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Full-Time

EDI Configuration Analyst

Confirmed live in the last 24 hours

SmithRx

SmithRx

201-500 employees

Pharmacy benefit management with transparent pricing

Data & Analytics
Hardware
Biotechnology
Healthcare

Mid, Senior

Remote in USA

Category
Data Management
Data Analysis
Data & Analytics
Required Skills
SQL
Postgres
Excel/Numbers/Sheets
Requirements
  • Bachelor’s degree or equivalent experience preferred
  • 4-6 years EDI experience required
  • Intermediate skill in SQL (preferably PostgreSQL)
  • Intermediate skill in Microsoft Excel
  • Robust analytical skills, ability to think critically about data and data flow
  • General understanding of Healthcare Industry players (PBMs, EHRs, TPAs, Aggregators, Pharmacies)
  • Strong communication skills, both in-person and written
  • Self-starter mentality: 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
  • Ensure project implementation resources are executing on implementation of the solution in a timely manner, and in accordance with solution design
  • Serve as the primary technical contact on all eligibility and data integration discussions
  • Ensure client understands technical implementation roles & responsibilities
  • Attend implementation meetings to provide guidance on our technical integration processes
  • Ensure client is trained and empowered on SmithRx’s data integration solution
  • Lead and/or assist in solution configuration and quality assurance
  • Participate in implementation tasks (including technical tasks) as needed to meet project timelines and deliverables
  • Troubleshoot and resolve any current and ongoing electronic data sharing issues to include but not limited to eligibility, accumulator and paid claim file formats, SFTP connectivity, data ingestion and data accuracy
  • Develop proficiency on SmithRx data process flows to play role of EDI expert to the client
  • Provide product knowledge and expertise to implementation staff, client, and other stakeholders
  • Manage implementation resource on project execution, without direct managerial ownership
  • Manage integrations with third party systems
  • Excellent communication with technical, business, and non-technical team members
  • Excellent organizational and multi-tasking skills, attention to quality, self-motivation, and a desire to succeed

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

5%

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.