San Francisco, CA
Transparent pharmacy benefits manager for employers
SmithRx is a modern PBM providing transparent, pass-through pharmacy benefits to self-insured employers and members. It uses technology for lowest-cost medication access, reducing complexity and costs compared to legacy PBMs. Customers save 20%+ on drug spend with aligned incentives and white-glove service.
Coordinates end-to-end client implementations, including requirements, project planning, cross-functional delivery, issue resolution, and go-live support. Requires a bachelor’s degree or equivalent experience, 5–8 years of related experience, and strong communication and problem-solving skills.
Leads the full enterprise sales cycle for complex PBM solutions serving employer groups with 20,000+ covered lives. Requires substantial PBM and healthcare sales experience, executive presence, and expertise in pharmacy benefit design, pricing, and competitive positioning.
Leads and develops a team of Partner Relationship Managers responsible for post-launch collaboration with TPAs and data partners. The role requires people-management experience, healthcare benefits expertise, and familiarity with EDI, ETL, or API-based data integrations.
Lead trade relations, manufacturer negotiations, formulary strategy, and clinical criteria for a pass-through PBM. Requires 12+ years in PBM/pharma market access, deep contracting and clinical expertise, and leadership across Commercial, Medicare, and Medicaid.
Lead strategy, contracting, and management of SmithRx's transparent pharmacy networks. Requires 12+ years in PBM/pharmacy network leadership, deep expertise in reimbursement models and negotiations, and experience across Commercial, Medicare, Medicaid.
Build and nurture relationships with pharmacy consultants to drive growth for SmithRx's PBM services. Collaborate cross-functionally on RFPs, value presentations, training, and events; requires 8+ years PBM experience working with consultants.
Provide exceptional customer support in a healthcare call center by handling inbound/outbound calls to members, physicians, and pharmacies, resolving issues, educating on pharmacy benefits, and ensuring one-call resolution with empathy and urgency. Requires 2+ years call center experience and onsite work in Plano, TX.
Senior finance leader partnering with Sales and Marketing to provide strategic decision support, own revenue forecasting and GTM KPIs/ROI models, develop P&L and pricing strategies, and drive headcount/incentive planning in a high-growth health tech environment. Requires 8+ years FP&A or GTM finance experience, strong modeling skills, and executive presence.
Lead operational rhythm of weekly growth sprints, build and maintain automated growth plays across the tech stack, and integrate AI tooling for outbound personalization and experimentation at SmithRx. Requires 4+ years experience in growth marketing/ops, owner mentality, elite project management, and fluency with Outreach, Salesforce, and AI tools.
Seasonal Inbound Call Center Representative providing exceptional customer support to SmithRx members, physicians, and pharmacies. Requires 2+ years call center experience, strong communication and empathy, and onsite work in Plano, TX after training.
Provide exceptional phone-based support to members, physicians, and pharmacies regarding pharmacy benefits. Requires 2+ years call center experience, strong communication and empathy, with initial onsite training and ongoing onsite work in Plano, TX (hybrid option after performance review).
Strategic Finance Manager responsible for building and owning the company's integrated 3-statement long-range financial model, valuation frameworks, cash flow forecasts, and supporting fundraising/M&A. Requires 5+ years in investment banking/PE, healthcare analysis experience, exceptional Excel modeling skills, and the ability to partner with executive leadership.
Inbound Call Center Representative providing exceptional customer support to health plan members, physicians, and pharmacies. Requires 2+ years call center experience, strong communication and empathy, with initial onsite training in Plano, TX.
Execute monitoring, data syncing, validation, and troubleshooting tasks for partner operations, claims adjudication, and account maintenance at SmithRx. Requires 2+ years pharmacy technician or industry experience, Excel proficiency, and strong independent problem-solving skills.
Quality Analyst responsible for evaluating call center interactions, identifying coaching opportunities, tracking performance trends, and driving process improvements through audits, dashboards, and root cause analysis. Requires 4+ years QA experience in call centers, strong analytical and Excel skills, and a focus on customer satisfaction.
Senior Salesforce Administrator responsible for advanced configurations, scalable solutions, integrations, automation, data governance, and analytics to optimize Sales, Marketing, and Customer Support workflows. Requires 8+ years experience, 5+ years in Salesforce admin, specific certifications, and ability to troubleshoot code.
