Patient Access Programs Operations Specialist

Patient Access Programs Operations Specialist

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Smith Rx 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, Smith Rx’s solution is resonating with clients all across the country.

We pride ourselves on a mission‑driven, collaborative culture that inspires employees to deliver their best work and to help transform the U.S. healthcare system.

As a Patient Access Programs Operations Specialist, you will provide routine operations support for the Patient Access Operations team. Your responsibilities will include data entry, pharmacy claims adjudication support for member‑facing teams, pharmacy partner support, routine operations audits, and task‑level project support. Success in this role is measured by efficient processing of high‑volume, task‑oriented assignments.

• Conduct audits on program builds across adjudication platforms
• Accurately maintain the program database, ensuring it is updated and current based on business needs
• Assist with aggregating data for Patient Access program billing and invoicing
• Manage and update program drug lists and spreadsheets
• Contact or make outbound calls to pharmacies to reprocess claims for medications as needed
• Execute digital communication outreach campaigns
• Coordinate incoming emails from pharmacy partners and internal teams, ensuring timely resolution
• Provide exceptional support in the daily operations of the Patient Access Programs
• Support special projects and general ad‑hoc duties as assigned

• High School diploma
• 2+ years of experience in healthcare or health systems operations functions
• Proficiency in Mac, MS‑Office, and G‑Suite
• Proficiency in Excel and Google Sheets
• Experience using Salesforce Service Cloud or another CRM tool is a plus
• High attention to detail
• Excellent verbal and written communication skills
• Self‑starter with the ability to multitask, prioritize, and manage time effectively
• Strong organizational skills with the ability to prioritize multiple deadlines and work independently
• Problem‑solving skills with sound, inclusive reasoning and judgment
• Ability to work independently as well as part of an extended, cross‑functional team
• Passion for helping people and delivering high‑quality results

• Highly competitive wellness benefits including Medical, Pharmacy, Dental, Vision, and Life & 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

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