Patient Access Programs Operations Specialist

Job description

**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 mission of Patient Access Operations is to facilitate organizational excellence within SmithRx through the delivery of high-impact process improvements, meticulous data and system maintenance, and the flawless execution of operational workflows for our Drug Pathway Engine. As a Patient Access Programs Operations Specialist, you are the engine room of our programs. Your role is defined by tactical excellence and the ability to bridge the gap between strategy and day-to-day delivery. You will ensure that our Drug Pathway Programs are configured correctly, maintained rigorously, and updated in real-time to support our members and partners. **What you will do:** - Manage the day-to-day processing of Drug Pathway updates, ensuring all operational tasks are completed within established Service Level Agreements (SLAs). - Perform hands-on data entry and system configuration within adjudication, Admin, and CRM platforms. Conduct audits to ensure that the live system reflects our internal clinical and financial standards. - Act as the first point of contact for internal "trouble tickets" or operational bottlenecks. Resolve data discrepancies and system errors by collaborating directly with Data, Business systems, engineering, and Customer Success teams. - Draft and update clear, step-by-step manuals for how Drug Pathways are managed to ensure consistency across the team and minimize the risk of human error. - Assist in the rollout of new pharmacy programs by preparing the necessary data files, testing configurations in "sandbox" environments, and confirming successful "go-lives." - Assist in supporting ad hoc projects and tasks as required by the business and assigned areas of expertise. **What you will bring to SmithRx:** - High School diploma required; Associate or Bachelor’s degree in Healthcare Admin, Business, or Data Analytics preferred. - 2+ years of experience in a high-volume operational role (e.g., Pharmacy Technician, Claims Processing, Benefits Administration, or PBM Operations). - Proven ability to handle repetitive, high-stakes tasks with zero-defect accuracy. - High proficiency in Excel and Google Sheets (pivot tables, VLOOKUPs, data modeling) for data analysis and reporting. Experience with SQL for data querying is a significant plus, but not required. - Comfort with G-Suite/MS Office, Slack, Zoom, or similar technologies to manage cross-functional communication. - Experience with Salesforce (preferred), Zendesk, Jira (preferred), or similar technologies for tracking and resolving operational tasks. **What SmithRx Offers You:** - Highly competitive wellness benefits including Medical, Pharmacy, Dental, Vision, and Life and AD&D Insurance - 3 Weeks Paid Time Off - Paid Company Holidays - Paid Parental Leave Benefits - Flexible Spending Benefits - 401(k) Retirement Savings Program - Short-Term and Long-Term Disability - Wellness Benefits - Commuter Benefits - Employee Assistance Program (EAP) - Well-stocked Kitchen In Office Locations - Professional Development and Training Opportunities Zone A includes the following locations: - San Francisco Bay Area - California - Metro New York City - Connecticut, New Jersey, New York and Pennsylvania Zone A Pay Range $29.52—$36.92 USD Zone B includes the following locations: - California - outside of San Francisco Bay Area - Metro Denver / Boulder - Colorado - Metro District of Columbia - District of Columbia, Maryland, Virginia and West Virginia - Metro Boston / Cambridge - Massachusetts and New Hampshire - Metro Austin - Texas - Metro Seattle - Washington Zone B Pay Range $27.07—$33.85 USD Zone C includes all other locations not listed above, including: - Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Illinois, Indiana, Iowa, Kansas, Kentucky, Louisiana, Maine, Michigan, Minnesota, Mississippi, Missouri, Montana, Nebraska, Nevada, New Mexico, North Carolina, North Dakota, Ohio, Oklahoma, Oregon, Rhode Island, South Carolina, South Dakota, Tennessee, Utah, Vermont, Wisconsin, Wyoming - Non metro Colorado, Connecticut, Maryland, Massachusetts, New Hampshire, New Jersey, New York, Pennsylvania, Texas, Virginia, Washington, and West Virginia Zone C Pay Range $24.62—$30.77 USD **Compensation & Benefits** - **Base Salary:** The range listed above reflects our standard pay scale and actual pay will vary based on work location, job level, job-related knowledge, skills, and experience. - **Total Rewards:** In addition to base pay, this role may be eligible for bonuses, commissions, or equity. SmithRx offers a variety of benefits to help you live well, including: time off programs, medical, dental, vision, mental health support, paid parental leave, life and disability insurance and 401(k). Individual offers are tailored to your geography, experience, skills, and education. Your recruiter can share more specific details during the hiring process. In the meantime, feel free to explore our comprehensive benefits [here](https://benefitsguides.thinkccig.com/smithrx/2026candidates/).