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Pharmacy Benefit Configuration Analyst Jobs (NOW HIRING)

SmithRx

Benefits Configuration Analyst

Lehi, UT · On-site

$66K - $78K/yr

Our mission is to disrupt the expensive and inefficient Pharmacy Benefit Management (PBM) sector by ... As a Benefits Configuration Analyst, you will support cross-functional teams during implementations ...

SmithRx

Benefits Configuration Analyst

Plano, TX

$66K - $78K/yr

Our mission is to disrupt the expensive and inefficient Pharmacy Benefit Management (PBM) sector by ... As a Benefits Configuration Analyst, you will support cross-functional teams during implementations ...

Sentara Health Plans

$10K/mo

The Senior Benefit Configuration Analyst is responsible for the analysis, design, build, and validation of complex benefit configurations within the QNXT platform to support accurate claims ...

Sentara Health Plans

NY · On-site

$10K/mo

The Senior Benefit Configuration Analyst is responsible for the analysis, design, build, and validation of complex benefit configurations within the QNXT platform to support accurate claims ...

TEKsystems

QNXT Benefit Configuration Analyst

Norfolk, VA · Remote

$55 - $65/hr

The analyst serves as a business and technical expert in QNXT benefit build and plays a key role in supporting new plan implementations, annual updates, and ongoing configuration maintenance. This ...

Wipro Limited

$38K - $83K/yr

Benefit Configuration Analyst - In Office City: Atlanta State/Province: California Posting Start Date: 8/17/26 Wipro Limited (NYSE: WIT, BSE: 507685, NSE: WIPRO) is a leading technology services and ...

HealthOne Alliance

Configuration Analyst I

Dalton, GA · On-site

JOB PURPOSE The Configuration Analyst I support activities to maintain data within the core claims ... Disseminates benefit determinations to key stakeholders administering benefits (health services ...

HealthOne Alliance

Configuration Analyst I

Dalton, GA · On-site

JOB PURPOSE The Configuration Analyst I support activities to maintain data within the core claims ... Disseminates benefit determinations to key stakeholders administering benefits (health services ...

ClinDCast LLC

Facets Configuration Analyst

Albany, NY · Remote

Facets configuration analysts with experience in product build and NetworX configuration. Required ... Knowledge of claims and how that goes into product and benefit configuration This is a remote ...

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Pharmacy Benefit Configuration Analyst information

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How much do pharmacy benefit configuration analyst jobs pay per hour?

As of Sep 11, 2026, the average hourly pay for pharmacy benefit configuration analyst in the United States is $41.31, according to ZipRecruiter salary data. Most workers in this role earn between $30.53 and $52.88 per hour, depending on experience, location, and employer.

What is a pharmacy benefit configuration analyst?

Pharmacy Benefit Configuration Analysts are professionals who manage and configure pharmacy benefit plans within healthcare or insurance organizations. They ensure that prescription drug benefits are correctly set up in pharmacy benefit management (PBM) systems, aligning with plan designs and regulatory requirements. Their work involves analyzing benefit structures, troubleshooting issues, and collaborating with cross-functional teams to implement changes or updates. This role is essential for accurate claims processing and delivering the intended pharmacy benefits to members.

What are the key skills and qualifications needed to thrive as a pharmacy benefit configuration analyst?

To thrive as a Pharmacy Benefit Configuration Analyst, you need strong analytical skills, attention to detail, and a background in pharmacy benefit management or healthcare, often supported by a relevant degree. Proficiency with pharmacy claims adjudication systems (such as Medispan or RxClaim), SQL, and understanding of benefit configuration tools is typically required. Excellent problem-solving abilities, communication skills, and the capacity to work collaboratively with cross-functional teams make someone stand out in this position. These skills are crucial to ensure accurate benefit setup, compliance, and efficient claims processing within pharmacy benefit programs.

What are some typical challenges pharmacy benefit configuration analysts face when implementing new plan designs?

Pharmacy Benefit Configuration Analysts often encounter challenges such as interpreting complex plan requirements, ensuring system configurations comply with regulatory standards, and accurately translating benefit designs into technical specifications. They must also collaborate closely with cross-functional teams, such as IT, clinical, and client services, to resolve ambiguities and address system limitations. Effective communication and attention to detail are crucial to prevent costly errors and ensure a smooth rollout of new or updated benefit plans.

What is the difference between Pharmacy Benefit Configuration Analyst vs Pharmacy Benefits Coordinator?

AspectPharmacy Benefit Configuration AnalystPharmacy Benefits Coordinator
Required CredentialsCertifications in pharmacy benefits, healthcare, or related fields; often a degree in health administration or pharmacySimilar certifications; often a background in pharmacy or healthcare administration
Work EnvironmentAnalyzing data, configuring pharmacy benefit plans, working with IT systemsCustomer service, plan administration, coordinating with providers and members
Employer & Industry UsageHealth insurance companies, pharmacy benefit managers, healthcare providersHealth plans, pharmacy benefit management firms, insurance companies

The Pharmacy Benefit Configuration Analyst primarily focuses on configuring and analyzing pharmacy benefit plans using data and IT systems, while the Pharmacy Benefits Coordinator handles plan administration and member interactions. Both roles require healthcare knowledge and certifications but differ in their core responsibilities and work environment.

What are popular job titles related to Pharmacy Benefit Configuration Analyst jobs?

For Pharmacy Benefit Configuration Analyst jobs, the most frequently searched job titles are:

Infographic showing various Pharmacy Benefit Configuration Analyst job openings in the United States as of September 2026, with employment types broken down into 1% As Needed, 83% Full Time, 14% Part Time, and 2% Contract. Highlights an 78% Physical, 2% Hybrid, and 20% Remote job distribution, with an average salary of $85,935 per year, or $41.3 per hour.

