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Full-Time

Operations Manager

Patient Access Programs

Posted on 7/26/2024

SmithRx

SmithRx

201-500 employees

Pharmacy benefit management with transparent pricing

Data & Analytics
Hardware
Biotechnology
Healthcare

Senior, Expert

Plano, TX, USA

Category
Supply Chain Management
Operations & Logistics
Required Skills
Communications
Customer Service
Requirements
  • At least 5 years of management experience in a health care setting leading teams in operations and/or customer service
  • Experience managing Team Leads and/or Managers required
  • HS diploma or GED or equivalent work experience
  • Previous experience helping patients/members with healthcare
  • Experience in conflict resolution
  • Passion for mentoring and helping team members with career pathing and skills enhancement
  • Solutions-oriented problem solver driven by creating operational efficiencies
  • Excellent written and verbal communication skills
  • Experience working at a fast-growing startup is a plus
  • Previous experience with patient drug advocacy is a plus
  • Previous experience with healthcare, pharmacy benefits, and/or claims processing a plus
Responsibilities
  • Directly manage, coach, and mentor a team of patient advocates
  • Lead training and onboarding for all new team members
  • Provide day-to-day supervision, support, and escalation path for patient advocates on your team
  • Lead group to meet patient advocate team target KPIs
  • Ensure efficient allocation of operational center resources and maintain high-performance standards
  • Identify and drive areas for operational process improvements to support efficiency and scale
  • Cross-functional collaboration with other departments

SmithRx operates as a Pharmacy Benefit Manager (PBM) that focuses on managing prescription drug plans for self-insured employers and plan sponsors. The company uses a transparent pricing model called "Pass Through Pricing," where it charges only an administrative fee and passes all rebates from prescriptions directly to clients and their members. This model contrasts with traditional PBMs that often inflate drug prices and retain rebates for profit. SmithRx's clients benefit from a technology platform that utilizes real-time data to improve service delivery, ensuring efficient and high-quality pharmacy benefit management. The company also provides a concierge service to enhance support for both members and clients. By prioritizing transparency, advanced technology, and exceptional customer service, SmithRx aims to simplify pharmacy benefits and maximize value for its clients.

Company Stage

Series C

Total Funding

$98.7M

Headquarters

San Francisco, California

Founded

2016

Growth & Insights
Headcount

6 month growth

9%

1 year growth

41%

2 year growth

265%
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Simplify's Take

What believers are saying

  • SmithRx's recent $60M Series C funding led by Venrock positions the company for significant growth and innovation in the PBM market.
  • The partnership with Banjo Health to revolutionize prior authorization processes demonstrates SmithRx's commitment to leveraging cutting-edge technology for improved efficiency and transparency.
  • SmithRx's collaboration with TheracosBio to offer newly approved diabetes drugs highlights its dedication to providing cost-effective and essential medications to its members.

What critics are saying

  • The PBM market is highly competitive, and SmithRx must continuously innovate to maintain its unique value proposition.
  • Reliance on the 'Pass Through Pricing' model may limit revenue growth compared to traditional PBMs that profit from rebates and hidden fees.

What makes SmithRx unique

  • SmithRx's 'Pass Through Pricing' model ensures complete transparency by passing 100% of rebates to clients, unlike traditional PBMs that profit from hidden fees and inflated drug prices.
  • The company's robust technology platform leverages real-time data to enhance service offerings, setting it apart from competitors who may rely on outdated systems.
  • SmithRx's concierge service provides exceptional support to both members and customers, further distinguishing it from other PBMs that may lack personalized customer care.
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