Who We Are: SmithRx is a rapidly growing, venture-backed Health-Tech company. Our mission is to disrupt the expensive and inefficient Pharmacy Benefit Management (PBM) sector by building a next-generation drug acquisitio…
Skills: Microsoft Excel, SQL, Data Syncing, Claims Adjudication, Pharmacy Technician Experience
Who We Are: SmithRx is a rapidly growing, venture-backed Health-Tech company. Our mission is to disrupt the expensive and inefficient Pharmacy Benefit Management (PBM) sector by building a next-generation drug acquisitio…
Who We Are: SmithRx is a rapidly growing, venture-backed Health-Tech company. Our mission is to disrupt the expensive and inefficient Pharmacy Benefit Management (PBM) sector by building a next-generation drug acquisitio…
Skills: Quality Assurance, Call Center Monitoring, Statistical Analysis, Root Cause Analysis, Data Analysis
Who We Are: SmithRx is a rapidly growing, venture-backed Health-Tech company. Our mission is to disrupt the expensive and inefficient Pharmacy Benefit Management (PBM) sector by building a next-generation drug acquisitio…
Skills: Salesforce Administration, Salesforce Configuration, Apex, Salesforce Flows, API Integrations
Who We Are: SmithRx is a rapidly growing, venture-backed Health-Tech company. Our mission is to disrupt the expensive and inefficient Pharmacy Benefit Management (PBM) sector by building a next-generation drug acquisitio…
Skills: Salesforce Administration, Jira Service Management, Systems Thinking, Technical Writing, Business Analysis
Who We Are: SmithRx is a rapidly growing, venture-backed Health-Tech company. Our mission is to disrupt the expensive and inefficient Pharmacy Benefit Management (PBM) sector by building a next-generation drug acquisitio…
Who We Are: SmithRx is a rapidly growing, venture-backed Health-Tech company. Our mission is to disrupt the expensive and inefficient Pharmacy Benefit Management (PBM) sector by building a next-generation drug acquisitio…
Who We Are: SmithRx is a rapidly growing, venture-backed Health-Tech company. Our mission is to disrupt the expensive and inefficient Pharmacy Benefit Management (PBM) sector by building a next-generation drug acquisitio…
Skills: Project Coordination, Customer Service, Microsoft Office, Google Platform, Salesforce
Who We Are: SmithRx is a rapidly growing, venture-backed Health-Tech company. Our mission is to disrupt the expensive and inefficient Pharmacy Benefit Management (PBM) sector by building a next-generation drug acquisitio…
Skills: Relationship Management, Strategic Partnerships, PBM Pricing, Underwriting, Social Selling
Who We Are: SmithRx is a rapidly growing, venture-backed Health-Tech company. Our mission is to disrupt the expensive and inefficient Pharmacy Benefit Management (PBM) sector by building a next-generation drug acquisitio…
Who We Are: SmithRx is a rapidly growing, venture-backed Health-Tech company. Our mission is to disrupt the expensive and inefficient Pharmacy Benefit Management (PBM) sector by building a next-generation drug acquisitio…
Skills: Claims Analysis, Data Querying, Microsoft Excel, SQL, Looker
Who we are: SmithRx is a rapidly growing, venture-backed Health-Tech company. Our mission is to disrupt the expensive and inefficient Pharmacy Benefit Management (PBM) sector by building a next-generation drug acquisitio…
Skills: Benefits Configuration, Healthcare Testing, Test Plan Creation, Defect Reporting, Clinical Prior Authorization
Who We Are: SmithRx is a rapidly growing, venture-backed Health-Tech company. Our mission is to disrupt the expensive and inefficient Pharmacy Benefit Management (PBM) sector by building a next-generation drug acquisitio…
Who We Are: SmithRx is a rapidly growing, venture-backed Health-Tech company. Our mission is to disrupt the expensive and inefficient Pharmacy Benefit Management (PBM) sector by building a next-generation drug acquisitio…
Who We Are: SmithRx is a rapidly growing, venture-backed Health-Tech company. Our mission is to disrupt the expensive and inefficient Pharmacy Benefit Management (PBM) sector by building a next-generation drug acquisitio…
Who We Are: SmithRx is a rapidly growing, venture-backed Health-Tech company. Our mission is to disrupt the expensive and inefficient Pharmacy Benefit Management (PBM) sector by building a next-generation drug acquisitio…
Who We Are: SmithRx is a rapidly growing, venture-backed Health-Tech company. Our mission is to disrupt the expensive and inefficient Pharmacy Benefit Management (PBM) sector by building a next-generation drug acquisitio…
Skills: Data Analysis, Financial Underwriting, Actuarial Support, Looker, Tableau
Who We Are: SmithRx is a rapidly growing, venture-backed Health-Tech company. Our mission is to disrupt the expensive and inefficient Pharmacy Benefit Management (PBM) sector by building a next-generation drug acquisitio…
Skills: Account Management, Relationship Management, Healthcare Industry Knowledge, Commercial Health Insurance, Pharmacy Benefits
