Inbound Patient Advocate at SmithRx

Lehi, Utah, United States

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Not SpecifiedCompensation

Junior (1 to 2 years)Experience Level

Full TimeJob Type

UnknownVisa

Healthcare, Pharmacy Benefit ManagementIndustries

Requirements

Locally based (potential to work from home four days per week based on performance, after 60 days of onsite onboarding)
100% attendance during training period
High School diploma or GED or equivalent
2+ years of experience (inferred from incomplete "2+ years of e")

Responsibilities

Educate patient members about their pharmacy benefits and help them source medications through various programs
Provide support to/assist members, providers, and pharmacies via inbound phone calls, email, and other communication channels
Handle inbound calls pertaining to enrollment in drug savings programs and resolve inquiries
Gather missing necessary information to successfully resolve cases, emphasizing one-call resolution
Coordinate with members, physicians, drug manufacturers, and pharmacies to facilitate enrollment in savings programs
Manage every call by accurately resolving issues, demonstrating compassion, meeting compliance requirements, and ensuring a hassle-free experience for members
Provide empathetic support to patients by phone, email, and other channels
Maintain impeccable documentation, responsiveness, timeliness of response, and follow-up for each member call
Adopt a patient-centric mindset with a high sense of urgency to solve requests
Work with sensitive information while upholding PHI and HIPAA standards
Stay updated on organizational processes and policies to maintain compliance and ensure service quality
Organize case details per required standards and track multiple tasks for optimal productivity in a fast-paced environment
Achieve or exceed key performance indicators and meet service level expectations to maintain high-quality service standards
Consistently maintain quality assurance standards and strict adherence to schedule

Skills

Patient Advocacy

Pharmacy Benefits Education

Customer Service

Inbound Communications

Drug Savings Programs

One-Call Resolution

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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