Plan Operations Analyst

2 weeks ago

Plano, United States SmithRx Full time
Job DescriptionJob Description

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: Always operate with honesty and transparency so we earn the trust of our clients.
  • Courage: Demonstrate the courage needed to take on a broken industry and continuously improve what we offer to optimize health outcomes.
  • Together: Foster a collaborative and inclusive environment that values teamwork, respect, and open communication, and encourages creativity and diversity of thought.

Job Summary:

SmithRx is looking for a Plan Operations Analyst to join the company's Customer Success team to support all core Plan Operations functions ensuring the high quality of the SmithRx product.

What you will do:

  • Collaborate with Partner Relationship Manager to support the daily operations including issues, projects, and opportunities for the Third Party Administrator partners.
  • Lead audits and reconciliation efforts for both internal and external partners.
  • Ability to create ad hoc queries and reports to support issue resolution and partner needs.
  • Maintain platform configurations necessary for ongoing operations.
  • Communicate project status, escalating issues to leadership when appropriate.
  • Drive changes to improve workflow efficiency.
  • Participate in process and workflow documentation.
  • Serve as a mentor for new team members and a trainer for new processes.
  • Collaborate and provide support for member support and customer success teams.
  • Collaborate cross-functionally on system enhancements for workflow automation.
  • Become the subject matter expert for plan design configuration details.
  • Understand and facilitate account structure, eligibility, and accumulator requirements.
  • Validate system configurations for accuracy by monitoring inbound files from external partners.
  • Monitor ongoing Engineering operations and provide troubleshooting support for our claims adjudication processes including eligibility, accumulators, and reporting.
  • Support new partner integrations and client implementations.
  • Partner closely with internal teams to support all processes during onboarding and maintenance of accounts by working cross-functionally to resolve key issues that may arise.
  • Interface with technical resources of partners to surface issues and tracking outstanding work requests.

What you will bring to SmithRx:

  • Bachelor's degree or equivalent work experience preferred
  • 4+ years of experience developing reporting or analytics in the healthcare and/or pharmacy space
  • Robust analytical skills; advanced skills in Microsoft Excel. (Macros, Micros, Pivot table, V lookup, H Lookup etc.)
  • Familiarity ,with analytics and visualization tools required. Bonus points for experience with Looker, Datadog, Jira, Tableau, and/or Salesforce.
  • Familiar with basic SQL queries
  • Strong communication skills via face-to-face meetings, conference calls and written correspondence
  • Self-starter mentality: ability to work independently to manage their time and assigned partners, 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, adaptable, and able to respond under the pressure of a fast-paced technology company

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

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