Remote Pharmacy & Benefits Administrator (FSA/HSA)

State of Tennessee; Nashville (TN); A distancia; USD 90.000 - 118.000; Jornada completa

Descripción de la vacante

State of Tennessee in Nashville offers a Work from Home role as Pharmacy, FSA & HSA Program Administrator within the Finance & Administration and Benefits Administration divisions.

You will administer components of pharmacy, FSA, and HSA programs, provide member guidance on claims and benefits, and coordinate with vendors and payroll. The position emphasizes data analysis, policy interpretation, and cross-team collaboration.

Formación

• Undergraduate degree required.
• Experience in benefits administration, health administration, pharmacy benefits, CDHP/HSA or FSA programs.
• Ability to work with benefits-related systems, reports, databases and vendor tools.
• Ability to analyze data, identify errors or trends, and recommend improvements.
• Strong written and verbal communication skills.
• Ability to provide confidential customer service in a benefits or healthcare environment.

Responsabilidades

• Administer assigned components of pharmacy, FSA, and HSA benefit program operations per state requirements and procedures.
• Provide guidance to members regarding pharmacy claims, formulary tiers, prior authorizations, and CDHP/HSA, FSA benefits and contribution rules.
• Research, interpret, and explain benefit policies to support member service and vendor coordination.
• Review PBM vendor reports and data to identify trends, errors, or gaps.
• Coordinate with vendors, payroll, enrollment systems and leadership to troubleshoot escalated program issues.
• Prepare routine and ad hoc reports and presentation materials for leadership.
• Support development of updates and open enrollment materials for pharmacy, FSA and HSA benefits.
• Develop and maintain workflows, SOPs, tracking logs and team resources.
• Coordinate program reviews and improvements by analyzing data, inquiries, performance and compliance.
• Maintain records and support reconciliation of enrollment, payroll contributions, claims and activity.
• Manage multiple priorities with confidentiality and customer focus.
• Provide guidance to Benefits Administration staff on program requirements and escalated issues.

Conocimientos

Data analysis

Benefits administration

Communication skills

Customer service

Educación

Undergraduate degree

Herramientas

Vendor reporting tools

Descripción del empleo

State of Tennessee in Nashville offers a Work from Home role as Pharmacy, FSA & HSA Program Administrator within the Finance & Administration and Benefits Administration divisions.

You will administer components of pharmacy, FSA, and HSA programs, provide member guidance on claims and benefits, and coordinate with vendors and payroll. The position emphasizes data analysis, policy interpretation, and cross-team collaboration.