Jobs at SmithRx
4,847 open positions
Adjudication Analyst
Company: SmithRx
Location: Remote
Posted Sep 14, 2023
Our goal is to assist our business partners and effectively champion a robust, accurate and cost-effective PBM adjudication solution for our clients and members.What will you do:Serve as customer support to internal stakeholders to provide front-line technical and analytical resolution on the SmithRx adjudication platform and all of its components for (1) eligibility, (2) plan design, (3) claims adjudication and (4) accumulator data file exchange.Address planned and unplanned escalation issues related to adjudicated claims and data sharing inquiries submitted by our internal business partners.Perform troubleshooting of all mission-critical adjudication issues to triage and resolve issues in a timely manner. Perform in depth analysis of claims data inconsistencies and develop output reports detailing resolution and data validationPartner closely with our Plan Operations and Account Management organizations to ensure that all of their data-related needs are metCollaborate with business partners and engineering to create streamlined processes for customer issue resolutionConduct User Acceptance Testing on software solutions and enhancementsWhat will you bring to SmithRx:Bachelor’s degree or equivalent experience preferredAt least 2+ years of claims processing, medical billing, healthcare benefits, pharmacy benefits, and/or commercial health insurance experience requiredEDI experience preferredIntermediate skill in SQL (preferably PostgreSQL) requiredIntermediate skill in Microsoft ExcelRobust analytical skills, ability to think critically about dataCuriosity and excitement to learn deeply about pharmacy adjudication under the guidance of industry-leading expertsStrong communication skills, both in-person and written Self-starter mentality: ability to make informed decisions, find creative approaches to difficult challenges, and deliver on commitmentsExecution-focused ethos - you are a solutions-oriented problem solver and efficiency drivenFlexible, adaptable, and able to respond under the pressure of a fast-paced technology companyWhat SmithRx Offers You: Highly competitive wellness benefits including Medical, Pharmacy, Dental, Vision, Life insurance Flexible Spending Benefits Discretionary Time Off 401(k) Retirement Savings Program Commuter Benefits Paid Parental Leave benefitsProfessional development and training opportunities In this role, you will work cross-functionally with our business and technology organizations to develop and implement streamlined solutions to platform workflows. Especially when it’s hard.Courage: Embrace the challenge.Together: Build bridges and lift up your colleagues.Job Summary:The Adjudication Analyst will operate as a part of SmithRx’s growing Customer Support Team. You will assist the team in designing processes to support integral PBM adjudication analytics that contribute to the ongoing success of the SmithRx solution. At our core, we are guided by our company values:Integrity: Do the right thing. 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. 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.
Adjudication Analyst
Company: SmithRx
Location: Remote
Posted Sep 14, 2023
Our goal is to assist our business partners and effectively champion a robust, accurate and cost-effective PBM adjudication solution for our clients and members.What will you do:Serve as customer support to internal stakeholders to provide front-line technical and analytical resolution on the SmithRx adjudication platform and all of its components for (1) eligibility, (2) plan design, (3) claims adjudication and (4) accumulator data file exchange.Address planned and unplanned escalation issues related to adjudicated claims and data sharing inquiries submitted by our internal business partners.Perform troubleshooting of all mission-critical adjudication issues to triage and resolve issues in a timely manner. Perform in depth analysis of claims data inconsistencies and develop output reports detailing resolution and data validationPartner closely with our Plan Operations and Account Management organizations to ensure that all of their data-related needs are metCollaborate with business partners and engineering to create streamlined processes for customer issue resolutionConduct User Acceptance Testing on software solutions and enhancementsWhat will you bring to SmithRx:Bachelor’s degree or equivalent experience preferredAt least 2+ years of claims processing, medical billing, healthcare benefits, pharmacy benefits, and/or commercial health insurance experience requiredEDI experience preferredIntermediate skill in SQL (preferably PostgreSQL) requiredIntermediate skill in Microsoft ExcelRobust analytical skills, ability to think critically about dataCuriosity and excitement to learn deeply about pharmacy adjudication under the guidance of industry-leading expertsStrong communication skills, both in-person and written Self-starter mentality: ability to make informed decisions, find creative approaches to difficult challenges, and deliver on commitmentsExecution-focused ethos - you are a solutions-oriented problem solver and efficiency drivenFlexible, adaptable, and able to respond under the pressure of a fast-paced technology companyWhat SmithRx Offers You: Highly competitive wellness benefits including Medical, Pharmacy, Dental, Vision, and Life Insurance Flexible Spending Benefits 401(k) Retirement Savings Program Short-term and long-term disabilityDiscretionary Time Off 13 Paid HolidaysWellness benefits- Spring Health, Gympass, and HeadspaceCommuter Benefits Paid Parental Leave benefitsEmployee Assistance Program (EAP)Well stocked kitchen in office locationsProfessional development and training opportunities In this role, you will work cross-functionally with our business and technology organizations to develop and implement streamlined solutions to platform workflows. Especially when it’s hard.Courage: Embrace the challenge.Together: Build bridges and lift up your colleagues.Job Summary:The Adjudication Analyst will operate as a part of SmithRx’s growing Customer Support Team. You will assist the team in designing processes to support integral PBM adjudication analytics that contribute to the ongoing success of the SmithRx solution. At our core, we are guided by our company values:Integrity: Do the right thing. 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. 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.
