Patient Access Programs Operations Specialist

The mission of Patient Access Operations is to facilitate organizational excellence within SmithRx through the delivery of high-impact process improvements, meticulous data and system maintenance, and the flawless execution of operational workflows for our Drug Pathway Engine.

As a Patient Access Programs Operations Specialist, you are the engine room of our programs. Your role is defined by tactical excellence and the ability to bridge the gap between strategy and day-to-day delivery. You will ensure that our Drug Pathway Programs are configured correctly, maintained rigorously, and updated in real-time to support our members and partners.

What you will do:

Manage the day-to-day processing of Drug Pathway updates, ensuring all operational tasks are completed within established Service Level Agreements (SLAs).

Perform hands-on data entry and system configuration within adjudication, Admin, and CRM platforms. Conduct audits to ensure that the live system reflects our internal clinical and financial standards.

Act as the first point of contact for internal "trouble tickets" or operational bottlenecks. Resolve data discrepancies and system errors by collaborating directly with Data, Business systems, engineering, and Customer Success teams.

Draft and update clear, step-by-step manuals for how Drug Pathways are managed to ensure consistency across the team and minimize the risk of human error.

Assist in the rollout of new pharmacy programs by preparing the necessary data files, testing configurations in "sandbox" environments, and confirming successful "go-lives."

Assist in supporting ad hoc projects and tasks as required by the business and assigned areas of expertise.

What you will bring to SmithRx:

High School diploma required; Associate or Bachelor’s degree in Healthcare Admin, Business, or Data Analytics preferred.

2+ years of experience in a high-volume operational role (e.g., Pharmacy Technician, Claims Processing, Benefits Administration, or PBM Operations).

Proven ability to handle repetitive, high-stakes tasks with zero-defect accuracy.

High proficiency  in Excel and Google Sheets (pivot tables, VLOOKUPs, data modeling) for data analysis and reporting. Experience with SQL for data querying is a significant plus, but not required.

Comfort with G-Suite/MS Office, Slack, Zoom, or similar technologies to manage cross-functional communication.

Experience with Salesforce (preferred), Zendesk, Jira (preferred), or similar technologies for tracking and resolving operational tasks.

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

Zone A includes the following locations:

San Francisco Bay Area - California

Metro New York City - Connecticut, New Jersey, New York and Pennsylvania

Zone A Pay Range

$29.52—$36.92 USD

Zone B includes the following locations:

California - outside of San Francisco Bay Area

Metro Denver / Boulder - Colorado

Metro District of Columbia - District of Columbia, Maryland, Virginia and West Virginia

Metro Boston / Cambridge - Massachusetts and New Hampshire

Metro Austin - Texas

Metro Seattle - Washington

Zone B Pay Range

$27.07—$33.85 USD

Zone C includes all other locations not listed above, including:

Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Illinois, Indiana, Iowa, Kansas, Kentucky, Louisiana, Maine, Michigan, Minnesota, Mississippi, Missouri, Montana, Nebraska, Nevada, New Mexico, North Carolina, North Dakota, Ohio, Oklahoma, Oregon, Rhode Island, South Carolina, South Dakota, Tennessee, Utah, Vermont, Wisconsin, Wyoming

Non metro Colorado, Connecticut, Maryland, Massachusetts, New Hampshire, New Jersey, New York, Pennsylvania, Texas, Virginia, Washington, and West Virginia

Zone C Pay Range

$24.62—$30.77 USD