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SmithRx is looking for a Partner Operations Specialist to join the SmithRx team to collaborate with other team members to monitor and problem solve issues with eligibility, accumulator and claims files daily.
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This role would be a great opportunity for a Pharmacy Technician who is interested in transitioning to the pharmacy benefits industry.
Job Overview
- Job Types: Part-time, Full-time
- Work Setting: Work from home
- Location: Remote (Worldwide)
- Salary: Competitive Compensation
- Employer: SmithRx
Responsibilities
- Execute and manage a set list of rotating task assignments centered on monitoring incoming and outgoing files, and data syncing across systems.
- Understand and facilitate account structure updates for eligibility and accumulator requirements.
- Validate system configurations for accuracy by monitoring inbound files from external partners.
- Identify issues and write tickets to be resolved by other resources, as well as follow-up to ensure resolution is being completed.
- Provide feedback on opportunities to improve workflow efficiency to leadership.
- Contribute to 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 for assigned groups.
- Monitor ongoing operations and provide troubleshooting support for our claims adjudication processes including eligibility, accumulators, reporting, and syncing of systems with data.
- 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.
- Ensure that data partner connections are maintained and created when approved.
- Work as assigned on projects outside of daily assigned tasks.
Requirements
- 2+ years of experience as a pharmacy technician or other industry experience.
- High School Diploma or GED required.
- Experience in Microsoft Excel building reports, reviewing and interpreting reports, sending and receiving data.
- Bonus points for familiarity with Looker, Datadog, Jira, Tableau, and/or Salesforce.
- Familiar with running basic SQL queries prefer.
- Strong communication skills as a team member.
- Self-starter mentality: ability to work independently to manage time and assigned tasks, make informed decisions, and solve issues.
- 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.
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