Full-Time

Principal Software Engineer

Multiple Teams

Posted on 8/29/2025

SmithRx

SmithRx

501-1,000 employees

PBM offering pass-through pricing model

No salary listed

Washington, USA + 26 more

More locations: Kansas, USA | Pennsylvania, USA | California, USA | Texas, USA | Jackson Township, NJ, USA | Florida, USA | Waterbury, CT, USA | Nevada, USA | South Carolina, USA | Georgia, USA | Arizona, USA | Tennessee, USA | Virginia, USA | Arkansas, USA | Minnesota, USA | Colorado, USA | Utah, USA | Kentucky, USA | New York, NY, USA | Wisconsin, USA | Massachusetts, USA | North Carolina, USA | Oklahoma, USA | Missouri, USA | Ohio, USA | Indiana, USA

Remote

Applicants must be based in one of the following states: Arizona, Arkansas, California, Colorado, Connecticut, Florida, Georgia, Indiana, Kansas, Kentucky, Massachusetts, Minnesota, Missouri, Nevada, New Jersey, New York, North Carolina, Ohio, Oklahoma, Pennsylvania, South Carolina, Tennessee, Texas, Utah, Virginia, Washington, Wisconsin.

Category
Software Engineering (2)
,
Requirements
  • BS or advanced degree in computer science or applicable experience.
  • 15 years required, or 12+ years with an advanced degree of software engineering experience, including leading large-scale, complex systems or initiatives.
  • Expertise in system architecture, including design for scalability, reliability, and maintainability.
  • Proficiency in evaluating build-versus-buy decisions and choosing frameworks/tools for diverse use cases.
  • Proven ability to design systems that address ambiguous or novel challenges, using research and validation plans to guide execution.
  • Experience driving the overall health and quality of systems, including testing strategies and technical documentation.
  • Strong ability to influence and align technical and product strategies across teams and stakeholders.
  • Deep technical expertise in software design and architecture.
  • Experience with Machine Learning concepts and their application in software systems.
  • Familiarity with Natural Language Processing (NLP) techniques and their use cases.
  • Experience in developing and deploying anomaly detection algorithms.
  • Exceptional problem-solving and decision-making skills, especially in situations with no clear “right” answer.
  • Strong communication skills to rally teams, explain complex concepts, and build alignment across organizations.
  • A track record of identifying opportunities to meet customer needs through technical capabilities and driving meaningful results.]
  • responsibilities_reasoning":"The 'What you will do' section is broken into Technical Leadership, Cross-Functional Collaboration, Organizational Impact, and Mentorship and Advocacy, each containing multiple bullet points. These bullets describe responsibilities such as defining technical strategy, owning architecture decisions, designing scalable systems, ensuring quality and documentation, testing strategies, ML integration, collaboration with ML engineers, and leadership duties. The section also includes collaboration with product, design, and stakeholders to align strategy and opportunities. The items should be captured as individual responsibilities to reflect tasks and duties. There is no separate 'Desirable' section here, so responsibilities are all present in the 'What you will do' blocks.","responsibilities":["Define and align technical strategies for multi-year, multi-team initiatives with broader company goals.","Own technology decisions for large-scale architectures, including frameworks and build-versus-buy choices for key components.","Design systems with high reliability, scalability, and long-term maintainability, incorporating staged validation plans where necessary.","Ensure engineering quality through regular health reviews, curated testing strategies, and technical documentation that supports maintainability independent of your expertise.","Drive overall testing strategies for systems requiring high reliability or quality, including creating validation frameworks or systems.","Design platforms with long-term maintainability and embedded ML components, ensuring anomaly detection and NLP features were both scalable and production-ready.","Collaborate with machine learning engineers to design, validate, and deploy ML-based anomaly detection systems, ensuring performance met system SLAs","Employ systems-level mindset to integrate ML in production environments."
  • "Partner with Directors, product managers, and design leadership to ensure alignment on technical strategy and business objectives.","Collaborate with stakeholders to identify and deliver new business opportunities enabled by technical capabilities.","Influence product decisions, scope, and technical trade-offs to prioritize customer value without compromising quality."
  • "Drive technical choices that have sweeping implications across the engineering organization, rallying teams around clear rationales and technical visions.","Proactively identify and refocus engineering efforts when projects are off-course or not driving meaningful business impact.","Partner with senior leadership to define a long-term vision for engineering teams that aligns with business and market opportunities."
  • "Serve as a mentor and technical guide for engineers at all levels, fostering a culture of learning and growth.","Champion engineering excellence by setting high standards for system design, coding, testing, and operational practices."]
  • desirable_reasoning":"The posting contains no explicit 'Desirable' or 'Nice to have' section. Therefore there are no items to extract for desirable requirements. If any such items were present, they would appear under a Desirable section, but in this posting they do not exist.","desirable":[]}]} 0 2025-10-19 17:32:00 UTC
Responsibilities
  • Define and align technical strategies for multi-year, multi-team initiatives with broader company goals.
  • Own technology decisions for large-scale architectures, including frameworks and build-versus-buy choices for key components.
  • Design systems with high reliability, scalability, and long-term maintainability, incorporating staged validation plans where necessary.
  • Ensure engineering quality through regular health reviews, curated testing strategies, and technical documentation that supports maintainability independent of your expertise.
  • Drive overall testing strategies for systems requiring high reliability or quality, including creating validation frameworks or systems.
  • Design platforms with long-term maintainability and embedded ML components, ensuring anomaly detection and NLP features were both scalable and production-ready.
  • Collaborate with machine learning engineers to design, validate, and deploy ML-based anomaly detection systems, ensuring performance met system SLAs
  • Employ systems-level mindset to integrate ML in production environments.
  • Partner with Directors, product managers, and design leadership to ensure alignment on technical strategy and business objectives.
  • Collaborate with stakeholders to identify and deliver new business opportunities enabled by technical capabilities.
  • Influence product decisions, scope, and technical trade-offs to prioritize customer value without compromising quality.
  • Drive technical choices that have sweeping implications across the engineering organization, rallying teams around clear rationales and technical visions.
  • Proactively identify and refocus engineering efforts when projects are off-course or not driving meaningful business impact.
  • Partner with senior leadership to define a long-term vision for engineering teams that aligns with business and market opportunities.
  • Serve as a mentor and technical guide for engineers at all levels, fostering a culture of learning and growth.
  • Champion engineering excellence by setting high standards for system design, coding, testing, and operational practices.

