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SmithRxSM

Pharmacy Network Pricing Associate

SmithRx is on a mission to reduce the the complexity and costs of pharmacy benefits with radical transparency and cutting-edge technology.

SmithRx

Employee count: 501-1000

United States only

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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: Our purpose guides our actions and gives us confidence in the path ahead. With unwavering honesty and dependability, we embrace the pressure of challenging the old and exemplify ethical leadership to create the new.
  • Courage: We face continuous challenges with grit and resilience. We embrace the discomfort of the unknown by balancing autonomy with empathy, and ownership with vulnerability. We boldly challenge the status quo to keep moving forward—always.
  • Together: The success of SmithRx reflects the strength of our partnerships and the commitment of our team. Our shared values bind us together and make us one. When one falls, we all fall; when one rises, we all rise.

Job Summary:

The Pharmacy Network Pricing Associate is responsible for price modeling of reimbursement, assessing Maximum Allowable Cost pricing strategy as well as the execution, implementation, and optimization of current, new and future network or pricing innovation. Assists in creation and maintenance of complex MAC modeling and process development to establish quality assurance, and execution to achieve departmental goals. Work alongside cross functional teams to support the development of reimbursement strategy, execution of network pricing, and perform pharmacy analytics reporting and modeling that fall under the Maximum Allowable Cost (MAC) Management umbrella. Develops capabilities specifically targeted to achieve the efficient and effective application of the company’s products and services toward the achievement of total cost savings. Utilize SQL, Excel, and data visualization tools to aid in performance quantitative and qualitative analysis, financial modeling, and economic forecasting.

What you will do:

  • Streamline processes and models to drive efficiency and accuracy.
  • Financial Modeling and Reporting
  • Provide assistance / coordinate with all Pharmacy Network team members in weekly process tasks. Included but not limited to;
    • Pharmacy pricing appeals - Includes receiving and sending communications from pharmacies and compiling specific data for automated processes to utilize
    • Run weekly automated pricing tasks to ensure pricing process accuracy and implementation
    • Gather input data for weekly process from pricing resources or pharmaceutical data
    • Creating procedural documentation to cover all automation and analytical tasks for audit/compliance needs
    • Review and interpret Pharmacy contracts for ongoing management throughout processes
  • Assist in ongoing MAC management pricing process
  • Desire to excel in data analytics, pricing, process automation, pricing and healthcare financials
  • Desire to be creative and solve complex data analytical problems that assist in business processes
  • Ability to read/write queries and establish workflows in order to offer and implement continued automation and improvement
  • Ability to self-motivate and self-manage daily tasks as this role hybrid (office and remote work).
  • Ability to effectively participate in meetings, accomplish goals and meet timelines. Ability to work well in cross-functional situations, giving clear direction and partnering with other internal departments to reach common goals.
  • Ability to think creatively and challenge the status quo with particular emphasis on developing processes that are both accurate and efficient.
  • Support functional organizational initiatives as required.
  • Develop, maintain and distribute ad-hoc reports and financial models as needed.
  • Perform other job-related duties as assigned

What you will bring to SmithRx:

  • Bachelor’s Degree or 1-2 Years experience in Pharmacy/Healthcare and/or related field
  • Proficient user or understanding of query languages platforms that assist in day to day automation and procedures. Examples may include Microsoft Suite, SQL, Tableau, Power BI
  • Strong analytical, detail oriented and problem solving skills. Ability to organize and manage multiple priority tasks simultaneously.
  • Problem solving ability in unstructured situations.
  • Mathematical, statistical, computer science, or economic acumen to assist in overall financial brand and generic pricing management
  • Financial Modeling Reporting
  • Data Management

What SmithRx Offers You:

  • Highly competitive wellness benefits including Medical, Pharmacy, Dental, Vision, and Life Insurance and ADD 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

About the job

Apply before

Posted on

Job type

Full Time

Experience level

Entry-level

Location requirements

Hiring timezones

United States +/- 0 hours

About SmithRx

Learn more about SmithRx and their company culture.

View company profile

SmithRx is on a mission to reduce the the complexity and costs of pharmacy benefits with radical transparency and cutting-edge technology.

To learn about SmithRx is to learn about the healthcare journey of our founder, Jake Frenz– one that is all too relatable by many Americans. At 22, Jake stepped into a caregiving role during his father's battle with cancer. Soon after, he faced his own cancer diagnosis that threatened the amputation of his leg. Many years later, he once again faced the complexities of managing specialty medications for his mother during her own long-term illness.

Jake’s personal experiences underscored some of the profound failings of the U.S. healthcare system, resulting in a deep personal connection to the struggles many face accessing necessary treatment.

These systemic inefficiencies drove Jake to establish SmithRx, aiming to instill transparency and fairness in pharmacy benefits management—an area often marked by opacity and injustice. His initiative—now our collective mission—seeks to reform an essential segment of healthcare, promoting a significant shift towards equity, efficiency, and genuine human compassion.

Our Values

At SmithRx, our guiding principles—Courage, Integrity, and Together—serve as our north star, shaping our culture, grounding our decisions, and fostering our partnerships.

Courage: We face continuous challenges with grit and resilience. We embrace discomfort of the unknown by balancing autonomy with empathy, and ownership with vulnerability. We boldly challenge the status quo to keep moving forward, always.

Integrity: Our purpose guides our actions and provides us with confidence in our path forward. Our honesty and dependability unwavering, SmithRx embraces the heated pressure of challenging the old, and exemplifies ethical leadership to create the new.

Together: The success of SmithRx is a reflection of the strength of our partnerships, and the commitment of our team. Our values glue us together and create one from many. When one falls, we all fall; when one rises, we all rise.

Employee benefits

Learn about the employee benefits and perks provided at SmithRx.

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Life insurance

Fully paid life insurance.

Disability insurance

Fully paid short-term and long-term disability benefits.

Employee assistance program (EAP)

We offer an employee assistance program focused on mental health.

Generous vacation

We have a generous PTO policy to help encourage work life balance.

View SmithRx's employee benefits
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SmithRx

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SmithRx hiring Pharmacy Network Pricing Associate • Remote (Work from Home) | Himalayas