Lead, Benefits Configuration

Who We Are:

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:

As a Lead, Benefits Configuration,you will be responsible for managing, coaching and developing a team of benefit configuration analysts that support cross-functional teams during client implementations. You will ensure delivery of a high quality SmithRx product by building and managing pharmacy benefit plans on various platforms. This role will also be responsible for supporting the Plan Operations team with core benefits operations functions and best practices in benefit configuration.

What you will do:

Manage team members in the delivery of benefit configuration and documentation aspects of the plan build and maintenance responsibilities to drive the highest level of performance and meet or exceed service level agreements. Manage employee performance through defined employee scorecards and performance metrics. Provide ongoing feedback and coaching to ensure performance targets are met, provide appropriate levels of direction and support to your team members as needed. Schedule employees, track productivity, maintain work schedules, coordinate different activities, and approve time off and overtime. Participate in initiatives to support process/workflow improvements, leverage new system capabilities within work processes, and consistently institute best practices within the function. Work with clients, identifying and understanding benefit plan requirements. Build and maintain pharmacy benefit plans for client groups. Own all aspects of benefit configuration organization and structure for accounts by monitoring plan data integrity. Provide leadership support to team members for escalations and complex configuration requests. Communicate to leadership on project status, escalating issues when appropriate, and drive changes to improve workflow efficiency. Be accountable for ensuring review and resolution of inquiries from internal teams such as member support and customer success are completed timely to improve member experience.

What you will bring to SmithRx:

• Bachelor's degree or equivalent work experience required.

5+ years of experience in benefits configuration with a healthcare or health insurance organization. 2+ years' supervisory experience in appropriate PBM or Medical Insurance environment preferred.

• Ability to analyze benefit plan design and configuration rules within an automated claims processing system.
• Ability to maintain production levels and quality goals.
• Robust analytical skills; advanced skills in Microsoft Excel.
• Excellent organizational, interpersonal and communication skills (via face-to-face meetings, conference calls and written correspondence).
• Self-starter mentality: ability to make informed decisions, find creative approaches to difficult challenges, and deliver on commitments
• Communicate project status and escalate issues for improved workflow efficiency
• Self-starter mentality: ability to make informed decisions, find creative approaches to difficult challenges, and deliver on commitments.

Execution-focused ethos - you are a solutions-oriented problem solver and efficiency driven. Flexible, dependable, adaptable, and able to respond under the pressure of a fast-paced technology company. Must be willing to travel up to 10% of the time.

What SmithRx Offers You:

Highly competitive wellness benefits including Medical, Pharmacy, Dental, Vision, and Life Insurance and AD&D Insurance Flexible Spending Benefits 401(k) Retirement Savings Program Short-term and long-term disability Discretionary Paid Time Off 12 Paid Holidays Wellness Benefits Commuter Benefits Paid Parental Leave benefits Employee Assistance Program (EAP) Well-stocked kitchen in office locations Professional development and training opportunities