Director, Payer Relations & Operations, Supply Chain

Posted 21 Days Ago
Hiring Remotely in USA
Remote
Senior level
Pharmaceutical
The Role
The Director of Payer Relations & Operations will manage retail pharmacy partnerships, oversee PBM relations, and drive supply chain strategy, leveraging data analytics and promoting growth opportunities.
Summary Generated by Built In

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:

SmithRx is seeking a talented provider relations leader who will play a critical part of our overall supply chain strategy. This role will be the main point of contact for our retail pharmacy partners supporting all aspects of the PBM relationship including, but not limited to, pricing inquiries, contract compliance, audit, and contract implementation. This role will also be the internal liaison between supply chain and internal and external constituents with the expectation of attending meetings with supply chain partners to present business reviews.  To be successful in this role you will have a deep understanding of pharmacy reimbursement, pricing benchmarks, PBM client pricing, and the competitive landscape related to supply chain pricing. In this role, you will collaborate cross functionally to effectively promote, support, partner and deliver the SmithRx solution. In addition, you will work with the data team to create tools and reporting to assist the Supply Chain team in partner negotiations.

The ideal candidate will have a strong background and interest in commercial insurance (self-funded programs), relationships management, strategy, process development, leading presentations externally and internally and negotiation. This role reports directly to our SVP of Supply Chain. 

In order to be eligible for this position applicants must be based in one of the following states: Arizona, Arkansas, California, Colorado, Florida, Georgia, Kansas, Minnesota, Missouri, Nevada, New Jersey, North Carolina, Ohio, Pennsylvania, South Carolina, Tennessee, Texas, Utah, Virginia, Washington, Wisconsin.
 

What you will do:

  • Nurture SmithRx relationships with retail pharmacy partners and internal stakeholders to drive strong relationships and increase understanding about our capabilities  
  • Leverage data analytics and economic modeling to drive conversations surrounding our unique pharmacy benefit offering 
  • Drive opportunity growth by opening up new channels for the sales organization 
  • Effectively collaborate with members of cross functional teams, Sales, Customer Success, Sales Ops, Partnerships, Strategy, Analytics, Product and Marketing teams 
  • Create purpose-built content (playbooks, cheat sheets, job aides, objection handling, FAQs, etc.) to improve solution knowledge and support the sales process and methodology focused on captive and stop loss/reinsurance organizations 
  • Facilitate meetings with strategic partners to understand our differentiators and to drive excitement about our value proposition 
  • Establish a cadence for business reviews with retail pharmacy partners 
  • Content preparation and leading training will be critical both internally and externally 
  • Develop and maintain intra-company relationships consistent with our values 
  • Assist in demonstrating SmithRx client value that occurs with shared strategic partners and spreading the word across the practice when we deliver strong ROI and outcomes 

What you will bring to SmithRx:

  • 8+ years experience working in or with retail pharmacy, healthcare tech, PBM 
  • 4+ years experience in pricing strategy or business intelligence 
  • Bachelor's Degree 
  • Experience in a high growth, fast changing environment 
  • Ability to quickly understand complex internal processes and needs 
  • Excellent poise and presentation skills, strong writing skills 
  • Experience leveraging technology and tools 
  • Adept at social selling and networking 

What SmithRx Offers You: 

  • Highly competitive wellness benefits including Medical, Pharmacy, Dental, Vision, and Life Insurance and AD&D Insurance
  • Flexible Spending Benefits 
  • 401(k) Retirement Savings Program 
  • Short-term and long-term disability
  • Discretionary Paid Time Off 
  • 12 Paid Holidays
  • Wellness Benefits
  • Commuter Benefits 
  • Paid Parental Leave benefits
  • Employee Assistance Program (EAP)
  • Well-stocked kitchen in office locations
  • Professional development and training opportunities

Top Skills

Data Analytics
Economic Modeling
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The Company
San Francisco, CA
46 Employees
Year Founded: 2016

What We Do

SmithRx is committed to providing a straightforward approach to reducing drug costs and improving health outcomes. We understand that reducing pharmacy costs is top of mind for us all. We utilize cloud technologies to deliver the most streamlined and cost-effective PBM solution: one that is modularized and can be tailored to meet individual needs.
Our compelling value proposition can be summarized simply as follows: - 100% Pass-through Pricing & Lowest Total Costs - The Most Advanced Cloud PBM
- Best Health Outcomes

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