Jobs at SmithRx

Oversee quality of pharmacy benefits plan builds and maintenance by developing test plans, daily audits, and metrics. Ensure plan data integrity, identify process improvements, collaborate with engineers for automation, and support business application systems to maintain accurate benefit configurations throughout the implementation lifecycle.

Lead the Tools & Frameworks engineering team to build shared backend libraries, internal tooling, scalable APIs, and schemas. Define roadmap, balance technical and business priorities, drive architectural excellence (including FHIR translation, monorepo decomposition, data federation, event-streaming), mentor engineers, and collaborate cross-functionally to improve developer productivity and platform reliability.

Design and execute complex test plans for benefits configuration, validate advanced logic (prior authorization, accumulators), document defects, liaise with Benefit Operations, and mentor junior testers to ensure accurate claims adjudication and plan design implementations.

Lead enterprise sales for employer groups of 20,000+ lives: develop and execute sales strategy, own full sales cycle, build C-level and broker relationships, forecast pipeline in Salesforce, collaborate with clinical, legal and pricing teams, represent the company at events, and close complex high-value PBM deals.

Lead and coach a team of Partner Relationship Managers to ensure post-go-live partner success with TPAs and data partners. Oversee partner governance, EDI/ETL/API data integrations, escalation management, cross-functional collaboration, KPI-driven performance, and risk mitigation to drive partner adoption and operational excellence.

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.

Lead month-end close activities including complex journal entries, reconciliations, and fluctuation analysis; perform technical accounting research and memos; design internal controls; coordinate audits; and identify process improvement and automation opportunities to ensure accurate financial reporting.

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.

Lead development and execution of forward-looking drug spend forecasting models, quantify macro-market impacts, partner with clinical and pricing teams, translate analytical findings for executives and clients, build automated reporting with Data Analytics, support sales/proposals, engage brokers/consultants, and drive strategic growth projects.

Owner-operator for growth experiment architecture and execution: run weekly growth sprints in Asana, design and implement automated outbound plays across Cargo, Outreach, Salesforce, BenefitFlow, and ZoomInfo, manage AI tooling and integrations, track project timelines, analyze experiment results, and collaborate with BDRs and Marketing Ops to scale personalized outreach.

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.

Design, implement, and govern enterprise identity systems (Okta-first) including HR-driven provisioning with Workday, SSO/SCIM for SaaS, AWS identity architecture, OPA/Rego policy-based authorization, machine/non-human identity lifecycle, AI-agent identity governance, device trust via MDM integration, and mentor engineers while producing runbooks and compliance-ready documentation in a HIPAA-regulated environment.

The Proposals Pricing Analyst will conduct claims analysis and create deliverables to assist the sales team in demonstrating SmithRx's value. They will query large datasets, provide insights from historical data, and prepare client-ready reports while collaborating with internal teams.

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.

Design, build, and operate scalable, secure containerized infrastructure on AWS (Kubernetes/EKS). Implement IaC, CI/CD, monitoring, reliability, and compliance (HIPAA/SOC2). Automate deployments, troubleshoot incidents, participate in on-call rotations, and collaborate with dev teams to optimize cost and performance.

Senior DevOps Engineer to build and maintain cloud-native (AWS) container infrastructure (Kubernetes), implement IaC and CI/CD pipelines, automate monitoring/logging, ensure security and HIPAA compliance, troubleshoot and perform root-cause analysis, participate in on-call rotations, and collaborate with developers for scalable, reliable deployments.

The Partner Operations Specialist monitors eligibility, accumulator, and claims files, resolving issues and improving workflow efficiency while supporting new partner integrations and client implementations.

The Senior Account Manager at SmithRx ensures client satisfaction and retention by managing Tier 1 clients, developing success plans, and collaborating across teams to resolve issues.

Lead optimization and administration of Salesforce platform: design scalable declarative solutions, manage security and data governance, support integrations and middleware, assist minor Apex development, build reports/dashboards, and partner with Sales, Marketing, Product, and Support to automate workflows and support release/change management.