Lead, Configuration

Company Overview

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 has a solution that is resonating with clients all across the country.

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

As a Lead, Benefits Configuration, you will manage, coach and develop a team of benefit configuration analysts that support cross‑functional teams during client implementations. You will ensure delivery of a high‑quality Smith Rx product by building and managing pharmacy benefit plans on various platforms, and support the Plan Operations team with core benefits operations functions and best practices in benefit configuration.

• Manage team members in the delivery of benefit configuration and documentation aspects of the plan build and maintenance responsibilities to drive the highest level of performance and meet or exceed service level agreements.
• Manage employee performance through defined employee scorecards and performance metrics.
• Provide ongoing feedback and coaching to ensure performance targets are met.
• Schedule employees, track productivity, maintain work schedules, coordinate activities, and approve time off and overtime.
• Participate in initiatives to support process/workflow improvements, leverage new system capabilities within work processes, and consistently institute best practices within the function.
• Work with clients, identifying and understanding benefit plan requirements; build and maintain pharmacy benefit plans for client groups.
• Own all aspects of benefit configuration organization and structure for accounts by monitoring plan data integrity.
• Provide leadership support to team members for escalations and complex configuration requests.
• Communicate to leadership on project status, escalating issues when appropriate, and drive changes to improve workflow efficiency.
• Be accountable for ensuring review and resolution of inquiries from internal teams such as member support and customer success are completed timely to improve member experience.

• Bachelor’s degree or equivalent work experience required.
• 5+ years of experience in benefits configuration within a healthcare or health insurance organization.
• 2+ years of supervisory experience in an appropriate PBM or Medical Insurance environment preferred.
• Ability to analyze benefit plan design and configuration rules within an automated claims processing system.
• Ability to maintain production levels and quality goals.
• Robust analytical skills; advanced skills in Microsoft Excel.
• Excellent organizational, interpersonal and communication skills (face‑to‑face meetings, conference calls and written correspondence).
• Self‑starter mentality: ability to make informed decisions, find creative approaches to difficult challenges, and deliver on commitments.
• Execution‑focused ethos—solutions‑oriented problem solver and efficiency-driven.
• Flexible, dependable, adaptable, and able to respond under the pressure of a fast‑paced technology company.
• Must be willing to travel up to 10% of the time.

• Highly competitive wellness benefits:
  Medical, Pharmacy, Dental, Vision, and Life Insurance plus 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.

Mid‑Senior level

Full‑time

Human Resources

Hospitals and Health Care