs expEnglish
Job Description
• 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. This includes both 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.
• Assist with recording processes and documentation to support the PLAD team and Business Architecture.
• Educate others on system capabilities, system implementation approach, and test results.
• Cultivate positive relationships and collaborate effectively with internal teams.
• Participate in ongoing professional development to stay updated on the latest Pharmacy Benefits Management (PBM) products and services.
• Perform other duties as assigned by the supervisor.
Job Requirements
- Associate’s degree or equivalent work experience
- 1–3 years of experience in a Pharmacy Benefits Management (PBM) environment, with preferred experience in claims processing systems, plan design system implementation, or pharmacy network system 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 your 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.