Who we are: SmithRx is a rapidly growing, venture-backed Health-Tech company. Our mission is to disrupt the expensive and inefficient Pharmacy Benefit Management (PBM) sector by building a next-generation drug acquisitio…
Who We Are: SmithRx is a rapidly growing, venture-backed Health-Tech company. Our mission is to disrupt the expensive and inefficient Pharmacy Benefit Management (PBM) sector by building a next-generation drug acquisitio…
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Full-time
high school
Medical Insurance, Pharmacy Insurance, Dental Insurance, Vision Insurance, Life and AD&D Insurance, Paid Time Off
Posted 2d ago
~40 hrs/week
Remote in United States
Responsibilities
The role focuses on monitoring and troubleshooting eligibility, accumulator, and claims files to ensure data accuracy across systems. It involves collaborating cross-functionally to support partner integrations, client implementations, and workflow automation.
Requirements
Candidates must have a High School Diploma or GED and at least 2 years of experience as a pharmacy technician or in a related industry. Proficiency in Microsoft Excel is required, with a preference for knowledge of SQL and data tools like Looker or Salesforce.
Full job description
Who We Are:
SmithRx is a rapidly growing, venture-backed Health-Tech company. Our mission is to disrupt the expensive and inefficient Pharmacy Benefit Management (PBM) sector by building a next-generation drug acquisition platform driven by cutting edge technology, innovative cost saving tools, and best-in-class customer service. With hundreds of thousands of members onboarded since 2016, SmithRx has a solution that is resonating with clients all across the country.
We pride ourselves for our mission-driven and collaborative culture that inspires our employees to do their best work. We believe that the U.S healthcare system is in need of transformation, and we come to work each day dedicated to making that change a reality. At our core, we are guided by our company values:
Integrity: Our purpose guides our actions and gives us confidence in the path ahead. With unwavering honesty and dependability, we embrace the pressure of challenging the old and exemplify ethical leadership to create the new.
Courage: We face continuous challenges with grit and resilience. We embrace the discomfort of the unknown by balancing autonomy with empathy, and ownership with vulnerability. We boldly challenge the status quo to keep moving forward—always.
Together: The success of SmithRx reflects the strength of our partnerships and the commitment of our team. Our shared values bind us together and make us one. When one falls, we all fall; when one rises, we all rise.
Job Summary:
SmithRx is looking for a Partner Operations Specialist to join the SmithRx team to collaborate with other team members to monitor and problem solve issues with eligibility, accumulator and claims files daily.
This role would be a great opportunity for a Pharmacy Technician who is interested in transitioning to the pharmacy benefits industry.
What you will do:
Execute and manage a set list of rotating task assignments centered on monitoring incoming and outgoing files, and data syncing across systems.
Understand and facilitate account structure updates for eligibility and accumulator requirements.
Validate system configurations for accuracy by monitoring inbound files from external partners.
Identify issues and write tickets to be resolved by other resources, as well as follow-up to ensure resolution is being completed.
Provide feedback on opportunities to improve workflow efficiency to leadership.
Contribute to process and workflow documentation.
Serve as a mentor for new team members and a trainer for new processes.
Collaborate and provide support for member support and customer success teams.
Collaborate cross-functionally on system enhancements for workflow automation.
Become the subject matter expert for plan design configuration details for assigned groups.
Monitor ongoing operations and provide troubleshooting support for our claims adjudication processes including eligibility, accumulators, reporting, and syncing of systems with data.
Support new partner integrations and client implementations.
Partner closely with internal teams to support all processes during onboarding and maintenance of accounts by working cross-functionally to resolve key issues that may arise.
Ensure that data partner connections are maintained and created when approved.
Work as assigned on projects outside of daily assigned tasks.
What you will bring to SmithRx:
For internal applicants:
1+ years of tenure with Smith in active status required (note that if you were on any leave of absence while working here, this will not count towards active status)
Must be in good standing, including:
No active writeups
Consistent and good attendance record
Current performance meets/ exceeds expectations and is acceptable given the requirement for the new role
2+ years of experience as a pharmacy technician or other industry experience.
