**Overview** **Scope of Responsibilities:** Works under direct supervision and follows standard procedures to accomplish assigned tasks related to the Implementation and Benefit Review Team. **Job Summary:** Provides support to the Implementation Manager for all aspects of customer service, account management, quality assurance, and other administrative projects. The position will act as a lead role within Benefit Review and be a liaison to management and other organization leaders, while still performing the daily functions of a Benefit Review Specialist. These functions include, but are not limited to, assisting with the day-to-day operations of Account and Client Service Resources of ProAct and coordinating and implementing the setup/support of existing ProAct clients. **Responsibilities** + Act as the Benefit Review Team leader; facilitate regular meetings with all Benefit Review Specialists. + Process and implement benefit changes and/or updates for existing ProAct clients in all appropriate systems. + Oversee and perform testing for all new ProAct clients to measure benefit accuracy. + Assist the Implementation Manager in coordinating the team’s audit strategy. + Perform quality assurance audits on a regular basis to measure client satisfaction. + Assist Account Resources with impact analysis review. + Maintain client information integrity within all appropriate systems. + Assist Customer Service Representatives in the resolution of customer service issues, requiringadditional support, to ensure complete client satisfaction. + Assist Account Resources in the resolution of customer service issues, requiring additional supportto ensure complete client satisfaction. + Coordinate, maintain, and manage the distribution of member mailings. + Collect and maintain various team metrics, providing regular reporting to the Implementation Manager and other leaders, as necessary. + Assist in facilitating and performing training sessions for both new and existing employees. + Provide support to the Implementation Manager and/or the Account and Client Resources, as needed, when communicating with external business partners. + Responsible for completing all mandatory and regulatory training programs. + Perform other duties as assigned. **Qualifications** **Education:** + Required: Minimum High School Diploma or GED + Preferred: AS Degree or Higher in Business Administration, Marketing or related field **Experience:** + Required: Minimum 1year experience with the RxSense adjudication and reporting platforms + Required: 2 years experience in Customer Service + Preferred: 2 years experience with Health Care, Insurance, or related field **Compensation:** $22.00 - 24.00 per hour. The final offer will be determined after careful consideration of multiple factors such as relevant skills, years of experience, and education. KPH Healthcare Services, Inc. is a multistate organization and abides by all local, state, and federal regulations as it pertains to minimum wage requirements. Connect With Us! (https://kphcareers-kphhealthcareservices.icims.com/jobs/13894/senior-benefit-review-specialist/job?mode=apply&apply=yes&in\_iframe=1&hashed=-336031866) **Job Locations** _US-NY-Gouverneur_ **Posted Date** _1 day ago_ _(3/7/2025 8:32 AM)_ **_Requisition ID_** _2025-13894_ **_\# of Openings_** _1_ **_Category_** _Healthcare_ **_Location : Location_** _US-NY-Gouverneur_