Genesis10 is currently seeking a PBM Benefits Testing Analyst for a contract position with a major healthcare company located in Orange County, CA. This is a 24+ month contract opportunity. This position is fully remote.
Compensation: $62.00 - 66.00 per hour, W2.
Summary
This role will support benefits testing, validation, and analysis activities as part of large-scale testing initiatives. The work requires an experienced tester who understands benefit structures, testing methodologies, and analysis of claim outcomes within a Pharmacy Benefit Management (PBM) environment. The focus will be on complex claim-rejection scenarios that require strong analytical and troubleshooting skills.
Responsibilities:
- Support benefits testing, validation, and analysis for large testing initiatives
- Perform execution, research, defect resolution, and summarize results for health plan claims, and compare testing
- Analyze and troubleshoot complex claim rejection scenarios in an end-to-end testing process
- Conduct research to validate whether claim rejections are errors or accurate based on benefit conversion
- Review benefits to determine if a claim should have been rejected
- Analyze large data sets to identify trends and issues
Requirements:
- Experience in benefit testing, claim validation, and PBM testing environments
- Detailed Pharmacy Benefit Management (PBM) experience with claims quality
- Strong analytical, research, and troubleshooting skills
- Experience researching rejected claims by reviewing plan benefits
- Ability to interpret claim benefits to understand rejection reasons
- Proficiency with Excel, including macros, VLOOKUPs, and analyzing large data sets
- Experience with PBM benefit systems or claims engine applications
Only candidates available and ready to work directly as Genesis10 employees will be considered for this position.
If you have the described qualifications and are interested in this exciting opportunity, please apply!
About Genesis10:
Ranked a Top Staffing Firm in the U.S. by Staffing Industry Analysts for six consecutive years, Genesis10 puts thousands of consultants and employees to work across the United States every year in contract, contract-for-hire, and permanent placement roles. With more than 300 active clients, Genesis10 provides access to many of the Fortune 100 firms and a variety of mid-market organizations across the full spectrum of industry verticals.
For contract roles, Genesis10 offers the benefits listed below. If this is a perm-placement opportunity, our recruiter can talk you through the unique benefits offered for that particular client.
Benefits of Working with Genesis10:
- Access to hundreds of clients, most of whom have been working with Genesis10 for 5-20+ years.
- The opportunity to have a career-home in Genesis10; many of our consultants have been working exclusively with Genesis10 for years.
- Access to an experienced, caring recruiting team (more than 7 years of experience, on average)
- Behavioral Health Platform
- Medical, Dental, Vision
- Health Savings Account
- Voluntary Hospital Indemnity (Critical Illness & Accident)
- Voluntary Term Life Insurance
- 401K
- Sick Pay (for applicable states/municipalities)
- Commuter Benefits (Dallas, NYC, SF, and Illinois)
For multiple years running, Genesis10 has been recognized as a Top Staffing Firm in the U.S., as a Best Company for Work-Life Balance, as a Best Company for Career Growth, for Diversity, and for Leadership, amongst others. To learn more and to view all our available career opportunities, please visit us at www.genesis10.com
Genesis10 is an Equal Opportunity Employer. Candidates will receive consideration without regard to their race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.
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Genesis10
life insurance, 401(k)
Mar 17, 2026