Plan Operations Analyst

Join the fast-growing startup that is changing the conversation around pharmacy benefits.

Based in San Francisco, SmithRx was founded in 2016 to create a technology-driven and cost-competitive pharmacy benefit manager (PBM) that offers clients a flexible, customer-centric product. “Our focus is on building the next generation pharmacy benefits partner that enables choice, aligns incentives, and surfaces insights to improve care delivery,” says SmithRx Founder & CEO Jake Frenz. “Innovation has lagged in the PBM sector, and our team is dedicated to accelerating change.”

SmithRx administers and manages pharmacy benefits for B2B customers so they may provide a seamless experience for employees purchasing prescription drugs. Each year, nearly half a trillion dollars flow through pharmacy benefit managers (PBMs), with three large companies controlling 81%+ market share. SmithRx offers a new path forward that aligns incentives and harnesses data analytics to deliver an exceptional pharmacy benefit product. 

Plan Operations Specialist

Reporting to the Implementation Manager, the Plan Ops Specialist will join the company’s Customer Success team to support all core Plan Ops functions ensuring the high quality of the SmithRx product.

Responsibilities 

• Identify and understand benefit plan requirements. Understand all aspects of building and maintaining pharmacy benefit plans
• Maintain plan/account data integrity through monitoring organization and structure of plan configurations
• Monitor ongoing Engineering operations and provide troubleshooting support for our claims adjudication process including eligibility, invoice, and reporting
• Communicate project status, escalating issues when appropriate. Drive changes to improve workflow efficiency
• Collaborate and provide support for member support and customer success teams.
• Drive new trading partner integrations and client implementations
• Partner closely with SmithRx Implementation Manager to support all processes during onboarding of new accounts by working cross-functionally to resolve key issues that may arise
• Interface with service providers surfacing issues and tracking outstanding work requests.

Qualifications

• Bachelor’s degree required
• Healthcare and/or pharmacy experience strongly preferred
• Robust analytical skills; advanced skills in Microsoft Excel
• Basic level skill and experience with MySQL
• Strong communication skills via face-to-face meetings, conference calls and written correspondence
• Self-starter mentality: ability to make informed decisions, find creative approaches to difficult challenges, and deliver on commitments
• 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