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SmithRx

PBM offering pass-through pricing model

Vice President Pricing and Forecasting

Business OperationsConfirmed live in the last 24 hours
Full-timeRemote in USARemote

About the Job

Requirements

  • At least 10 years of experience in analytical, forecasting, financial, actuarial, or strategy roles, including at least 5 years in healthcare or pharmacy-related roles.
  • Experience working with historical claims data to assess and manage risk through reprice and trend analyses.
  • Strong familiarity with pharmacy industry dynamics and major market events.
  • Experience leading conversations with employers, brokers, and pharmacy benefits consultants regarding pharmacy benefits.
  • A bachelor's degree or equivalent experience.
  • Ability to use data to make decisions and demonstrate these skills to external stakeholders.
  • Ability to present SmithRx trend expectations rigorously to internal leaders, brokers, pharmacy consultants, and employers.
  • Experience in a strategic, analytical, and operational role in a fast-paced environment.
  • Proven track record of delivering quantifiable business impact.

Responsibilities

  • Lead the Pricing team, responsible for pricing and guarantees submitted for proposals.
  • Collaborate with Sales to adapt and refine pricing offers for prospects and support winning new business.
  • Own the development, maintenance, and execution of forward-looking drug spend forecasting models.
  • Engage pharmacy consultants and brokers to explain SmithRx's market trend expectations and how it optimizes client outcomes against trend.
  • Work with Sales and Proposals to craft offers for pharmacy consultants, brokers, and clients that reflect SmithRx's value.
  • Compose compelling offers that employers can understand.
  • Generate pricing and related answers for entry into RFP platforms.
  • Partner with Strategy, Supply Chain, and Clinical teams to develop next-generation pricing models for pharmacy benefits.
  • Partner with Clinical Strategy to translate upcoming pharmacy market events into quantitative financial models and quantify the impact of macro-market shifts.
  • Evaluate customer-level trends to identify key drivers and inform future overall spend expectations.
  • Translate complex actuarial and analytical findings into clear narratives for executive leadership, consultants, and employer groups.
  • Direct the creation of external trend reports showing SmithRx's market expectations and cost-containment efficacy.
  • Work with Data Analytics to build models for understanding drug spend forecasts and reports that automate forecasting based on customer-specific trends.
  • Participate in customer-level assessments for new opportunities and retention activity.
  • Support other strategic projects aimed at SmithRx growth initiatives.

Desired Qualifications

  • Prior experience at a pharmacy benefit manager or in pharmacy consulting.
  • An advanced degree or Master of Business Administration.

About the Company

SmithRx

PBM offering pass-through pricing model

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, CA
Founded
2016

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