The Benefits Configuration Analyst builds and maintains pharmacy benefit plans, supports new client implementations (including go-live testing and post go-live auditing), manages prior authorizations/step therapy and formulary updates, and provides troubleshooting for claims adjudication. The role collaborates with clients and internal teams to ensure accurate plan configuration, monitor data integrity, and recommend process improvements.

Serve as the primary data SME between Account Management and Reporting/Data teams to interpret pharmacy claims, trend analysis, and rebate projections; ensure client report integrity, perform deep-dive root-cause analyses, support plan design recommendations, and present findings in client meetings and QBRs. Role requires 5+ years of PBM or healthcare data/financial analysis experience and travel ~15–20%.

SmithRx is hiring a Pricing Strategy Director to develop and compose PBM pricing offers for enterprise prospects, perform repricing and member experience analyses using historical claims data, support RFP responses, and collaborate with Sales, Proposals, Legal, Supply Chain, and Revenue teams. Requires 10+ years working with pharmacy benefits RFPs, contracts, AWP discount and rebate pricing, strong Excel skills, and experience engaging employers, brokers, and consultants.