Partner Operations Specialist

Blumberg Capital Company; United States; Remote; USD 34,440 - 48,216; Full time

Benefits offered by this job

Medical benefits

Dental benefits

Vision benefits

Life and AD&D Insurance

Paid holidays

Parental leave

401(k)

Disability insurance

EAP

Professional development

Job summary

SmithRx is a rapidly growing health-tech company seeking a Partner Operations Specialist to monitor eligibility, accumulator, and claims files and improve data workflows. This role is ideal for a pharmacy technician transitioning into PBM tech.

You will manage rotating tasks, validate configurations, and troubleshoot with cross-functional teams. Join a mission-driven culture with strong growth and cross-team collaboration.

Qualifications

• 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.
• Familiar with running basic SQL queries preferred.
• Bonus points for familiarity with Looker, Datadog, Jira, Tableau, and/or Salesforce.
• 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.

Responsibilities

• 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.

Skills

Communication skills

Self-starter mentality

Time management

Analytical thinking

Education

High School Diploma or GED

Tools

Microsoft Excel

SQL

Looker

Datadog

Jira

Tableau

Salesforce

Job description

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:

SmithRx is looking for a Partner Operations Specialist to join the SmithRx team to collaborate with other team members to monitor and problem solve issues with eligibility, accumulator and claims files daily.

This role would be a great opportunity for a Pharmacy Technician who is interested in transitioning to the pharmacy benefits industry.

What you will do:

• 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.

What you will bring to SmithRx:

• For internal applicants:
  • 1+ years of tenure with Smith in active status required (note that if you were on any leave of absence while working here, this will not count towards active status)
  • 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.

What SmithRx Offers You:

• Highly competitive wellness benefits including Medical, Pharmacy, Dental, Vision, and Life and AD&D Insurance
• Paid Company Holidays
• Paid Parental Leave Benefits
• 401(k) Retirement Savings Program
• Short-Term and Long-Term Disability
• Employee Assistance Program (EAP)
• Professional Development and Training Opportunities

Zone A includes the following locations:

• Metro New York City - Connecticut, New Jersey, New York and Pennsylvania

Zone A Pay Range

$25 - $25 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

Zone B Pay Range

$25 - $25 USD

Zone C includes all other locations not listed above, including:

• Non metroColorado, Connecticut, Maryland, Massachusetts, New Hampshire, New Jersey,New York, Pennsylvania, Texas,Virginia,Washington, and West Virginia

Zone C Pay Range

$25 - $25 USD

• 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.

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