Benefits Configuration Analyst

Lehi, UT • On-site

SmithRx
Health Care and Social Assistance • 201 - 500 employees
Learn more about SmithRxexternal

$66K - $78K/yr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 14 days ago

Key responsibilities

  • Build and maintain pharmacy benefit plans for client groups.

  • Support the organization of benefit configuration and monitor plan data integrity.

  • Assist in process improvement efforts and support new client implementations, including go-live testing and post go-live auditing.

Job description

Who We Are:

SmithRx is a rapidly growing, venture-backed Health-Tech company.  Our mission is to disrupt the expensive and inefficient Pharmacy Benefit Management (PBM) sector by building a next-generation drug acquisition platform driven by cutting edge technology, innovative cost saving tools, and best-in-class customer service.  With hundreds of thousands of members onboarded since 2016, SmithRx has a solution that is resonating with clients all across the country.

We pride ourselves for our mission-driven and collaborative culture that inspires our employees to do their best work. We believe that the U.S healthcare system is in need of transformation, and we come to work each day dedicated to making that change a reality. At our core, we are guided by our company values:

  • Integrity: Our purpose guides our actions and gives us confidence in the path ahead. With unwavering honesty and dependability, we embrace the pressure of challenging the old and exemplify ethical leadership to create the new.
  • Courage: We face continuous challenges with grit and resilience. We embrace the discomfort of the unknown by balancing autonomy with empathy, and ownership with vulnerability. We boldly challenge the status quo to keep moving forward—always.
  • Together: The success of SmithRx reflects the strength of our partnerships and the commitment of our team. Our shared values bind us together and make us one. When one falls, we all fall; when one rises, we all rise.

Job Summary:

As a Benefits Configuration Analyst, you will support cross-functional teams during implementations and build and manage pharmacy benefit plans on various platforms to ensure a high quality SmithRx product. This role will also be responsible for supporting the Plan Operations team with core benefits operations functions while building and maintaining accurate benefit configuration. 

What will you do:

  • Work with clients, identifying and understanding benefit plan requirements. Build and maintain pharmacy benefit plans for client groups.
  • Aid in the organization of benefit configuration and structure for the accounts assigned by monitoring plan data integrity.
  • Assist in determining process improvement efforts.
  • Maintain prior authorizations and step therapy rules.
  • Grandfather/transition new clients and update formularies with changes at the direction of the clinical team.
  • Communicate project status, escalating issues when appropriate. Provide insight into changes to improve workflow efficiency.
  • Collaborate with member support and customer success teams to review and resolve inquiries related to benefits timely to improve member experience.
  • Provide troubleshooting support for our claims adjudication process.
  • Support new client implementations, conduct go-live testing, perform post go-live auditing and support to ensure plans are configured to confirm accuracy.

What you will bring to SmithRx:

  • 4+ years of experience in payer/claims and benefit configuration required
  • Analytical skills; Microsoft Excel skills; 
  • Strong communication skills via face-to-face meetings, conference calls and written correspondence
  • Self-starter mentality: ability to make informed decisions, find creative approaches to difficult challenges, and deliver on commitments
  • Execution-focused ethos - you are a solutions-oriented problem solver and efficiency driven
  • Flexible, dependable, adaptable, and able to respond under the pressure of a fast-paced technology company

What SmithRx Offers You: 

  • Highly competitive wellness benefits including Medical, Pharmacy, Dental, Vision, and Life Insurance and AD&D Insurance
  • Flexible Spending Benefits 
  • 401(k) Retirement Savings Program 
  • Short-term and long-term disability
  • Discretionary Paid Time Off 
  • Paid Company Holidays
  • Wellness Benefits
  • Commuter Benefits 
  • Paid Parental Leave benefits
  • Employee Assistance Program (EAP)
  • Well-stocked kitchen in office locations
  • Professional development and training opportunities

Zone A includes the following locations:

  • San Francisco Bay Area - California
  • Metro New York City - Connecticut, New Jersey, New York and Pennsylvania
Zone A Pay Range
$66,300—$78,000 USD

Zone B includes the following locations:

  • California - outside of San Francisco Bay Area
  • Metro Denver / Boulder - Colorado
  • Metro District of Columbia - District of Columbia, Maryland, Virginia and West Virginia
  • Metro Boston / Cambridge - Massachusetts and New Hampshire
  • Metro Austin - Texas
  • Metro Seattle - Washington
Zone B Pay Range
$60,800—$71,500 USD

Zone C includes all other locations not listed above, including:

  • Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Illinois, Indiana, Iowa, Kansas, Kentucky, Louisiana, Maine, Michigan, Minnesota, Mississippi, Missouri, Montana, Nebraska, Nevada, New Mexico, North Carolina, North Dakota, Ohio, Oklahoma, Oregon, Rhode Island, South Carolina, South Dakota, Tennessee, Utah, Vermont, Wisconsin, Wyoming
  • Non metro Colorado, Connecticut, Maryland, Massachusetts, New Hampshire, New Jersey, New York, Pennsylvania, Texas, Virginia, Washington, and West Virginia
Zone C Pay Range
$55,300—$65,000 USD

Compensation & Benefits

  • Base Salary: The range listed above reflects our standard pay scale and actual pay will vary based on work location, job level, job-related knowledge, skills, and experience.
  • Total Rewards: In addition to base pay, this role may be eligible for bonuses, commissions, or equity. SmithRx offers a variety of benefits to help you live well, including: time off programs, medical, dental, vision, mental health support, paid parental leave, life and disability insurance and 401(k).

Individual offers are tailored to your geography, experience, skills, and education. Your recruiter can share more specific details during the hiring process. In the meantime, feel free to explore our comprehensive benefits here.