SmithRx operates in healthcare as a Pharmacy Benefit Manager (PBM) in San Francisco, managing prescription drug plans for self-insured employers and plan sponsors. It uses Pass Through Pricing: charging only an administrative fee and passing 100% of rebates to the plan sponsors and members. A real-time data–driven technology platform supports service delivery, enhancing transparency and efficiency. Revenue comes solely from admin fees, eliminating rebates-based conflicts of interest. A concierge service provides strong support to both members and clients. The goal is to offer transparent, cost-effective pharmacy benefits with excellent customer service, using technology to maximize value for clients and their members.

Company Size

501-1,000

Company Stage

Series C

Total Funding

$97.5M

Headquarters

San Francisco, California

Founded

2016

Simplify Jobs

Simplify's Take

What believers are saying

  • UnitedAg partnership adds 55,000 members across 1,200 entities in October 2025.
  • $60M Series C funding in January 2024 boosts data analytics infrastructure.
  • Amazon Pharmacy partnership delivers upfront low pricing to all members.

What critics are saying

  • Amazon Pharmacy captures members via Prime, diverting 50-70% volume in 6-12 months.
  • Cost Plus Drugs Uber deal bypasses SmithRx, disrupting 40-60% savings in 12-18 months.
  • CVS Caremark squeezes market share through Aetna integration in 18-24 months.

What makes SmithRx unique

  • SmithRx uses 100% pass-through pricing, passing all rebates to clients.
  • Banjo Health AI integration streamlines prior authorizations since November 2024.
  • New PBM Evaluation Methodology optimizes drug cost savings for clients.

Help us improve and share your feedback! Did you find this helpful?

Benefits

Health Insurance

Dental Insurance

Vision Insurance

Life Insurance

Disability Insurance

Health Savings Account/Flexible Spending Account

Unlimited Paid Time Off

Paid Holidays

Wellness Program

Commuter Benefits

Parental Leave

Mental Health Support

Professional Development Budget

Growth & Insights and Company News

Headcount

6 month growth

0%

1 year growth

-1%

2 year growth

-1%
FinancialContent
Oct 6th, 2025
UnitedAg Partners with SmithRx to Modernize Pharmacy Benefits at Scale

