PHARMACY, FSA & HSA PROGRAM ADMINISTRATOR - 82131

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.

Minimum Qualifications:

• 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.

Pursuant to the State of Tennessee's Workplace Discrimination and Harassment policy, the State is firmly committed to the principle of fair and equal employment opportunities for its citizens and strives to protect the rights and opportunities of all people to seek, obtain, and hold employment without being subjected to illegal discrimination and harassment in the workplace. It is the State's policy to provide an environment free of discrimination and harassment of an individual because of that person's race, color, national origin, age (40 and over), sex, pregnancy, religion, creed, disability, veteran's status or any other category protected by state and/or federal civil rights laws.