Principal Data Architect
Company: SmithRx
Location: San Francisco, CA
Posted Sep 21, 2023
(OLTP, No SQL, document store, OLAP, graph, and time series databases).Prior experience in production database/data warehouse admin and performance optimization, security best practices to ensure operational excellenceExpert in SQL, Python, Shell programming, Spark (Batch/Streaming), SparkSQL, PySpark, CI/CD, and automated testing capabilities Experience in data technologies (AWS Redshift, Postgres DB, Snowflake, BigQuery, Airflow, Terraform, Kubernetes, Spark, pySpark, etc. Implement security protocols such as encryption, access controls, and data backup and recovery procedures.Identify and contributes to opportunities for technology improvements, tooling innovations, best practices, and vendor evaluationsDrive engineering excellence and lead craftsmanship in building, testing, and optimizing ETL/feature/metric pipelinesWhat will you bringBS or advanced degree in Computer Science, Information Systems, or relevant experience.Minimum of 10+ years of experience in data engineering, software engineering, or related field.Strong database architecture, critical thinking, and problem-solving abilities, along with an ability to handle ambiguous, and evolving requirementsGood understanding of the latest database structure and types. Develops flexible, maintainable, and reusable data engineering solutions using standards, best practices, and frameworks with a focus on efficiency and innovationProvide technical guidance, solid design principles, and support to developers, system administrators, and other stakeholders.Ensure that data is secure and protected from unauthorized access or modification. He/She will advocate and bring best practices/methodologies, and documentation with a heavy emphasis on design and architectural decisions.What You’ll DoLead a data architecture board (engineering, platform, and data engineering) with responsibility for data architectural design, performance tuning, administration, data security, and protection. Monitor and optimize the performance of database systems. This role will own the technical leadership and bridge between engineering, platform, and data engineering with responsibilities in defining, planning, delivering, and supporting the implementation of our production data architecture to drive business value and growth. )Ability to collaborate with multiple teams and influence stakeholders to consider alternate viewpoints. If this is the right opportunity for you, please apply with your resume and cover letter. Ability to architect and implement the database design based on the use cases. Our unified technology platform provides real-time actionable insights that drive cost savings, power clinical services, and result in a brilliant customer experience. The result is a PBM delivering unmatched service quality and operational efficiencies that exceeds all industry standards.We are looking for a Principal Data Architect to be part of our Data Engineering team to drive and enable our data capabilities in transforming our company into a data-driven organization and help lay the foundations of a robust data ecosystem. We look forward to hearing from you!
Manager, Account Management
Company: SmithRx
Location: Provo, UT
Posted Aug 30, 2023
SmithRx is a rapidly growing, venture-backed Health-Tech company with a mission to disrupt the PBM sector. They have a solution that resonates with clients and pride themselves on their mission-driven and collaborative culture. The Customer Success Team helps clients derive value from PBM services, focusing on building relationships, communicating value, and managing risks. The Manager of Customer Success and Account Management is responsible for driving team goals, managing customer success outcomes, and building trusting relationships with client operational leadership.
