SmithRx

EDI Configuration Analyst

Remote

Not SpecifiedCompensation
Mid-level (3 to 4 years)Experience Level
Full TimeJob Type
UnknownVisa
Health-Tech, Pharmacy Benefit ManagementIndustries

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

The EDI Configuration Analyst will operate as a part of SmithRx’s growing Adjudication Platform Team. Candidate will work cross-functionally with our business and technology organizations to develop and implement streamlined solutions to electronic data integration workflows. Candidate will assist the team in designing processes to support integral PBM file exchanges that contribute to the ongoing success of SmithRx and our client. Our goal is to assist our business partners and effectively champion an efficient and streamlined data file sharing process for all parties.

Eligibility: Applicants must be based in one of the following states: Arkansas, Arizona, California, Colorado, Florida, Georgia, Kansas, Minnesota, Missouri, Nevada, North Carolina, South Carolina, Ohio, Pennsylvania, Tennessee, Texas, Utah, Virginia, Washington, Wisconsin.

What you will do

  • Ensure project implementation resources are executing on implementation of the solution in a timely manner, and in accordance with solution design
  • Serve as the primary technical contact on all eligibility and data integration discussions
  • Ensure client understands technical implementation roles & responsibilities
  • Attend implementation meetings to provide guidance on our technical integration processes
  • Ensure client is trained and empowered on SmithRx’s data integration solution
  • Lead and/or assist in solution configuration and quality assurance
  • Participate in implementation tasks (including technical tasks) as needed to meet project timelines and deliverables
  • Troubleshoot and resolve any current and ongoing electronic data sharing issues to include but not limited to eligibility, accumulator and paid claim file formats, SFTP connectivity, data ingestion and data accuracy.
  • Develop proficiency on SmithRx data process flows to play role of EDI expert to the client
  • Provide product knowledge and expertise to implementation staff, client, and other stakeholders
  • Manage implementation resource on project execution, without direct managerial ownership
  • Manage integrations with third party systems.
  • Excellent communication with technical, business, and non-technical team members.
  • Excellent organizational and multi-tasking skills, attention to quality, self-motivation, and a desire to succeed.

What you will bring to SmithRx

  • Bachelor’s degree or equivalent experience preferred
  • 4-6 years EDI experience required
  • Pharmacy claims adjudication (NCPDP) experience preferred
  • Intermediate skill

Skills

EDI
Configuration
Electronic Data Integration
PBM
File Exchange

SmithRx

Pharmacy benefit management with transparent pricing

About SmithRx

SmithRx operates as a Pharmacy Benefit Manager (PBM) that focuses on managing prescription drug plans for self-insured employers and plan sponsors. The company uses a transparent pricing model called "Pass Through Pricing," where it charges only an administrative fee and passes all rebates from prescriptions directly to clients and their members. This model contrasts with traditional PBMs that often inflate drug prices and retain rebates for profit. SmithRx's clients benefit from a technology platform that utilizes real-time data to improve service delivery, ensuring efficient and high-quality pharmacy benefit management. The company also provides a concierge service to enhance support for both members and clients. SmithRx aims to simplify pharmacy benefits while maximizing value for its clients through transparency, advanced technology, and exceptional customer service.

San Francisco, CaliforniaHeadquarters
2016Year Founded
$94.8MTotal Funding
SERIES_CCompany Stage
HealthcareIndustries
201-500Employees

Benefits

Health Insurance
Dental Insurance
Vision Insurance
Life Insurance
Disability Insurance
Health Savings Account/Flexible Spending Account
Unlimited Paid Time Off
Paid Holidays
Wellness Program
Commuter Benefits
Parental Leave
Mental Health Support
Professional Development Budget

Risks

Increased competition from technology-driven PBMs like Capital Rx could erode market share.
Rapid technological advancements may require costly updates to SmithRx's platform.
Potential regulatory scrutiny on PBM pricing models could impact SmithRx's business model.

Differentiation

SmithRx uses a transparent 'Pass Through Pricing' model, unlike traditional PBMs.
The company leverages real-time data for efficient pharmacy benefit management services.
SmithRx offers concierge-level service, enhancing customer satisfaction and support.

Upsides

SmithRx secured $60M in Series C funding, indicating strong investor confidence.
Partnership with Banjo Health enhances prior authorization processes using AI technology.
Collaboration with TheracosBio offers cost-effective drug options for Type 2 Diabetes.

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