SmithRx

SmithRx revolutionizes pharmacy benefits with transparent technology, connecting stakeholders for efficient drug delivery and cost savings.

Pharmaceuticals

Health Care

1K-5K (1200)

Founded 2016

$38M raised

30 open positions

Links

View All Jobs

Lead, Clinical Review Pharmacist

1 month ago

United States

Full-time

Lead

Operations Manager

Operations

Apply Now

SmithRx

SmithRx revolutionizes pharmacy benefits with transparent technology, connecting stakeholders for efficient drug delivery and cost savings.

Pharmaceuticals

1K-5K

Founded 2016

$38M raised

View All Jobs 30

Description

Directly manage, coach, and mentor a team of prior authorization pharmacists.
Provide day-to-day supervision, support, and escalation handling for pharmacists on the team.
Drive team performance against target KPIs, turnaround times, and quality standards.
Ensure compliance with regulatory, accreditation, policy, and procedure requirements.
Recruit, hire, train, and onboard new team members.
Schedule team coverage and manage capacity to maintain consistent operations.
Identify process gaps and lead operational improvements to support scale.
Collaborate cross-functionally on eligibility, claims adjudication, benefit design, and other operational issues.
Participate in Pharmacy and Therapeutics Committee work and help develop clinical criteria for prior authorization medications.
Serve as a change champion when new technology is introduced and help improve processes and efficiencies.

Requirements

5+ years of experience in a health plan or pharmacy benefit manager role with prior authorization review experience.
3-5+ years of management experience.
Experience with regulatory requirements such as ERISA, ACA, and Medicare.
Familiarity with accreditation standards such as URAC and NCQA.
Proficiency with Mac, MS Office, and G-Suite.
Bachelor’s degree in Pharmacy or Doctor of Pharmacy (PharmD) required.
Active Pharmacist License required.
Strong active listening and communication skills with a high degree of empathy.
Ability to multitask, prioritize, and manage time effectively in a fast-paced environment.
Ability to work accurately within protocols, follow escalation pathways, and adapt to process or technology changes.

Benefits

Medical, Pharmacy, Dental, Vision, Life Insurance, and AD&D Insurance.
Flexible Spending Benefits.
401(k) Retirement Savings Program.
Short-term and long-term disability coverage.
Discretionary paid time off and paid company holidays.
Paid parental leave.
Employee Assistance Program (EAP).
Professional development and training opportunities.

Interested in this position?

Apply directly on the company website

Apply Now

Similar Roles

Colovore is hiring a hands-on Facilities Manager to oversee the operations, maintenance, and team leadership for high-density, liquid-cooled AI data center facilities as the company expands nationally.

United States Full-time Senior Operations Manager

13 hours, 59 minutes ago

Apply

13 hours, 59 minutes ago

Netsuite/Salesforce Senior Application Administrator

IonQ 51-250 Internet Software & Services

IonQ is seeking a Business Systems Manager to lead the administration, security, and optimization of its Salesforce and NetSuite enterprise systems across business operations and IT.

United States Full-time Senior Business Analyst Operations Manager

$112k-$146k

Agile NetSuite Salesforce

13 hours, 59 minutes ago

Apply

13 hours, 59 minutes ago

Regional Manager, Affordable Housing

Asset Living 1K-5K Real Estate

Asset Living is hiring a Regional Manager, Affordable Housing to oversee a housing community portfolio’s operations, compliance, staffing, financial performance, leasing, and maintenance.