Patient Access Programs Operations Specialist

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November 18

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SmithRx

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Healthcare Insurance • SaaS • B2B

SmithRx is a transparent, pass-through pharmacy benefits manager (PBM) that operates independently from insurance companies and pharmacies to align its incentives with self-insured employers and their members. By leveraging modern technology, SmithRx aims to reduce the cost and complexity of pharmacy benefits, ensuring the delivery of effective and low-cost drugs. The company is dedicated to transforming the pharmacy benefits landscape through its flat-rate, transparent pricing model and innovative cost savings programs, which connect members to the lowest cost drugs without the use of spread pricing, rebates, or other tactics. SmithRx's commitment to transparency and superior customer service results in significant savings for employers and a highly satisfactory experience for its members.

51 - 200 employees

Founded 2018

⚕️ Healthcare Insurance

☁️ SaaS

🤝 B2B

💰 $20M Series B on 2022-03

📋 Description

• Conduct audits on program builds across adjudication platforms • Accurately maintain the program database updated and current based on business needs • Assist with aggregating data for Patient Access program billing, and invoicing • Managing and updating program drug lists and spreadsheets • Contact/make outbound calls to pharmacies to reprocess claims for medications as needed • Execute digital communication outreach campaigns • Coordinate incoming emails from pharmacy partners and internal teams with the expectation of resolution • Provide exceptional support in daily operations of the Patient Access Programs • Special projects, general support other ad hoc duties as assigned

🎯 Requirements

• High School diploma • 2+ yrs of experience in healthcare or health systems operations function • Proficiency in Mac, MS-Office, G-Suite • Proficiency in Excel and Google Sheets • Experience using Salesforce Service Cloud or other CRM tool is a plus • High attention to detail • Excellent verbal and written communication skills • Self-starter with ability to multitask, prioritize, and manage time effectively • Ability to organize and prioritize multiple deadlines and work independently, define problems as they arise, and work through them. • The ability to make decisions, suggestions, and solve problems using sound, inclusive reasoning and judgment. • Ability to work independently as well as part of an extended, cross-functional team • Passion for helping people • Passion for delivering high quality results

🏖️ Benefits

• Highly competitive wellness benefits including Medical, Pharmacy, Dental, Vision, and Life and AD&D Insurance • 3 Weeks Paid Time Off • 12 Paid 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