Benefits Configuration Specialist

Pharmacy Benefit Configuration Specialist

Location: Onsite – AZ Call Center

Schedule: Training M–F, 8:00am–4:30pm; post‑training availability M–F, 7:00am–6:00pm

Environment: No weekends or holidays

About the Role

We’re looking for a detail‑driven, analytical Pharmacy Benefit Configuration Specialist to support the accurate setup, testing, and maintenance of pharmacy, formulary, and benefit designs. This role is critical to ensuring claims adjudication runs flawlessly, client requirements are met, and members receive the experience they expect.

If you enjoy solving complex problems, navigating system logic, and building solutions that directly improve customer experience, this role is an excellent fit.

What You’ll Do

Configure Benefits & Claims Logic

• Apply pharmacy, formulary, and benefit rules to implement client‑requested plan changes
• Ensure all configuration updates meet assigned deadlines
• Troubleshoot and research basic claims adjudication issues to identify root causes and solutions

Master System Logic

• Gain a thorough understanding of system logic, constraints, coding tables, and the linking of plan–group–pharmacy carrier benefits
• Evaluate how benefit designs will adjudicate and ensure configurations align with the intended client outcome

Deliver High‑Quality Client Outcomes

• Collaborate with internal partners to clarify business requirements and translate them into accurate system configuration
• Ensure every change request is fully documented, tested, communicated, and delivered without errors
• Use standardized methodologies to prevent unnecessary complexity or inefficient system structures

Test, Validate & Document

• Review results of in‑unit testing to confirm accuracy of new configurations
• Assist in maintaining detailed documentation of client benefit designs, adjudication hierarchies, edits, restrictions, carriers, and configuration best practices

Plan, Organize & Execute

• Leverage project planning and prioritization skills to ensure timely deliverables
• Maintain a high level of quality and consistency to support precise claims adjudication
• Support client needs with prompt communication around service issues or configuration changes

What You Bring

• Strong problem‑solving and research abilities
• High attention to detail with the ability to interpret complex written, verbal, and diagram‑based instructions
• Ability to apply mathematical concepts (fractions, percentages, ratios, proportions) to real‑world benefit scenarios
• Analytical mindset with excellent time‑management and organizational skills
• Strong written and verbal communication skills, including the ability to write documentation and present information to teams or clients
• Ability to work independently while collaborating effectively with peers and internal partners
• Accountability, reliability, and commitment to service excellence

Why This Role Matters

This position directly supports business needs driven by:

• Client growth
• Regulatory and industry changes
• Team expansion due to internal attrition

You will help ensure that customers, members, and internal teams can rely on accurate, timely, and well‑maintained benefit configurations—ultimately impacting claims accuracy and client satisfaction.

Employee Value Proposition

• Consistent weekday schedule with no weekends or holidays
• Collaborative, supportive team environment
• Opportunity to become an expert in pharmacy benefit design and claims system logic
• Role with clear career progression into configuration analysis, QA, client support, or system operations

Job Type & Location

This is a Contract to Hire position based out of Tempe, AZ.

The pay range for this position is $21.00 - $21.00/hr.

Eligibility requirements apply to some benefits and may depend on your job classification and length of employment. Benefits are subject to change and may be subject to specific elections, plan, or program terms. If eligible, the benefits available for this temporary role may include the following: • Medical, dental & vision • Critical Illness, Accident, and Hospital • 401(k) Retirement Plan – Pre-tax and Roth post-tax contributions available • Life Insurance (Voluntary Life & AD&D for the employee and dependents) • Short and long-term disability • Health Spending Account (HSA) • Transportation benefits • Employee Assistance Program • Time Off/Leave (PTO, Vacation or Sick Leave)

This is a fully onsite position in Tempe,AZ.

This position is anticipated to close on Mar 2, 2026.

We're partners in transformation. We help clients activate ideas and solutions to take advantage of a new world of opportunity. We are a team of 80,000 strong, working with over 6,000 clients, including 80% of the Fortune 500, across North America, Europe and Asia. As an industry leader in Full-Stack Technology Services, Talent Services, and real-world application, we work with progressive leaders to drive change. That's the power of true partnership. TEKsystems is an Allegis Group company.

The company is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.

About TEKsystems and TEKsystems Global Services

We’re a leading provider of business and technology services. We accelerate business transformation for our customers. Our expertise in strategy, design, execution and operations unlocks business value through a range of solutions. We’re a team of 80,000 strong, working with over 6,000 customers, including 80% of the Fortune 500 across North America, Europe and Asia, who partner with us for our scale, full-stack capabilities and speed. We’re strategic thinkers, hands-on collaborators, helping customers capitalize on change and master the momentum of technology. We’re building tomorrow by delivering business outcomes and making positive impacts in our global communities. TEKsystems and TEKsystems Global Services are Allegis Group companies. Learn more at TEKsystems.com.

The company is an equal opportunity employer and will consider all applications without regard to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.