Partner Operations Specialist

🕒 Julho 24

🇺🇸 Estados Unidos – Remoto (EUA)

💵 $25 / hora

⏰ Tempo Integral

🟢 Júnior

🟡 Pleno

⚙️ Operações

🚫👨‍🎓 Sem graduação necessária

👻 Score fantasma 3%

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🗣️🇺🇸🇬🇧 Inglês obrigatório

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SmithRx

51 - 200 funcionários

Fundada em 2018

💼 Consultoria

🛡️ Seguros

🏥 Saúde

💰 $20.000.000 Series B em 2022-03

Consulting • Insurance • Healthcare

A SmithRx é uma gestora de benefícios farmacêuticos transparente e direta, que opera de forma independente de companhias de seguro e farmácias para alinhar seus incentivos com empregadores auto-segurados e seus membros. Ao aproveitar a tecnologia moderna, a SmithRx busca reduzir o custo e a complexidade dos benefícios farmacêuticos, garantindo a entrega de medicamentos eficazes e de baixo custo. A empresa está dedicada a transformar o cenário dos benefícios farmacêuticos através de seu modelo de precificação transparente e de taxa fixa e programas inovadores de economia de custos, que conectam os membros aos medicamentos de menor custo sem o uso de precificação diluída, descontos ou outras táticas. O compromisso da SmithRx com a transparência e um serviço ao cliente superior resulta em economias significativas para empregadores e uma experiência altamente satisfatória para seus membros.

Descrição

• Execute and manage a set list of rotating task assignments centered on monitoring incoming and outgoing files, and data syncing across systems. • Understand and facilitate account structure updates for eligibility and accumulator requirements. • Validate system configurations for accuracy by monitoring inbound files from external partners. • Identify issues and write tickets to be resolved by other resources, as well as follow-up to ensure resolution is being completed. • Provide feedback on opportunities to improve workflow efficiency to leadership. • Contribute to 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 for assigned groups. • Monitor ongoing operations and provide troubleshooting support for our claims adjudication processes including eligibility, accumulators, reporting, and syncing of systems with data. • 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. • Ensure that data partner connections are maintained and created when approved. • Work as assigned on projects outside of daily assigned tasks.

🎯 Requisitos

• 1+ years of tenure with Smith in active status required • Must be in good standing, including: • No active writeups • Consistent and good attendance record • Current performance meets/ exceeds expectations and is acceptable given the requirement for the new role • 2+ years of experience as a pharmacy technician or other industry experience. • High School Diploma or GED required. • Experience in Microsoft Excel building reports, reviewing and interpreting reports, sending and receiving data. • Bonus points for familiarity with Looker, Datadog, Jira, Tableau, and/or Salesforce. • Familiar with running basic SQL queries prefer. • Strong communication skills as a team member. • Self-starter mentality: ability to work independently to manage time and assigned tasks, make informed decisions, and solve issues. • 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.

🏖️ Benefícios

• 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

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