PHARMACY, FSA & HSA PROGRAM ADMINISTRATOR
Finance & Administration Benefits Administration Nashville, TN Annual Salary: $90,396.00 - $117,528.00 Closing Date: 10/28/2026
This position is designated as Work from Home.
Background Check
This position requires a criminal background check. Therefore, you may be required to provide information about your criminal history in order to be considered for this position.
Key Responsibilities
- Administer assigned components of pharmacy, FSA, and HSA benefit program operations in accordance with state benefit plan requirements, applicable rules, and division procedures.
- Provide technical guidance and consultation to members regarding pharmacy claims, formulary tiers, prior authorizations, step therapy, pharmacy networks, CDHP/HSA benefits, FSA benefits, eligible expenses, and contribution rules.
- Research, interpret, and explain benefit policies and program requirements to support accurate member service, vendor coordination, and internal decision-making.
- Review PBM vendor reports, utilization data, prior authorization trends, enrollment files, claims information, and contribution data to identify trends, errors, compliance concerns, or operational gaps.
- Coordinate with vendors, payroll, enrollment systems, customer service teams, and Benefits Administration leadership to troubleshoot and resolve escalated program issues.
- Prepare routine and ad hoc reports, documentation, meeting materials, and presentation materials for leadership and departmental needs.
- Support development, review, testing, and communication of pharmacy, FSA, and HSA benefit updates, including open enrollment materials and member communications.
- Develop, document, and maintain workflows, procedures, standard operating practices, tracking logs, records, and team resources.
- Coordinate program-level reviews and improvement initiatives by analyzing operational data, member inquiries, vendor performance, compliance concerns, and workflow effectiveness; develop recommendations; coordinate implementation; and evaluate results.
- Maintain accurate records and support reconciliation processes involving enrollment, payroll contributions, claims, and account activity.
- Manage multiple priorities with accuracy, confidentiality, strong customer focus, and attention to detail.
- Coordinate with the Director and Assistant Director of Pharmacy, FSA and HSA Benefits on escalated matters, implementation activities, program reviews, and process improvements.
- Provide technical guidance, consultation, and work direction to Benefits Administration staff and other stakeholders on pharmacy, FSA, and HSA program requirements, procedures, escalated cases, and operational issues.
- An undergraduate degree is required.
- Experience in benefits administration, health administration, pharmacy benefits, CDHP/HSA programs, FSA programs, human resources, insurance administration, healthcare operations, or a related field.
- Ability to work with benefits-related systems, reports, databases, enrollment files, claims data, and vendor reporting tools.
- Ability to analyze data, identify errors or trends, interpret benefit information, and recommend operational improvements.
- Strong written and verbal communication skills.
- Ability to provide clear, accurate, and confidential customer service in a benefits or healthcare environment.