Business Systems Analyst responsible for managing Jira intake and backlog, performing hands-on Salesforce administration and integrations (Five9, Ironclad, DocuSign), translating business needs into technical stories, building reports/dashboards, and facilitating stakeholder communication. Requires 4+ years experience including 2+ years with Jira workflows, strong analytical and communication skills.
Senior Staff Software Engineer focused on back-end architecture, scalable APIs, data processing, and third-party integrations using Go, Node, GraphQL, and AWS services. Requires 12-15 years experience, mentoring juniors, and turning technical vision into roadmaps.
Senior Benefits Configuration Tester responsible for creating test plans, validating complex benefit setups including clinical logic and financial accumulators, liaising with Benefit Operations, mentoring juniors, and documenting defects in a healthcare/PBM environment. Requires 2-4 years experience, strong critical thinking, and knowledge of benefit design standards.
Quality Assurance Analyst responsible for overseeing pharmacy benefits plan build, maintenance, testing, audits, and process improvements to ensure high-quality product delivery in a PBM platform. Requires comprehensive knowledge of benefits administration and strong analytical skills.
Senior Accountant responsible for month-end close, journal entries, reconciliations, US GAAP compliance, internal controls, technical memos, and audit coordination. Requires 4+ years accounting experience, bachelor's degree, strong US GAAP knowledge, and Excel proficiency (CPA preferred).
Lead modernization of identity stack as technical cornerstone of Identity & Access pod, focusing on Non-Human Identity (NHI), AI agent governance, Okta/Workday integration, AWS IAM, OPA/Rego policies, and zero-trust solutions in a HIPAA-regulated healthcare environment. Requires 5+ years IAM experience with deep Okta and cloud expertise.
Financial Analyst supporting Account Management by analyzing pharmacy claims data, identifying cost drivers, and translating complex financial insights for clients and internal teams. Requires 5+ years in healthcare/PBM data analysis or financial underwriting.
Manage a book of business for a health-tech PBM, driving customer satisfaction, retention, and issue resolution through reporting, relationship-building, and cross-team coordination. Requires 1-3 years of account management experience in healthcare or pharmacy benefits.
Manage and mentor a team of up to Staff-level engineers, define team vision and roadmap, and drive execution on backend initiatives including FHIR translation and monorepo decomposition. Requires 7+ years software development experience with 3+ years in team management.
Senior DevOps Engineer responsible for building scalable container infrastructure, automating CI/CD pipelines, and maintaining secure, HIPAA-compliant systems on AWS. Requires 5+ years DevOps experience and strong Kubernetes, IaC, and scripting skills.
Senior Cloud Engineer responsible for building and maintaining scalable, compliant AWS/Kubernetes infrastructure with full CI/CD automation, monitoring, and security controls in a regulated healthcare environment.
As a Senior Account Manager, you will be responsible for ensuring customer satisfaction and retention for a complex portfolio of clients. You will build trusting relationships, manage escalated client issues, and identify product gaps.
The Manager of Customer Success and Account Management leads a team focused on client retention, product adoption, and overall customer satisfaction. This role involves setting team goals, coaching members, and coordinating cross-functional efforts to resolve client issues and identify product gaps.
Designs and develops backend architecture and scalable APIs using Golang, Node.js, GraphQL, and SQL. Collaborates on requirements, troubleshoots production issues, mentors juniors, and leverages AWS for batch processing. Requires 5-8 years experience with server-side apps and relational databases.
Conducts claims analysis, repricing, and ad hoc data insights to support sales proposals and demonstrate value to clients and brokers. Requires 3-5 years experience, strong analytics, SQL/Excel/Looker/Tableau proficiency, and communication skills.
Supports Account Managers by handling client issues, troubleshooting claims and eligibility, compiling reports, and collaborating cross-functionally to ensure post-sale customer success in PBM services. Requires 2-3 years healthcare/PBM experience and strong Microsoft Office skills.
Designs and develops scalable back-end architecture for product features using Golang, GraphQL, SQL, and AWS services. Requires 8-12 years experience with server-side apps, APIs, databases, plus expertise in compiled languages and mentoring juniors.
Designs, develops, and maintains back-end architecture for product features using Golang, GraphQL, Node, and AWS services. Requires 5-8 years experience, expertise in relational databases like PostgreSQL, API design, and cloud/DevOps tools; mentors juniors and integrates AI technologies.