UnitedAg partners with SmithRx to modernize pharmacy benefits at scale. SmithRx, a modern pharmacy benefits manager (PBM), today announced a new partnership with UnitedAg, a member-owned agricultural trade association and health plan Trust. This collaboration will provide UnitedAg's 1,200+ agricultural entities comprising over 55,000 members with a fiduciary-aligned, transparent, and more affordable pharmacy benefits solution. By partnering with SmithRx, UnitedAg is moving beyond a pass-through PBM model to embrace a solution built on radical transparency. SmithRx's platform gives clients full visibility into pharmacy spend and ensures every dollar saved goes directly back to employers and their employees. This approach empowers employers to take control of their benefits costs while offering employees the lowest-cost medications with unmatched clarity and care. "SmithRx is thrilled to partner with a forward-thinking organization like UnitedAg that shares our commitment to bring clarity and fairness to healthcare," said Jake Frenz, founder and CEO of SmithRx. "This partnership is a testament to the growing demand for a different kind of PBM - one that prioritizes people and provides real savings while delivering an exceptional member experience." "SmithRx's innovative model will not only help us manage our costs more effectively but, more importantly, will empower our members to make better decisions about their health," said Kirti Mutatkar, President and CEO of UnitedAg. "Our members are our most valuable asset, and we are dedicated to providing them with the best possible benefits." UnitedAg members now have access to the SmithRx platform, which empowers them with clear pricing and access to the lowest-cost medications. The platform's technology, including AI-driven efficiencies, delivers an award-winning member experience. This collaboration brings significant value to the plan by uniting a focus on transparency and service, making healthcare more affordable and accessible for all members. About SmithRx SmithRx is a modern PBM dedicated to reducing the cost and complexity of pharmacy benefits. The company empowers organizations of all sizes to take control of their pharmacy spend with a radically transparent, universal pass-through model, innovative cost-saving programs, and intuitive technology. Unlike legacy PBMs, SmithRx eliminates hidden fees, passes through 100% of rebates and discounts, and provides real-time prescription pricing and detailed savings reports. This gives clients the insights they need to make informed decisions and achieve meaningful savings for both their business and their employees. Experience the difference transparency, trust, and fairness can make in building a more equitable healthcare system. Learn more at www.smithrx.com. About UnitedAg UnitedAg is a member-owned agricultural trade association dedicated to providing comprehensive health benefits, fostering the next generation of agricultural leaders, and advocating for members' interests with lawmakers. Our mission is to support the sustainability and success of our members and the agricultural sector through tailored health benefits, leadership development, and legislative advocacy. Currently, we operate in California and Arizona and will soon expand to Oregon and Colorado. View source version on businesswire.com: https://www.businesswire.com/news/home/20251006154566/en/

LeadsOnTrees
May 15th, 2025
SmithRx Raises $60M to Transform Pharmacy

SmithRx has raised $60 million in Series C funding to revolutionize pharmacy benefits. The company aims to reduce costs and complexity for self-insured employers by developing advanced technology and expanding cost-saving programs. Operating independently from traditional insurers, SmithRx plans to use the funds to enhance its infrastructure, invest in data analytics, and launch initiatives targeting inefficiencies in pharmacy benefit management, promoting transparency and affordability.

Business Wire
Jun 27th, 2024
SmithRx Introduces New PBM Evaluation Methodology Optimized for Drug Cost Savings

SmithRx introduces new PBM Evaluation methodology optimized for drug cost savings.

PR Newswire
Apr 9th, 2024
Smithrx Revolutionizes Its Prior Authorization Process With Banjo Health'S Leading-Edge Ai Platform

WASHINGTON, April 9, 2024 /PRNewswire/ -- Banjo Health, an innovative provider of intelligent prior authorization software, is excited to announce its partnership with SmithRx, a transparent and 100% pass-through pharmacy benefits manager (PBM). This partnership aims to improve timeliness, transparency, and reliability in SmithRx's prior authorization (PA) workflows & medical policy management."At Banjo Health, we are passionate about providing solutions at the intersection of Cost and Quality. SmithRx takes a unique approach using technology to provide its members optimal care at the lowest possible cost. We are thrilled to partner with such a forward-thinking group," remarks Saar Mahna, CEO of Banjo Health.SmithRx went live with Banjo Health's BanjoPA and Composer solutions in November. Key benefits include:Supercharge Medical Policy Operations: Leveraging Generative AI with Composer to help SmithRx manage their clinical policies more effectively.Streamlined PA Review: Utilizing BanjoPA, SmithRx is able to provide its members and prescribers with faster PA response times.Utilizing BanjoPA, SmithRx is able to provide its members and prescribers with faster PA response times. Minimized Provider Abrasion: Utilizing Composer, SmithRx is able to have its providers answering the most up to date question sets for ePA and automate PA intake from fax.Utilizing Composer, SmithRx is able to have its providers answering the most up to date question sets for ePA and automate PA intake from fax

ExploreBit
Jan 24th, 2024
SmithRx Closes USD 60M Series C Funding

SmithRx closes USD 60M Series C funding.

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