SmithRx Logo

SmithRx

Plan Operations Analyst

Posted 10 Days Ago
Remote
Hiring Remotely in USA
Mid level
Remote
Hiring Remotely in USA
Mid level
Support plan operations for third-party administrator partners by leading audits, reconciliations, reporting, and system configuration. Troubleshoot claims adjudication, support implementations and integrations, document processes, mentor new team members, and collaborate cross-functionally to improve workflows and automation.
The summary above was generated by AI

Who We Are:

SmithRx is a rapidly growing, venture-backed Health-Tech company.  Our mission is to disrupt the expensive and inefficient Pharmacy Benefit Management (PBM) sector by building a next-generation drug acquisition platform driven by cutting edge technology, innovative cost saving tools, and best-in-class customer service.  With hundreds of thousands of members onboarded since 2016, SmithRx has a solution that is resonating with clients all across the country.

We pride ourselves for our mission-driven and collaborative culture that inspires our employees to do their best work. We believe that the U.S healthcare system is in need of transformation, and we come to work each day dedicated to making that change a reality. At our core, we are guided by our company values:

  • Integrity: Always operate with honesty and transparency so we earn the trust of our clients.
  • Courage: Demonstrate the courage needed to take on a broken industry and continuously improve what we offer to optimize health outcomes.
  • Together: Foster a collaborative and inclusive environment that values teamwork, respect, and open communication, and encourages creativity and diversity of thought.

Job Summary:

SmithRx is looking for a Plan Operations Analyst to join the company’s Customer Success team to support all core Plan Operations functions ensuring the high quality of the SmithRx product. 

What you will do:

  • Collaborate with Partner Relationship Manager to support the daily operations including issues, projects, and opportunities for the Third Party Administrator partners.
  • Lead audits and reconciliation efforts for both internal and external partners.
  • Ability to create ad hoc queries and reports to support issue resolution and partner needs.
  • Maintain platform configurations necessary for ongoing operations.
  • Communicate project status, escalating issues to leadership when appropriate. 
  • Drive changes to improve workflow efficiency. 
  • Participate in process and workflow documentation.
  • Serve as a mentor for new team members and a trainer for new processes.
  • Collaborate and provide support for member support and customer success teams.
  • Collaborate cross-functionally on system enhancements for workflow automation.
  • Become the subject matter expert for plan design configuration details.
  • Understand and facilitate account structure, eligibility, and accumulator requirements. 
  • Validate system configurations for accuracy by monitoring inbound files from external partners. 
  • Monitor ongoing Engineering operations and provide troubleshooting support for our claims adjudication processes including eligibility, accumulators, and reporting.
  • Support new partner integrations and client implementations.
  • Partner closely with internal teams to support all processes during onboarding and maintenance of accounts by working cross-functionally to resolve key issues that may arise.
  • Interface with technical resources of partners to surface issues and tracking outstanding work requests.

What you will bring to SmithRx:

  • Bachelor's degree or equivalent work experience preferred
  • 4+  years of experience developing reporting or analytics in the healthcare and/or pharmacy space
  • Robust analytical skills; advanced skills in Microsoft Excel. (Macros, Micros, Pivot table, V lookup, H Lookup etc.)
  • Familiarity ,with analytics and visualization tools required. Bonus points for experience with Looker, Datadog, Jira, Tableau, and/or Salesforce.
  • Familiar with basic SQL queries
  • Strong communication skills via face-to-face meetings, conference calls and written correspondence
  • Self-starter mentality: ability to work independently to manage their time and assigned partners, 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

What SmithRx Offers You: 

  • Highly competitive wellness benefits including Medical, Pharmacy, Dental, Vision, and Life Insurance and AD&D Insurance
  • Flexible Spending Benefits 
  • 401(k) Retirement Savings Program 
  • Short-term and long-term disability
  • Discretionary Paid Time Off 
  • 12 Paid Holidays
  • Wellness Benefits
  • Commuter Benefits 
  • Paid Parental Leave benefits
  • Employee Assistance Program (EAP)
  • Well-stocked kitchen in office locations
  • Professional development and training opportunities

Top Skills

Microsoft Excel,Sql,Looker,Datadog,Jira,Tableau,Salesforce

Similar Jobs

2 Hours Ago
Remote or Hybrid
New York, NY, USA
Senior level
Senior level
Artificial Intelligence • Cloud • HR Tech • Information Technology • Productivity • Software • Automation
The role involves supporting product sales as a technical expert, leading customer workshops, providing product demonstrations, and collaborating with sales and product teams. The consultant will also engage in competitive analysis and support marketing events to enhance client engagement and satisfaction.
Top Skills: AICloud Software SolutionsServicenow
4 Hours Ago
Remote or Hybrid
United States
80K-160K Annually
Junior
80K-160K Annually
Junior
Insurance • Logistics • Software • Transportation • Business Intelligence
The Account Executive will engage prospects to qualify them for sales, manage accounts, and achieve sales targets while utilizing Salesforce for tracking.
Top Skills: Salesforce
4 Hours Ago
Remote or Hybrid
5 Locations
37K-66K Hourly
Senior level
37K-66K Hourly
Senior level
Fintech • Financial Services
Serve affluent consumer and small business customers by acquiring and deepening relationships, advising on banking, credit, mortgage, retirement and investment solutions, and partnering with specialists. Manage moderately complex client issues, adhere to compliance and risk controls, complete required licensing/SAFE registration, and provide guidance to branch colleagues while meeting sales and service objectives.

What you need to know about the Charlotte Tech Scene

Ranked among the hottest tech cities in 2024 by CompTIA, Charlotte is quickly cementing its place as a major U.S. tech hub. Home to more than 90,000 tech workers, the city’s ecosystem is primed for continued growth, fueled by billions in annual funding from heavyweights like Microsoft and RevTech Labs, which has created thousands of fintech jobs and made the city a go-to for tech pros looking for their next big opportunity.

Key Facts About Charlotte Tech

  • Number of Tech Workers: 90,859; 6.5% of overall workforce (2024 CompTIA survey)
  • Major Tech Employers: Lowe’s, Bank of America, TIAA, Microsoft, Honeywell
  • Key Industries: Fintech, artificial intelligence, cybersecurity, cloud computing, e-commerce
  • Funding Landscape: $3.1 billion in venture capital funding in 2024 (CED)
  • Notable Investors: Microsoft, Google, Falfurrias Management Partners, RevTech Labs Foundation
  • Research Centers and Universities: University of North Carolina at Charlotte, Northeastern University, North Carolina Research Campus

Sign up now Access later

Create Free Account

Please log in or sign up to report this job.

Create Free Account