Senior Product Manager
Company: SmithRx
Location: San Francisco, CA
Posted Sep 07, 2023
SmithRx, a rapidly growing Health-Tech company, is seeking a Senior Product Manager to lead the development of a next-generation PBM platform. The role involves setting product strategy, collaborating with tech teams and stakeholders, and driving product vision. The ideal candidate should have a Bachelor's degree in Computer Science, 6+ years of product management experience, and a strong understanding of the software development life cycle and Agile methodologies.
Account Manager
Company: SmithRx
Location: Provo, UT
Posted Sep 02, 2023
SmithRx is a rapidly growing Health-Tech company that aims to disrupt the Pharmacy Benefit Management sector by building a next-generation drug acquisition platform. The company values integrity, courage, and collaboration, and is dedicated to making a positive impact on the U.S. healthcare system.
Senior Data Scientist
Company: SmithRx
Location: San Francisco, CA
Posted Sep 13, 2023
OpenAI, etc and lead on product proposals & proofs of concept (POCs).Proficiency in SQL, Python, Spark (Batch/Streaming), SparkSQL, PySpark, CI/CD, and automated testing capabilities Substantial Experience in software development life cycle (SDLC) and data pipelines and job monitoring management/tools (AWS Glue, Airflow, Terraform, Kubernetes, CI/CD, PII/PHI protection and data masking, etc. Establish technical standards, best practices, and methodologies for data science, machine learning, and artificial intelligence projects.Identify and contribute to opportunities for technological enhancements, innovative tooling, and vendor evaluations.What will you bring:Preferred Master's degree or higher in Data Science, Computer Science, Applied Mathematics/Statistics, or Systems Engineering.A minimum of 8+ years of related experience in data engineering, machine learning, AI, data science, and technical leadership.Start-up experience highly desirableA strong comfort level with cloud services (AWS, GCP), and columnar databases (Redshift, Snowflake, Bigquery). Experience with emerging AI tools, e.g. )The ability to collaborate effectively with cross-functional teams and stakeholders on project implementation and delivery. What SmithRx Offers You: Total Rewards package that includes incentive bonus and stock optionsHighly competitive wellness benefits including Medical, Pharmacy, Dental, Vision, Life insurance Flexible Spending Benefits Discretionary Time Off 401(k) Retirement Savings Program Commuter Benefits Paid Parental Leave benefitsProfessional development and training opportunities The ideal candidate will have a strong background in data modeling, data science, statistical modeling, and machine learning with extensive experience in data platform development.What You’ll Do:Provide technical leadership around data science, and development initiatives and implement data-driven solutions that drive business value and support the company's strategic goals.Analyze and interpret complex datasets to discover patterns, detect anomalies, and test hypotheses, including the creation, training, and support of a customized Large Language Model (LLM) for our next-gen AI platform. Collaborate with cross-functional teams, including data analytics, engineering, DevOps, and infrastructure teams, to ensure that data and AI initiatives are integrated into the overall technology strategy.Lead hands-on technical data science work, including designing and developing data models, algorithms, machine learning systems, and comprehensive data analysis and visualization.Ensure the quality and privacy of data and AI models and algorithms, and protect PII/PHI information through testing and validation to ensure that models are accurate, reliable, and scalable.Mentor team members by providing technical guidance. )Familiarity with data exploration and visualization tools (Looker etc. This role will collaborate with data engineers, and data analysts, crafting algorithms and scripts, applying machine learning techniques, and utilizing a precise blend of tools and frameworks to transform diverse data points into actionable insights for SmithRx's pharmacy benefits offerings. Within our rapidly expanding startup structure, opportunities abound for this role to influence data product strategy and the R&D roadmap. Our cutting-edge technology platform provides real-time actionable insights that drive cost efficiencies, enhance clinical services, and elevate the customer experience. Operating within SmithRx's production and engineering division, the data engineering team is dedicated to establishing a scalable and dependable single source of truth data ecosystem. This role will be critical in developing SmithRx's comprehensive ML platform and AI product.
