Manager, Benefit Operations Testing & QA

Remote

Apply with AI Apply

Not SpecifiedCompensation

Senior (5 to 8 years), Expert & Leadership (9+ years)Experience Level

Full TimeJob Type

UnknownVisa

Health-Tech, Pharmacy Benefit ManagementIndustries

Requirements

The candidate must have 5+ years of leadership experience with direct reports, preferably in a remote setting, and 8+ years of experience in benefit configuration and testing. A strong understanding of pharmacy benefit plan configurations and related technologies is essential, along with experience in process improvement and managing employee performance metrics. The applicant must reside in one of the specified states: Arizona, Arkansas, California, Colorado, Connecticut, Florida, Georgia, Indiana, Kansas, Kentucky, Massachusetts, Minnesota, Missouri, Nevada, New Jersey, New York, North Carolina, Ohio, Oklahoma, Pennsylvania, South Carolina, Tennessee, Texas, Utah, Virginia, Washington, or Wisconsin.

Responsibilities

The Manager, Benefit Operations Testing & QA will lead, coach, and develop a team of benefit configuration specialists to ensure high-quality delivery of the SmithRx product. This includes overseeing the build and management of pharmacy benefit plans, managing employee performance through scorecards and metrics, and providing feedback and coaching. The role involves scheduling employees, tracking productivity, participating in process improvement initiatives, and working with clients to understand benefit plan requirements. Responsibilities also include owning benefit configuration organization, providing leadership support for escalations, communicating project status to leadership, and ensuring timely resolution of inquiries from internal teams to improve member experience.

Skills

Benefit Configuration

Quality Assurance

Team Leadership

Process Improvement

Pharmacy Benefit Management (PBM)

Healthcare Technology

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.

Land your dream remote job 3x faster with AI

Try Jobo Free