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Partner Operations Specialist at SmithRx, Remote (United States)

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.

This role would be a great opportunity for a Pharmacy Technician who is interested in transitioning to the pharmacy benefits industry.

What you will do:

• 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.

What you will bring to SmithRx:

For internal applicants:

• 1+ years of tenure with Smith in active status required (note that if you were on any leave of absence while working here, this will not count towards active status)

Must be in good standing, including:

• No active writeups
• Consistent and good attendance record
• Current performance meets/ exceeds expectations and is acceptable given the requirement for the new role
• 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.

What SmithRx Offers You:

• Highly competitive wellness benefits including Medical, Pharmacy, Dental, Vision, and Life and AD&D Insurance
• 3 Weeks Paid Time Off
• Paid Company Holidays
• Paid Parental Leave Benefits
• Flexible Spending Benefits
• 401(k) Retirement Savings Program
• Short-Term and Long-Term Disability
• Wellness Benefits
• Commuter Benefits
• Employee Assistance Program (EAP)
• Well-stocked Kitchen In Office Locations
• Professional Development and Training Opportunities