Lead, Implementations
Company: SmithRx
Location: Provo, UT
Posted Aug 30, 2023
SmithRx, a rapidly growing Health-Tech company, is seeking a Lead, Implementations for its Customer Success team. The role involves managing a team of implementation specialists, analysts, and managers, ensuring high-quality implementation and onboarding of the SmithRx solution. The ideal candidate should have a Bachelor's degree or equivalent work experience, preferably in healthcare, PBM, or TPA. Salesforce experience is preferred. The role requires strong communication skills, self-starter mentality, and the ability to work in a fast-paced environment. The candidate will be responsible for managing multiple projects, developing policies and procedures, mentoring team members, and resolving escalated issues.
Lead Data Analyst
Company: SmithRx
Location: San Francisco, CA
Posted Sep 13, 2023
Redshift, SageMaker, S3 etc.) preferredRobust analytical skills, ability to think critically about data and the stories they tell; experience integrating large sets of data from disparate sourcesA curiosity and excitement to learn about pharmacy industry dataStrong communication skills via meetings and written correspondenceSelf-starter mentality: ability to make informed decisions, find creative approaches to difficult challenges, and deliver on commitmentsExecution-focused ethos - you are a solutions-oriented problem solver and efficiency drivenFlexible, adaptable, and able to respond under the pressure of a fast-paced technology companySF preferred but Remote position can be considered for strong candidatesWhat SmithRx Offers You: Highly competitive wellness benefits including Medical, Pharmacy, Dental, Vision, Life insurance Flexible Spending Benefits Discretionary Time Off 401(k) Retirement Savings Program Commuter Benefits Paid Parental Leave benefitsProfessional development and training opportunities Finally, you will lead the way in designing creative metrics and appealing visualizations for reporting that effectively communicate our value proposition and enhance the SmithRx product. Our goal is for the Data Analytics Lead to leverage their analytical rigor, business acumen, and prior experience to showcase the robust, meaningful, and cost-effective product offering we provide for our clients and members.What will you do:Lead the charge on partnering closely with our stakeholder teams to ensure all near and long term needs are scoped, documented, and have a place on the Data Analytics team’s product roadmapProvide thought leadership for best practices and shape the team’s approach to data cleaning, governance, analysis, visualization, and disseminationGuide team members in conducting rigorous, insightful analysis to not only answer the “what and when” questions, but also the “hows and whys” Create visual snapshots that tell clear, compelling stories and illustrate how SmithRx’s value proposition makes a real-world impact for customersManage ad hoc tickets via the team’s helpdesk system, ensuring all tasks are assigned appropriately and have a clear timeline to completionProvide end-to-end mentorship to the team, shaping both day-to-day operations and also the 3-5 year vision for the Data Analytics teamWhat will you bring to SmithRx:7-10 years of work experience massaging, interrogating, drawing insights from, visualizing, and presenting data required (Healthcare and/or pharmacy experience preferred)Bachelor’s degree required / advanced degree preferredAdvanced skill in SQL requiredAdvanced skill in Looker requiredFamiliarity with additional data analysis tools (Python, R, Java, etc.) You will function as a generalist to start, functioning as a liaison between the data team and our stakeholder teams, which we organize under three broad verticals: Commercial Strategy, Operational Efficiency, and Customer Satisfaction. preferred Familiarity with Salesforce or similar CRM platforms requiredFamiliarity with Jira or similar project management tools requiredFamiliarity with the Amazon Web Services (e.g. As the Data Analytics Lead evolves in their role, you will assume greater oversight of one of these verticals.The Data Analytics Lead will support junior team members in diving deep into our data, hunting for the business insights that will support key business needs and communicating them to decision-makers. Furthermore, you will guide the team in exploring the intricacies of our data – searching for patterns and discovering trends that will inform our business understanding and contribute to organizational strategy for years to come. We seek a Data Analytics Lead to assist us in these exciting endeavors.The Data Analytics Lead will operate as a part of SmithRx’s growing Data Analytics team and report to the Senior Manager, Data Analytics. SmithRx’s Data Analytics team is at the forefront of wrangling vast amounts of data, unlocking their complexities, and harnessing their insights to generate value for present and prospective clients. You will manage the data team’s day-to-day relationship with these stakeholder teams and ensure we are providing them with the resources they need to operate effectively.
