Full-Time

Staff Software Engineer

Platform

SmithRx

SmithRx

501-1,000 employees

PBM offering pass-through pricing model

Compensation Overview

$156k - $234k/yr

+ Bonus + Commission + Equity

Remote in USA

Remote

Bachelor's, Master's

Category
Software Engineering (1)
Required Skills
Kotlin
Kubernetes
JavaScript
SQL
Java
Postgres
RDBMS
GraphQL
Docker
TypeScript
AWS
Go
DevOps
Data Analysis

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Requirements
  • A Bachelor of Science or advanced degree in Computer Science or a related field, or four years of equivalent professional experience.
  • Eight to twelve years of software development experience working on server-side applications, specifically API servers, third-party integrations, and data processing.
  • Expertise in a compiled language such as Go, Java, or Kotlin is required.
  • Proficiency with relational databases such as PostgreSQL, including schema design, SQL tuning, and database monitoring, is required.
  • Demonstrated experience designing and implementing scalable APIs, with a solid understanding of design patterns, database design, and testing best practices.
  • A highly disciplined approach to software design and development and the ability to work independently on features, accurately forecast delivery milestones, and work with stakeholders to meet expectations.
Responsibilities
  • Participate in the entire engineering lifecycle, including design, documentation, building, testing, and maintaining the product suite.
  • Focus on back-end architecture by designing, developing, and maintaining product features using Go, JavaScript or TypeScript, Node, GraphQL, SQL, and continuous integration and continuous delivery.
  • Collaborate with stakeholders and technical leads to understand functional and technical requirements and produce high-quality, scalable software and services.
  • Provide scope and risk estimates for system and feature builds by creating technical design documentation.
  • Apply software development best practices, design patterns, testing, automation, tools, and technologies.
  • Use AWS technologies such as Lambda and Fargate for various types of jobs and batch processing.
  • Troubleshoot production issues by triaging incidents, assessing impact, creating and executing short- and long-term mitigation plans, and performing root cause analysis.
  • Coach and mentor junior team members through engineering projects by reviewing code, providing feedback, and performing design and code reviews.
  • Work with senior leadership to turn technical vision into a tangible quarterly roadmap.
  • Support a collaborative learning culture through mentorship, code reviews, exploration of new technologies, and other innovations.
Desired Qualifications
  • Experience at a high-growth startup.
  • Working knowledge of GraphQL APIs, continuous integration and continuous delivery pipelines, the AWS platform, Docker, and Kubernetes.

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

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Simplify Jobs

Simplify's Take

What believers are saying

  • SmithRx launched a June 9, 2026 GLP-1 partner ecosystem with 9amHealth and Calibrate.
  • Transcarent's April 24, 2026 expansion puts SmithRx inside a broader employer navigation workflow.
  • SmithRx claims 1.5 million members and 65,000 pharmacies, expanding distribution leverage.

What critics are saying

  • SmithRx's no-open-positions page on July 27, 2026 signals hiring freeze and constraint.
  • GLP-1 economics stay brutal; employers uncertain about 2027 coverage despite SmithRx's ecosystem launch.
  • Legacy PBMs like CVS Caremark, OptumRx, and Express Scripts still control massive channel power.

What makes SmithRx unique

  • SmithRx's June 29, 2026 Drug Pathways unifies pricing, sourcing, and member steering.
  • Transcarent integrated SmithRx on April 24, 2026, validating real-time pharmacy transparency.
  • UnitedAg chose SmithRx in January 2026 for fiduciary-aligned, pass-through pharmacy benefits.

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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

0%
PR Newswire
Jun 30th, 2026
SmithRx partners with Transcarent to bring real-time prescription cost intelligence into benefits navigation

SmithRx, a modern pharmacy benefits manager, has partnered with Transcarent to integrate prescription drug cost intelligence into Transcarent's WayFinding platform. The integration provides employees with real-time prescription cost estimates, pharmacy comparisons and lower-cost alternatives whilst giving employers visibility into drug spending. SmithRx's Drug Pathways Engine uses AI-powered technology to identify lower-cost medication options by analysing pricing data, plan rules and clinical criteria. The company works through directly contracted pharmacies and offers platform-based pricing, where every client receives identical pricing for medications. SmithRx reports average pharmacy benefit savings exceeding 20% and average per member per month savings of $37 across its client base. The partnership enables real-time pharmacy guidance within Transcarent's broader healthcare navigation experience, connecting medication decisions to related health resources and employer-sponsored benefits.

PR Newswire
Jun 9th, 2026
SmithRx launches partner ecosystem for sustainable GLP-1 weight management programs, cutting employer costs up to 70%

SmithRx, a modern pharmacy benefits manager, has launched a partner ecosystem to help employers deliver sustainable GLP-1 weight management programmes. The company is partnering with obesity medicine providers including 9amHealth, Calibrate, Mark Cuban Cost Plus Drugs, FlyteHealth and Form Health to access manufacturer-approved cash-pay pricing for GLP-1 medications. The initiative addresses mounting financial pressures on employers, who face high upfront costs and higher-than-expected utilisation for weight management coverage. Survey data shows some employers are uncertain about maintaining GLP-1 coverage in 2027 due to budget constraints, whilst nearly 70% of GLP-1 users cite cost as a key factor in treatment decisions. SmithRx's approach combines transparent pricing with clinical oversight, with some employers achieving up to 70% in cost savings through tailored pharmacy benefit programmes.

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/

Leads on Trees
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.