High School Diploma or GED required.
Experience in Microsoft Excel building reports, reviewing and interpreting reports, sending and receiving data.
Bonus points for familiarity with Looker, Datadog, Jira, Tableau, and/or Salesforce.
Familiar with running basic SQL queries prefer.
Strong communication skills as a team member.
Self-starter mentality: ability to work independently to manage time and assigned tasks, make informed decisions, and solve issues.
Execution-focused ethos - you are a solutions-oriented problem solver and efficiency driven.
Flexible, adaptable, and able to respond under the pressure of a fast-paced technology company.
What SmithRx Offers You:
Highly competitive wellness benefits including Medical, Pharmacy, Dental, Vision, and Life and AD&D Insurance
3 Weeks Paid Time Off
Paid Company Holidays
Paid Parental Leave Benefits
Flexible Spending Benefits
401(k) Retirement Savings Program
Short-Term and Long-Term Disability
Wellness Benefits
Commuter Benefits
Employee Assistance Program (EAP)
Well-stocked Kitchen In Office Locations
Professional Development and Training Opportunities
Zone A includes the following locations:
San Francisco Bay Area - California
Metro New York City - Connecticut, New Jersey, New York and Pennsylvania
Zone A Pay Range
$25—$25 USD
Zone B includes the following locations:
California - outside of San Francisco Bay Area
Metro Denver / Boulder - Colorado
Metro District of Columbia - District of Columbia, Maryland, Virginia and West Virginia
Metro Boston / Cambridge - Massachusetts and New Hampshire
Metro Austin - Texas
Metro Seattle - Washington
Zone B Pay Range
$25—$25 USD
Zone C includes all other locations not listed above, including:
Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Illinois, Indiana, Iowa, Kansas, Kentucky, Louisiana, Maine, Michigan, Minnesota, Mississippi, Missouri, Montana, Nebraska, Nevada, New Mexico, North Carolina, North Dakota, Ohio, Oklahoma, Oregon, Rhode Island, South Carolina, South Dakota, Tennessee, Utah, Vermont, Wisconsin, Wyoming
Non metro Colorado, Connecticut, Maryland, Massachusetts, New Hampshire, New Jersey, New York, Pennsylvania, Texas, Virginia, Washington, and West Virginia
Zone C Pay Range
$25—$25 USD
Compensation & Benefits
Base Salary: The range listed above reflects our standard pay scale and actual pay will vary based on work location, job level, job-related knowledge, skills, and experience.
Total Rewards: In addition to base pay, this role may be eligible for bonuses, commissions, or equity. SmithRx offers a variety of benefits to help you live well, including: time off programs, medical, dental, vision, mental health support, paid parental leave, life and disability insurance and 401(k).
Individual offers are tailored to your geography, experience, skills, and education. Your recruiter can share more specific details during the hiring process. In the meantime, feel free to explore our comprehensive benefits here.
Our mission is to reduce the cost and complexity of pharmacy benefits for America’s employers and patients.
Pharmacy benefits are broken. The overly complex monopolies built by big PBMs only serve their bottom lines. SmithRx is a transparent, pass-through pharmacy benefits manager for self-insured employers. We operate independently from insurance companies and pharmacies so that our incentives are 100% aligned with our customers. Our modern technology and innovative cost savings programs connect our members to the lowest cost drugs.
Get in touch with us to today to learn how to save on your pharmacy spend!
Offices: 300 Brannan St, San Francisco, CA 4107, US · 1331 W Powell Way, Suite 4, Lehi, Utah 84043, US · 6080 Tennyson Pkwy, Plano, Texas 75024, US
Our mission is to reduce the cost and complexity of pharmacy benefits for America’s employers and patients.
Pharmacy benefits are broken. The overly complex monopolies built by big PBMs only serve their bottom lines. SmithRx is a transparent, pass-through pharmacy benefits manager for self-insured employers. We operate independently from insurance companies and pharmacies so that our incentives are 100% aligned with our customers. Our modern technology and innovative cost savings programs connect our members to the lowest cost drugs.
Get in touch with us to today to learn how to save on your pharmacy spend!
Offices: 300 Brannan St, San Francisco, CA 4107, US · 1331 W Powell Way, Suite 4, Lehi, Utah 84043, US · 6080 Tennyson Pkwy, Plano, Texas 75024, US