Associate Account Manager
Company: SmithRx
Location: Provo, UT
Posted Sep 06, 2023
SmithRx is a rapidly growing Health-Tech company aiming to revolutionize the Pharmacy Benefit Management sector. They offer a next-generation drug acquisition platform, emphasizing technology, cost-saving tools, and excellent customer service. The company has onboarded hundreds of thousands of members since 2016 and is guided by values such as integrity, courage, and teamwork. The Customer Success Team, led by Associate Account Managers, ensures clients derive full value from PBM services, build trusting relationships, and maintain customer satisfaction. The role requires 1-3 years of account management experience in healthcare benefits, pharmacy benefits, or commercial health insurance, along with strong communication, problem-solving, and conflict resolution skills.
Lead, Plan Operations
Company: SmithRx
Location: Provo, UT
Posted Sep 07, 2023
SmithRx is a rapidly growing Health-Tech company that aims to disrupt the Pharmacy Benefit Management sector by building a next-generation drug acquisition platform. They pride themselves on their mission-driven and collaborative culture and are looking for a Lead, Plan Operations to support their core Partner Operation functions.
Principal Data Architect
Company: SmithRx
Location: San Francisco, CA
Posted Sep 21, 2023
(OLTP, No SQL, document store, OLAP, graph, and time series databases).Prior experience in production database/data warehouse admin and performance optimization, security best practices to ensure operational excellenceExpert in SQL, Python, Shell programming, Spark (Batch/Streaming), SparkSQL, PySpark, CI/CD, and automated testing capabilities Experience in data technologies (AWS Redshift, Postgres DB, Snowflake, BigQuery, Airflow, Terraform, Kubernetes, Spark, pySpark, etc. Implement security protocols such as encryption, access controls, and data backup and recovery procedures.Identify and contributes to opportunities for technology improvements, tooling innovations, best practices, and vendor evaluationsDrive engineering excellence and lead craftsmanship in building, testing, and optimizing ETL/feature/metric pipelinesWhat will you bring to SmithRx:BS or advanced degree in Computer Science, Information Systems, or relevant experience.Minimum of 10+ years of experience in data engineering, software engineering, or related field.Strong database architecture, critical thinking, and problem-solving abilities, along with an ability to handle ambiguous, and evolving requirementsGood understanding of the latest database structure and types. Develops flexible, maintainable, and reusable data engineering solutions using standards, best practices, and frameworks with a focus on efficiency and innovationProvide technical guidance, solid design principles, and support to developers, system administrators, and other stakeholders.Ensure that data is secure and protected from unauthorized access or modification. )Ability to collaborate with multiple teams and influence stakeholders to consider alternate viewpoints. What SmithRx Offers You: Highly competitive wellness benefits including Medical, Pharmacy, Dental, Vision, and Life Insurance Flexible Spending Benefits 401(k) Retirement Savings Program Short-term and long-term disabilityDiscretionary Time Off 13 Paid HolidaysWellness benefits- Spring Health, Gympass, and HeadspaceCommuter Benefits Paid Parental Leave benefitsEmployee Assistance Program (EAP)Well-stocked kitchen in office locationsProfessional development and training opportunities He/She will advocate and bring best practices/methodologies, and documentation with a heavy emphasis on design and architectural decisions.What will you do:Lead a data architecture board (engineering, platform, and data engineering) with responsibility for data architectural design, performance tuning, administration, data security, and protection. Monitor and optimize the performance of database systems. This role will own the technical leadership and bridge between engineering, platform, and data engineering with responsibilities in defining, planning, delivering, and supporting the implementation of our production data architecture to drive business value and growth. Our unified technology platform provides real-time actionable insights that drive cost savings, power clinical services, and result in a brilliant customer experience. Ability to architect and implement the database design based on the use cases. At our core, we are guided by our company values:Integrity: Do the right thing. The result is a PBM delivering unmatched service quality and operational efficiencies that exceeds all industry standards.We are looking for a Principal Data Architect to be part of our Data Engineering team to drive and enable our data capabilities in transforming our company into a data-driven organization and help lay the foundations of a robust data ecosystem.