SmithRx is hiring a Senior DevOps Engineer (remote, U.S.) with 5+ years of DevOps experience to build and operate scalable, container-based infrastructure on AWS. Responsibilities include developing and maintaining CI/CD pipelines (CircleCI, GitHub Actions), infrastructure as code (Terraform), monitoring/logging, automation, on-call rotations (PagerDuty), and maintaining HIPAA-compliant systems. Experience with Kubernetes, databases (PostgreSQL, Redis, Redshift, BigQuery, Snowflake), scripting, and security-first practices is required or preferred.

Experienced Cloud Engineer (5+ years) responsible for building and maintaining container-based infrastructure on AWS (Kubernetes/EKS), implementing IaC and CI/CD (Terraform, GitHub Actions), establishing monitoring/alerting (CloudWatch, Datadog), ensuring security and compliance (HIPAA, SOC2), automating operations with scripting (Python, Shell), and participating in on-call rotations (PagerDuty).

Senior/Staff Software Engineer responsible for backend architecture, designing and implementing scalable APIs and data processing services. Requires ~5+ years of server-side development experience, expertise in a compiled language (Go/Java/Kotlin), PostgreSQL, and working knowledge of GraphQL, CI/CD, Docker, Kubernetes and AWS (Lambda, Fargate). Role includes production troubleshooting, system design, documentation, and mentoring junior engineers.

SmithRx is hiring a Customer Trainer to design, deliver, and measure client and internal enablement programs (in-person, virtual, and pre-recorded). The role reports to the Manager of Client Training and Enablement, requires 5+ years of relevant experience, and may require up to 40% travel.

SmithRx seeks a Consultant Partnerships Manager (3+ years PBM/health plan experience) to nurture relationships with pharmacy consultants, support RFP processes, deliver value presentations, create playbooks and collateral, and collaborate cross-functionally with sales, customer success, analytics, product and marketing. Role reports to the Director of Consultant Partnerships and requires ~10-15% travel.

Remote Proposals Pricing Analyst (3+ years) responsible for querying large datasets, performing claims and reprice analyses, preparing client-ready sales deliverables, and working cross-functionally with sales, analytics, and clinical teams to quantify savings and support presales efforts.

SmithRx is hiring a Partner Operations Specialist to monitor incoming/outgoing files, validate system configurations, identify and escalate issues, support onboarding and partner integrations, contribute to documentation, and mentor new team members. Requires 2+ years as a pharmacy technician or related experience, proficiency with Excel, and familiarity with tools like Looker, Datadog, Jira, Tableau, Salesforce, and basic SQL is preferred.

Director-level role to design and enforce Stage-Gate governance, drive portfolio visibility and executive reporting for 50+ concurrent workstreams, build PMO capabilities, improve predictability and quality of delivery, and champion operational stability and technical debt remediation in a healthcare-focused, US-remote environment. Requires 10+ years of project management experience in directive or enterprise PMO settings.

The role owns backend data and infrastructure for mission-critical shared services, designing resilient, scalable APIs and schemas, leveraging Go, GraphQL, Node, SQL, and AWS (Lambda, DynamoDB, SQS, RDS). Responsibilities include system design, production triage, CI/CD, mentoring, and partnering with product and security to meet compliance and availability goals. Requires 5+ years of professional software development experience.

SmithRx is hiring a Staff Backend Software Engineer (US - Remote) to design, build, test, and maintain backend services for its drug access platform. The role emphasizes Go, GraphQL, Node, SQL/PostgreSQL, AWS (Lambda, DynamoDB, SQS, RDS), CI/CD, system design, scalability, and mentoring; requires 8+ years of professional software development experience.

Staff-level engineering role responsible for designing, developing, and maintaining backend services and scalable APIs using technologies including Go, Node/TypeScript, GraphQL, and PostgreSQL. Role involves CI/CD, AWS (Lambda, Fargate), containerization (Docker, Kubernetes), troubleshooting production issues, producing technical design documentation, and mentoring junior engineers. Requires BS or advanced degree in computer science or equivalent experience and 8-12 years of software development experience.

Lead design and implementation of scalable data pipelines and warehouse solutions (e.g., Snowflake) using tools such as Airflow, dbt, PySpark and Python. Define long-term data engineering strategy, enforce data governance/quality (including PII/PHI protection), improve developer efficiency, and influence cross-functional roadmaps. Requires 8+ years of data engineering experience (12+ with only a bachelor's), strong SQL, Python, and PySpark skills, and production experience with distributed systems and ETL frameworks.

Responsible for Partner satisfaction and long-term relationship management with TPAs and data partners, beginning during integration and continuing post go-live. Duties include technical and business issue troubleshooting (EDI/ETL), coordinating cross-functional teams, conducting business impact assessments, driving adoption and governance, prioritizing risks to client retention, and identifying product/customization needs.

Lead and develop a team of benefit configuration specialists responsible for building and maintaining pharmacy benefit plans, testing and QA, documentation, and process improvements. Requires managing schedules, performance metrics, escalations, and client-facing benefit requirements. Qualifications include 5+ years in a leadership role with direct reports and 8+ years working knowledge of pharmacy benefits/claims processing. Applicants must be based in one of the listed U.S. states.

Lead Strategic Finance at SmithRx: own the long-range plan, build and maintain models to improve unit economics across cohorts and channels, produce executive- and board-ready materials, support fundraising and pricing strategy, define KPIs, and implement systems/automation in partnership with FP&A and cross-functional teams. Requires 8+ years in strategic finance/FP&A/investment banking/private equity or related roles and a bachelor’s degree.

The Account Manager ensures post-sale success and satisfaction of SmithRx customers by building trusted relationships with client operational leadership, managing client success plans, coordinating cross-functional teams to resolve escalations, and driving client retention. Requires 3–5 years of account or relationship management experience in healthcare, with knowledge of commercial health insurance and pharmacy benefits preferred.