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Partner Operations Specialist

2 months ago

Flowood, Mississippi, United States SmithRx Full time

About SmithRx:

SmithRx is an innovative, rapidly expanding Health-Tech enterprise. Our objective is to transform the costly and inefficient Pharmacy Benefit Management (PBM) industry by developing a state-of-the-art drug acquisition platform that leverages advanced technology, creative cost-saving solutions, and exceptional customer service. Since our inception in 2016, we have successfully onboarded hundreds of thousands of members, demonstrating that our offerings resonate with clients nationwide.

Our Culture:

We take pride in our mission-driven and collaborative environment that motivates our team members to excel. We are committed to reshaping the U.S. healthcare landscape and strive each day to turn that vision into reality. Our core values guide us:

  • Integrity: We operate with honesty and transparency to build trust with our clients.
  • Courage: We tackle a flawed industry head-on and continuously seek to enhance our offerings for better health outcomes.
  • Together: We cultivate a collaborative and inclusive atmosphere that values teamwork, respect, and open communication, encouraging creativity and diverse perspectives.

Position Overview:

We are seeking a Partner Operations Specialist to join our Customer Success team, focusing on supporting all essential Plan Operations functions to ensure the high quality of the SmithRx product.

Key Responsibilities:

  • Work closely with the Partner Relationship Manager to facilitate daily operations, addressing issues, projects, and opportunities for Third Party Administrator partners.
  • Lead audits and reconciliation initiatives for both internal and external partners.
  • Generate ad hoc queries and reports to assist in issue resolution and partner requirements.
  • Maintain necessary platform configurations for ongoing operations.
  • Communicate project updates and escalate issues to leadership as needed.
  • Drive improvements to enhance workflow efficiency.
  • Participate in documenting processes and workflows.
  • Act as a mentor for new team members and provide training on new processes.
  • Support member assistance and customer success teams through collaboration.
  • Work cross-functionally on system enhancements for workflow automation.
  • Become the subject matter expert on 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.
  • Oversee ongoing Engineering operations and provide troubleshooting support for claims adjudication processes, including eligibility, accumulators, and reporting.
  • Assist with new partner integrations and client implementations.
  • Collaborate with internal teams to support all processes during onboarding and account maintenance, resolving key issues as they arise.
  • Engage with technical resources of partners to identify issues and track outstanding work requests.

Qualifications:

  • Bachelor's degree or equivalent work experience preferred.
  • 4+ years of experience in reporting or analytics within the healthcare and/or pharmacy sectors.
  • Strong analytical skills with advanced proficiency in Microsoft Excel (including Macros, Pivot tables, VLOOKUP, HLOOKUP, etc.).
  • Familiarity with analytics and visualization tools is required; experience with Looker, Datadog, Jira, Tableau, and/or Salesforce is a plus.
  • Basic knowledge of SQL queries.
  • Excellent communication skills, both in-person and through written correspondence.
  • Self-motivated with the ability to work independently, manage time effectively, and make informed decisions.
  • Execution-focused mindset with a solutions-oriented approach to problem-solving.
  • Adaptable and capable of thriving in a fast-paced technology environment.

What We Offer:

  • Competitive wellness benefits, including Medical, Pharmacy, Dental, Vision, and Life Insurance.
  • 401(k) Retirement Savings Program.
  • Short-term and long-term disability coverage.
  • Discretionary Paid Time Off.
  • 12 Paid Holidays.
  • Paid Parental Leave benefits.
  • Employee Assistance Program (EAP).
  • Well-stocked kitchen in office locations.
  • Opportunities for professional development and training.