Plan Operations Pharmacist New

SmithRx

San Francisco (CA)

On-site

USD 122,000 - 144,000

Full time

17 hours ago
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Benefits offered by this job

Wellness benefits
Discretionary time off
401(k) program
Parental leave
Professional development

Job summary

SmithRx is seeking a Plan Operation Pharmacist to support clinical pharmacy services for new client implementations and ongoing operations. You will provide expert guidance on formulary design, drug spend, and program updates while partnering with client leadership and internal teams.

Ideal candidates hold a PharmD or equivalent, a valid pharmacist license, and 3+ years of practice with healthcare benefits.

Qualifications

  • Advanced degree in pharmacy and licensed in your state.
  • 3+ years as a licensed pharmacist.
  • 2+ years healthcare benefits or plan designs experience.
  • 2+ years client-facing experience.
  • Executive-level communication and presentations.
  • Strong customer-focused mindset.
  • Ability to work independently and in cross-functional teams.

Responsibilities

  • Provide clinical expertise on drug spend and formulary strategies.
  • Serve as clinical SME for Plan Operations.
  • Act as liaison between Plan Operations and internal teams.
  • Explain formulary value to clients and teams.
  • Support formulary changes and program updates.
  • Recommend clinical programs to reduce costs.
  • Monitor market trends and share intelligence.
  • Communicate drug information to clients and respond to queries.
  • Create/update clinical marketing materials for go-live.
  • Analyze data and interpret drug benefit designs.
  • Clarify analytical and reporting needs to support teams.

Skills

Pharmacist license
Client-facing
Executive communication
Healthcare benefits knowledge
Project collaboration
Independent work
Empathic communication

Education

PharmD or RPh

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 of:

  • Integrity: Do the right thing. Especially when it’s hard.
  • Courage: Embrace the challenge.
  • Together: Build bridges and lift up your colleagues.
Job Summary

The Customer Success Team is focused on helping SmithRx’s clients derive the full value of their PBM services. We build and manage effective relationships with our customers’ operational leadership, communicating the value of our services in the context of customers’ business goals with the goal of retaining high-performing, satisfied customers. We identify risks to client satisfaction proactively and collaborate across product and operational lines to tenaciously pursue solutions and advocate for our clients.

As a Plan Operation Pharmacist, you will support the clinical needs and decision making of the Plan Operations team. You will bring strong industry and product knowledge and serve as a trusted advisor and business partner for clinical pharmacy services for all new client’s operational leadership during the implementation phase. This role provides clinical support and enablement for SmithRx implementation, benefit operations, claim operations teams, and other internal departments. This individual is relied upon to provide proactive clinical recommendations and information regarding pharmacy trends, programs, and industry changes to clients as well as internal teams.

What will you do:
  • Collaborates with clients and Implementation Managers to provide clinical expertise, including insights on drug spend and utilization, clinical management strategies, medication alternatives, and formulary compliance for new groups.
  • Serve as a clinical subject matter expert to support Plan Operation team activities
  • Acts as a clinical liaison between the Plan Operations team and other internal teams at SmithRx
  • Comprehends and effectively explains formulary and clinical program's value proposition to clients and internal teams.
  • Supports communications of formulary changes and program updates for internal and external partners.
  • Recommends clinical programs for new clients to provide cost savings to clients and members.
  • Stays current with market trends and provides clinical market intelligence to clients and internal team members
  • Communicates drug information to clients and responds to plan-specific clinical inquiries
  • Creates and updates clinical marketing materials to support go-live activities for new groups.
  • Analyzes data and interprets drug benefit designs. Clearly communicates analytical and reporting needs to supporting departments
What will you bring to SmithRx:
  • Advanced Degree in Pharmacy, RPh or Pharm D
  • Current and unrestricted Pharmacist license in the state of primary residence.
  • 3+ years of experience working as a licensed pharmacist
  • 2+ years of working knowledge of healthcare benefits, account management, pharmacy benefits and pharmacy plan designs, or commercial health insurance preferred
  • 2+ years of experience working in a client-facing role with external clients (beyond patients and prescribers) required
  • Executive-level communication (including developing & delivering formal presentations) and interpersonal skills required
  • A passion for the customer experience and customer satisfaction
  • Dedicated to solving difficult problems together in collaboration with the broader team
  • Ability to work independently as well as part of an extended, cross-functional team
  • Self-driven, results-oriented work ethic with a positive outlook
  • Ability to take the initiative and move projects forward independently.
  • Empathic communicator with a consultative approach, able to see things from another person's point of view
What SmithRx Offers You:
  • Highly competitive wellness benefits including Medical, Pharmacy, Dental, Vision, Life insurance
  • Discretionary Time Off
  • 401(k) Retirement Savings Program
  • Paid Parental leave benefits
  • 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

$146,900 - $172,800 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

$134,600 - $158,400 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

$122,400 - $144,000 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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