Full-Time

Senior Manager

Patient Access Programs

Confirmed live in the last 24 hours

SmithRx

SmithRx

201-500 employees

Pharmacy benefit management with transparent pricing

Healthcare

Senior, Expert

Plano, TX, USA

Category
Supply Chain Management
Operations & Logistics
Requirements
  • 12+ years in healthcare management with progressive responsibilities; 6+ years in management roles leading a combination of managers, supervisors, specialists, and call center agents.
  • Bachelor’s degree in healthcare, business, or related field, or equivalent experience in healthcare management and leadership.
  • Background in healthcare, pharmacy benefits, or claims processing preferred.
  • Strong experience in defining and executing performance metrics and operational strategies.
  • Familiarity with adjacent team processes and KPIs, such as Quality Assurance and Training.
  • Proven experience in forecasting, budgeting, and financial management to drive program profitability and align with organizational goals.
  • Demonstrated ability to coach and mentor teams, promoting professional growth and high performance.
  • Proactive in advocating for change, driving process improvements, and addressing challenges.
  • Dedication to providing the highest-quality member service with empathy and care.
  • Experience in patient support or advocacy programs.
  • Strong understanding of pharmaceutical manufacturer processes, Pharmacy Benefit Manager (PBM) operations, and healthcare reimbursement systems.
  • Passion for mentoring team members and supporting career growth.
  • Six Sigma certification and strong problem-solving skills with a focus on operational efficiency.
  • Experience in a fast-paced, growth-focused startup is a plus.
Responsibilities
  • Contribute to the strategy and execution of Patient Access Program directives, ensuring alignment with KPIs and company objectives.
  • Recruit, hire, and build high-performing teams, establishing operational objectives, assigning work, and driving accountability.
  • Partner with internal teams to identify and implement process improvements, fostering efficiencies across the organization.
  • Review operational objectives and metrics to evaluate program success, ensuring high service levels and superior member experiences.
  • Act as a point of escalation between the Connect team and other departments, facilitating resolution of complex issues.
  • Develop strategies for scaling efforts, creating standard operating procedures (SOPs) to support organizational growth.
  • Evaluate member experience, define opportunities for operational improvements, identify root causes, and apply best practices to support business objectives.
  • Optimize resource allocation to meet service goals and deliver superior member experiences.
  • Guide and mentor a team of Managers, Leads and Patient Access Specialists to foster development and high performance.
  • Oversee new hire onboarding and 'nesting' training programs to enhance skill-building and retention.
  • Assist in the development, modification, and implementation of company policies impacting immediate operations and potentially broader company practices.

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. SmithRx's goal is to simplify pharmacy benefits while maximizing value for its clients and their members through transparency and exceptional customer service.

Company Stage

Series C

Total Funding

$94.8M

Headquarters

San Francisco, California

Founded

2016

Growth & Insights
Headcount

6 month growth

8%

1 year growth

27%

2 year growth

193%
Simplify Jobs

Simplify's Take

What believers are saying

  • SmithRx secured $60M in Series C funding for expansion and cost reduction.
  • Partnership with Banjo Health integrates AI, improving prior authorization efficiency.
  • Collaboration with Cost Plus Drugs increases access to affordable medications.

What critics are saying

  • Competition from tech-driven PBMs like Capital Rx may erode market share.
  • Rapid tech advancements require costly updates to maintain competitive edge.
  • Potential regulatory scrutiny on pricing models could impact business operations.

What makes SmithRx unique

  • SmithRx uses a transparent 'Pass Through Pricing' model, unlike traditional PBMs.
  • The company leverages real-time data for efficient pharmacy benefit management.
  • SmithRx offers concierge-level service, enhancing customer satisfaction and support.

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