Pharmacy Network Provider Relations Manager

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: Our purpose guides our actions and gives us confidence in the path ahead. With unwavering honesty and dependability, we embrace the pressure of challenging the old and exemplify ethical leadership to create the new.
• Courage: We face continuous challenges with grit and resilience. We embrace the discomfort of the unknown by balancing autonomy with empathy, and ownership with vulnerability. We boldly challenge the status quo to keep moving forward—always.
• Together: The success of SmithRx reflects the strength of our partnerships and the commitment of our team. Our shared values bind us together and make us one. When one falls, we all fall; when one rises, we all rise.

Job Summary:

The Pharmacy Network Provider Relations role involves supporting the Pharmacy Network Team in day-to-day tasks, managing relationships between pharmacies and network providers, onboarding new pharmacies, and providing support to existing pharmacies. The position requires close collaboration with valued pharmacy partners and internal cross-functional teams within the SmithRx organization. The key objective is to contribute to the maintenance of high pharmacy satisfaction, retention, and the organization's reputation for excellence. 

What you will do:

• Identifying and recruiting pharmacies to join the network.  This involves conducting market research, negotiating contracts, and ensuring that the network includes a diverse range of pharmacy providers. 
• Onboard new pharmacies to Smith network by screening incoming pharmacy applications for completeness of materials during credentialing process. 
• Supporting contract management with pharmacy providers, including but not limited to reviewing performance metrics. 
• Building and maintaining strong relationships with pharmacy providers, addressing their concerns or issues, and facilitating effective communication between the pharmacy and the organization. 
• Resolving any issues or conflicts that arise between the organization and pharmacy providers. This may involve investigating complaints, conducting root cause analysis, and working collaboratively with internal teams and providers to find effective solutions. 
• Collaborating with cross-functional teams, such as claims processing departments, to implement initiatives aimed at improving network efficiency, quality, and provider satisfaction. 
• Create documentation for standard operating procedures within the Pharmacy Network. 
• Recommend methods to improve processes used by the department. 
• Build and maintain a database of pharmacy partners to ensure information is accurate and up to date. 
• Escalate pharmacy concerns internally and to help solve complex issues. 
• Assist with building out a Knowledge Base and contribute to our ongoing process improvement efforts. 

What you will bring to SmithRx:

• Bachelor’s Degree or 8+ years of relevant work experience in managed care, pharmacy benefit management (PBM), or a similar healthcare setting is highly desirable. This can include experience in areas such as credentialing providers, provider relations, provider administration, or working with pharmacy adjudication platforms. 
• Familiarity with pharmacy pricing aspects, understanding of pharmacy networks and affiliations, and knowledge of pharmacy-related regulations and compliance requirements are beneficial for this