Patient Access Programs Operations Specialist

🔥 0 minutes ago

🏈 Alabama, Alaska, +45 more states – Remote

infoinfo

💵 $24 - $36 / hour

⏰ Full Time

🟢 Junior

🟡 Mid-level

⚙️ Operations

🚫👨‍🎓 No degree required

👻 Ghost score 2%

infoinfo
Apply Now
Find Similar Remote Jobs

📊 Check your resume score for this job

Improve your chances of getting an interview by checking your resume score before you apply.

Logo of SmithRx

SmithRx

51 - 200 employees

Founded 2018

💼 Consulting

🛡️ Insurance

🏥 Healthcare

💰 $20M Series B on 2022-03

Consulting • Insurance • Healthcare

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.

📋 Description

• Manage day-to-day processing of Drug Pathway updates within established Service Level Agreements (SLAs) • Perform data entry and system configuration within adjudication, Admin, and CRM platforms • Conduct audits to ensure live systems reflect internal clinical and financial standards • Serve as the first point of contact for operational trouble tickets and bottlenecks • Resolve data discrepancies and system errors with Data, Business Systems, Engineering, and Customer Success teams • Draft and update step-by-step Drug Pathway management manuals • Support pharmacy program rollouts by preparing data files, testing sandbox configurations, and confirming go-lives • Assist with ad hoc projects and business tasks

🎯 Requirements

• 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, such as 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, including pivot tables, VLOOKUPs, and data modeling • Comfort with G-Suite/MS Office, Slack, Zoom, or similar technologies • Experience with Salesforce, Zendesk, Jira, or similar technologies for tracking and resolving operational tasks • SQL experience is a plus but not required

🏖️ Benefits

• 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 • Time off programs • Mental health support • Potential eligibility for bonuses, commissions, or equity

Apply Now

Similar Jobs

🔥 11 minutes ago

eHealth, Inc.

1001 - 5000

💼 Consulting

🏥 Healthcare

📦 Logistics

Associate Commission Operations Analyst reconciling carrier commissions and membership data for eHealth, a health-insurance marketplace. Resolving discrepancies and supporting Finance close, audits, and workflow improvements.

🇺🇸 United States – Remote

💵 $27 / hour

💰 Post-IPO Equity on 2021-01

⏰ Full Time

🟢 Junior

🟡 Mid-level

⚙️ Operations

🔥 35 minutes ago

Zoomph

11 - 50

📣 Marketing

Data Quality and Operations Analyst maintaining trusted sports brand data for Zoomph’s Benchmark product. Auditing AI detections, curating taxonomies, validating datasets, and improving model annotation workflows.

🔥 49 minutes ago

The Community Solution Education System

51 - 200

📚 Education

🤝 Non-profit

🏥 Healthcare

Operations Analyst transforming student support data into actionable insights at The Chicago School, a nonprofit university. Developing dashboards, workflows, and systems to improve academic success and retention.

🔥 1 hour ago

CareSource

1001 - 5000

🏥 Healthcare

🛡️ Insurance

⚕️ Healthcare Insurance

Sales strategy manager driving enrollment growth for CareSource’s Military & Veterans healthcare business. Leading analytics, forecasting, field enablement, and cross-functional sales initiatives.

🔥 1 hour ago

Pennant

1001 - 5000

🏥 Healthcare

⚕️ Healthcare Insurance

🧘 Wellness

Operations Resource supporting Pennant’s home health, hospice, and home care agencies. Driving acquisitions, operational improvement, census growth, and leadership development.