Benecard Services, LLC
Plan Design Analyst
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Plan Design Analyst
role at
Benecard Services, LLC
This role will be responsible for the end-to-end creation and ongoing maintenance of client Implementation Guides, which are critical to accurately configuring pharmacy benefits for our clients. This role requires expert-level knowledge of prescription benefits, strong systems understanding, and the ability to interpret complex plan design documentation from other carriers. Analysts will ensure plan designs meet client expectations while complying with regulatory requirements and system capabilities.
Must report on site 5 days a week.
Duties and Responsibilities
Own the development and updates of Implementation Guides for all new and renewing clients
Analyze and interpret external carrier plan designs to create accurate, system-ready documentation
Collaborate closely with the Client Success, Clinical and Plan Setup teams to ensure alignment and accuracy
Evaluate benefit interdependencies and ensure all plan design configurations are logically consistent and complete
Articulate benefit design options, limitations, and best practices to internal stakeholders
Stay current on ACA requirements, state regulations, and clinical program capabilities
Support testing and validation processes during implementation cycles
Maintain version control and auditability of Implementation Guides
Qualifications
Minimum 3-5 years experience in pharmacy benefits, PBM operations, or healthcare plan configuration
Deep understanding of prescription benefit design, clinical programs, and plan configuration systems
Proven ability to interpret plan design documents from external carriers
Knowledge of ACA mandates and state-specific benefit rules
Extremely detail-oriented and organized
Strong time management and prioritization skills
Excellent communication and collaboration skills
Experience working cross-functionally with implementation or client-facing teams
Preferred Qualifications
Experience with benefit setup in a PBM system
Familiarity with health plan or TPA operations
Process improvement or documentation experience
Benecard Services, LLC has been administering carve-out, fixed rate insured prescription drug benefit programs since 1990. Benecard is a full service, in‑house prescription benefit administrator that includes mail and specialty drug dispensing. We are a premiere nationwide Prescription Benefit Administrator headquartered in Lawrenceville, New Jersey.
Website: http://www.benecard.com
BeneCard PBF provides self‑funded prescription benefit program administration with a personalized approach through focused, clinical expertise. Our business model operates on a customized claim processing system offering unlimited capability and flexibility to respond to client needs in an evolving marketplace. Advanced clinical programs and advanced technology provide the framework to maximize the use of all data elements available. This allows BeneCard PBF to filter the information, focus on clinical opportunities and facilitate interaction between the physician, the pharmacist and the patient to effectively promote complete health care. Headquartered in Bonita Springs, Florida.
Website: http://benecardpbf.com
National Vision Administrators (NVA) has been meeting the vision benefit needs of public employer groups, Health & Welfare Funds, Associations and Coalitions for over 40 years. We offer cost‑effective, customized vision benefit programs that are clinically integrated. We are proud of the fact that we have retained over 99% of our clients and believe it is the greatest testimony to the high‑quality benefits and service satisfaction we provide to both our clients and their members. Headquartered in Clifton, New Jersey.
Website: http://www.e-nva.com
We are an Equal Opportunity employer.
Seniority level Mid‑Senior level
Employment type Full‑time
Job function Information Technology
Industries Pharmaceutical Manufacturing
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Plan Design Analyst
role at
Benecard Services, LLC
This role will be responsible for the end-to-end creation and ongoing maintenance of client Implementation Guides, which are critical to accurately configuring pharmacy benefits for our clients. This role requires expert-level knowledge of prescription benefits, strong systems understanding, and the ability to interpret complex plan design documentation from other carriers. Analysts will ensure plan designs meet client expectations while complying with regulatory requirements and system capabilities.
Must report on site 5 days a week.
Duties and Responsibilities
Own the development and updates of Implementation Guides for all new and renewing clients
Analyze and interpret external carrier plan designs to create accurate, system-ready documentation
Collaborate closely with the Client Success, Clinical and Plan Setup teams to ensure alignment and accuracy
Evaluate benefit interdependencies and ensure all plan design configurations are logically consistent and complete
Articulate benefit design options, limitations, and best practices to internal stakeholders
Stay current on ACA requirements, state regulations, and clinical program capabilities
Support testing and validation processes during implementation cycles
Maintain version control and auditability of Implementation Guides
Qualifications
Minimum 3-5 years experience in pharmacy benefits, PBM operations, or healthcare plan configuration
Deep understanding of prescription benefit design, clinical programs, and plan configuration systems
Proven ability to interpret plan design documents from external carriers
Knowledge of ACA mandates and state-specific benefit rules
Extremely detail-oriented and organized
Strong time management and prioritization skills
Excellent communication and collaboration skills
Experience working cross-functionally with implementation or client-facing teams
Preferred Qualifications
Experience with benefit setup in a PBM system
Familiarity with health plan or TPA operations
Process improvement or documentation experience
Benecard Services, LLC has been administering carve-out, fixed rate insured prescription drug benefit programs since 1990. Benecard is a full service, in‑house prescription benefit administrator that includes mail and specialty drug dispensing. We are a premiere nationwide Prescription Benefit Administrator headquartered in Lawrenceville, New Jersey.
Website: http://www.benecard.com
BeneCard PBF provides self‑funded prescription benefit program administration with a personalized approach through focused, clinical expertise. Our business model operates on a customized claim processing system offering unlimited capability and flexibility to respond to client needs in an evolving marketplace. Advanced clinical programs and advanced technology provide the framework to maximize the use of all data elements available. This allows BeneCard PBF to filter the information, focus on clinical opportunities and facilitate interaction between the physician, the pharmacist and the patient to effectively promote complete health care. Headquartered in Bonita Springs, Florida.
Website: http://benecardpbf.com
National Vision Administrators (NVA) has been meeting the vision benefit needs of public employer groups, Health & Welfare Funds, Associations and Coalitions for over 40 years. We offer cost‑effective, customized vision benefit programs that are clinically integrated. We are proud of the fact that we have retained over 99% of our clients and believe it is the greatest testimony to the high‑quality benefits and service satisfaction we provide to both our clients and their members. Headquartered in Clifton, New Jersey.
Website: http://www.e-nva.com
We are an Equal Opportunity employer.
Seniority level Mid‑Senior level
Employment type Full‑time
Job function Information Technology
Industries Pharmaceutical Manufacturing
#J-18808-Ljbffr