Plan Administration Specialist

Shelby American, Inc.; Dubuque (IA); Remote; USD 40,000 - 70,000; Full time

Job summary

An established industry player in pharmacy benefits management is seeking a Plan Administration Specialist. This role is pivotal in supporting client implementations and ensuring the accuracy of claims processing systems. The ideal candidate will possess strong organizational skills and experience in a PBM environment. Join a vibrant team dedicated to making a difference in people's lives, with opportunities for professional growth and a collaborative work culture. Enjoy competitive benefits, including comprehensive health insurance and a 401(k) plan. If you're passionate about helping others, this is the perfect opportunity for you.

Benefits

Competitive salary and bonuses

Comprehensive health, dental, and vision insurance

401(k) with company match

Generous paid time off and holidays

Opportunities for professional growth

Vibrant and collaborative work culture

Qualifications

• 1-3 years of experience in a Pharmacy Benefits Management (PBM) environment.
• Proficiency in Microsoft Office products (Word, Excel).

Responsibilities

• Support the PLAD team with implementation efforts and plan-building activities.
• Assist with testing software releases and maintain accountability for errors.
• Cultivate positive relationships and collaborate effectively with internal teams.

Skills

Pharmacy Benefits Management (PBM)

Claims Processing Systems

Microsoft Office (Word, Excel)

Organizational Skills

Time Management

Multitasking Skills

Education

Associate's Degree

Equivalent Work Experience

Job description

Description

Position Overview:The Plan Administration Specialist is responsible for serving as a key technical team member who assists with new and existing client implementation efforts and plan design, testing, documentation, and other tasks involved with interfacing with MedOne’s proprietary claims processing system. In addition, this position may assist teams across the organization to deliver on various projects to ensure MedOne achieves its strategic technical objectives.

About MedOne: MedOne is a full-service pharmacy benefit manager (PBM) dedicated to helping clients and members nationwide access the most appropriate prescriptions at the most affordable price. Our transparent pass-through model ensures the best care and support for all.

What You'll Do:

• Support the PLAD team with implementation efforts, including plan-building activities in the claims 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.
• 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.

What You Will Bring to MedOne:

• 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.
• Proficiency in Microsoft Office products (Word, Excel).
• Exceptional organizational, time management, and multitasking skills.
• Dependable and punctual.

Why MedOne?

At MedOne, we believe that a healthy team is a happy team. We offer a collaborative work environment, competitive benefits, and opportunities for growth—all while helping to make a difference in people’s lives.Our top core value is to prioritize your well-being. To support you in living this value, we offer:

• 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.

Location: Offices in either Dubuque, IA, or Kansas City, MO, or the position can be remote within the United States.

Employment Type: Full-Time, Hourly

Reports to: Director of Plan Administration

How to Apply: If you're enthusiastic about helping others and eager to join a dynamic team, we’d love to hear from you. Apply now and take the first step toward a rewarding career at MedOne! You can submit your application through our careers page.

MedOne is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees.

Job Offers are contingent on passing a background check and drug screen.