Full-Time

Vice President

Member Services

Posted on 5/28/2025

SmithRx

SmithRx

501-1,000 employees

PBM offering pass-through pricing model

No salary listed

Plano, TX, USA + 1 more

More locations: Lehi, UT, USA

In Person

Some travel may be required.

Category
Customer Experience & Support (2)
,
Required Skills
Risk Management
Data Analysis
Excel/Numbers/Sheets
Requirements
  • Bachelor's Degree in Business, Healthcare, or a related field required
  • Healthcare experience highly desired
  • Extensive senior leadership experience (15+ years) in member/customer experience, operational and support roles
  • P&L responsibility experience
  • In-house and out-sourced customer service operations experience; quality and training, escalations, workforce management, technical product issue resolution
  • In-depth working knowledge of the healthcare ecosystem, operations, and departments, with a strong emphasis on and understanding of financial management, strategic planning, member experience, quality assessment and improvement, risk management, and human resource management
  • Ability to work independently as well as part of an extended, remote, cross-functional team
  • Conflict resolution skills
  • Empathetic communicator with a consultative approach, able to see things from other person's point of view
  • Robust analytical skills; advanced skills in Microsoft Excel
  • Experience with Excel and data analysis
  • Exceptional communication skills, including experience presenting at the C-suite level
  • A self-starter mentality: the 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
Responsibilities
  • Develop and implement a Member Services strategy that effectively addresses member needs, creates an exceptional member experience, and drives customer advocacy
  • Drive operational excellence and deliver higher quality outcomes more consistently for our members with greater efficiency and scalability
  • Drive automation, efficiency, and scalability to improve access to and quality of support across our member base
  • Track and report on key team metrics to support executive decision-making
  • Evolve and manage the Member Support, Connect, and Clinical Review functions
  • Attract and manage best-in-industry talent, fostering collaboration across the team, identifying development and learning opportunities, and coaching leaders within your to uncover their highest potential
  • Accountable for member/customer satisfaction
  • Support and attend client-facing meetings as a SME
  • Develop strong internal relationships with executive leadership, key stakeholders, and peers in other functions to resolve cross-functional issues resolution
  • Collaborate with the sales to provide information in support of RFP documents
  • Identify and execute process improvements on an ongoing basis with a focus on improving member experience, employee satisfaction, and retention
  • Identify, evaluate, and implement technology tools and resources
  • Budget responsibility, including forecasting and managing staffing, including but not limited to interviewing, hiring, training, and retention
  • Cultivate a customer-centric culture where team members feel connected to our members and understand their role in providing an excellent member experience
  • Work closely with our R & D team to provide feedback and insights to improve product strategy
  • Collaborate with Marketing to celebrate members' success through advocacy and cross-customer interactions
  • Some travel may be required

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.

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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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