SmithRx · 2 months ago
Lead, Benefits Configuration
United States
Full-time
Remote
Senior Level, Lead/Staff
5+ years expSmithRx is a rapidly growing, venture-backed Health-Tech company dedicated to transforming the Pharmacy Benefit Management sector. The Lead, Benefits Configuration will manage and develop a team of benefit configuration analysts, ensuring high-quality delivery of pharmacy benefit plans and supporting core operations functions.
Health CareInformation TechnologyPharmaceutical
Responsibilities
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
Qualification
Required
Bachelor's degree or equivalent work experience required
5+ years of experience in benefits configuration with a healthcare or health insurance organization
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
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
Preferred
2+ years' supervisory experience in appropriate PBM or Medical Insurance environment preferred
Benefits
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
Company
SmithRx
SmithRx is reinventing PBMs with modern technology, client alignment, and 100% transparency.
501-1000 employees
Funding
Current Stage
Late StageTotal Funding
$104.66MKey Investors
VenrockFounders Fund
2024-01-23Series C· $60M
2022-03-10Series B· $27.16M
2021-01-03Series A
Leadership Team
Alexandra Morrison
Talent Acquisition Partner
Bryan Fowler
Partner Relationship Manager
Recent News
Seattle TechFlash
2025-07-26
2025-05-17
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