Jobs at SmithRx

Lead and scale SmithRx’s growth marketing function in the PBM industry. Build an experimentation engine, identify healthcare buyer and broker acquisition channels, manage Growth Ops and BDR teams, and develop AI-powered workflows and technical growth tools. Partner with Sales and Product to generate pipeline through direct and broker-led motions while maintaining compliance. Establish a rigorous, full-funnel culture focused on experimentation, measurement, automation, and rapid learning.

Lead the data engineering strategy and architecture for distributed pharmaceutical data systems. Design and scale pipelines, APIs, and data platforms while ensuring reliability, governance, quality, and PII/PHI protection. Drive technical decisions, improve developer efficiency, deliver business impact, influence cross-functional roadmaps, mentor engineers, communicate with executives, and promote organizational adoption of new technologies and processes.

Own post-sale success for assigned healthcare and PBM clients from implementation through ongoing account management. Build executive relationships, drive customer satisfaction and retention, maintain success plans, coordinate cross-functional issue resolution, assess product gaps, manage escalations, and mitigate churn risks. The role requires healthcare account management experience, strong communication and conflict-resolution skills, and the ability to partner independently across teams.

Lead pricing strategy for large PBM enterprise offers, including repricing, member experience, claims trend, and risk analyses. Develop compelling RFP responses, spreadsheets, and presentations; collaborate with Sales, Proposals, Strategy, Legal, Partnerships, Supply Chain, and Revenue teams. Support pricing-related contracting and negotiations, assess offer strategies, and communicate complex pricing and contract terms to employers, brokers, consultants, and internal stakeholders.

Own core corporate accounting operations, including indirect tax and state filings, member reimbursements and escheatment, cash management and reconciliations, and corporate credit card expense processing. The role requires accurate month-end close support, compliance with US GAAP and general ledger procedures, strong Excel skills, and collaboration with internal teams and external filing agents.

Configure and maintain pharmacy benefit plans, including prior authorization, step therapy, formularies, and plan data integrity. Support client implementations, go-live testing, post-launch audits, claims troubleshooting, and benefits-related inquiries. Collaborate with clients, clinical, member support, and customer success teams; communicate project status, resolve issues, and identify workflow improvements.

Leads advanced data analysis to guide product and business decisions, develops metrics, dashboards, data products, and AI-enabled reporting systems, and translates findings into strategic recommendations. Partners with data engineers on dimensional data models, data governance, and quality controls. Mentors analysts, aligns roadmaps with business priorities, improves problem framing, and communicates insights effectively to technical and business stakeholders.

Serve as the first GTM finance business partner, building forecasting, KPIs (CAC, LTV, payback), pricing and P&L models, headcount and commission modeling, monthly and annual planning, and systems/tooling to support Sales and Marketing decision-making and ROI-driven growth.

Lead strategic financial analysis and the integrated 3-statement Long Range Plan. Build investor-grade models, valuations, and cash/liquidity forecasts. Support fundraising and M&A diligence, benchmark competitors, and partner with leadership and FP&A to align short- and long-term financial planning.

Manage an assigned book of business to drive post-sale success and retention. Support account management with reporting, escalation research, implementation support, and stakeholder engagement. Build trusting client relationships, identify risks to satisfaction, coordinate internal teams to resolve issues, and carry smaller accounts to develop account management skills.

Provide financial and data analysis for Account Management by translating pharmacy claims and rebate data into strategic insights, ensuring report integrity, supporting client meetings/QBRs, and improving reporting tools to mitigate spend and attrition.

Manage and grow strategic partnerships with Health Plans and TPAs by developing partner playbooks, enabling partner evaluation of SmithRx, collaborating cross-functionally, supporting RFP responses, facilitating partner meetings, and driving opportunity growth. Travel ~10-15% and create collateral to communicate SmithRx value proposition.

As a Staff Software Engineer, you will develop backend architecture, collaborate with stakeholders, mentor juniors, and ensure software quality while leveraging various technologies and AWS platforms.

Senior executive responsible for strategy, contracting, and management of SmithRx's national pharmacy network. Lead negotiations with retail chains, PSAOs, specialty and mail-order pharmacies; ensure compliance, credentialing, audit/FWA prevention, CMS readiness, and network performance against SLAs. Partner cross-functionally with Sales, Product, Clinical, Pricing, and Data teams and build/mentor a high-performing network team while driving cost-effective, transparent network solutions.

Executive leader responsible for manufacturer-facing supply chain: define and execute rebate strategy, lead manufacturer and GPO negotiations, design formularies and clinical utilization management, oversee P&T committee, drive specialty drug strategy, and build/mentor a cross-functional team to optimize lowest-net-cost and clinical value for clients.