Who We Are:
SmithRx 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, SmithRx has a solution that is resonating with clients all across the country.
We pride ourselves for our mission-driven and collaborative culture that inspires our employees to do their best work. We believe that the U.S healthcare system is in need of transformation, and we come to work each day dedicated to making that change a reality. At our core, we are guided by our company values:
- Integrity: Our purpose guides our actions and gives us confidence in the path ahead. With unwavering honesty and dependability, we embrace the pressure of challenging the old and exemplify ethical leadership to create the new.
- Courage: We face continuous challenges with grit and resilience. We embrace the discomfort of the unknown by balancing autonomy with empathy, and ownership with vulnerability. We boldly challenge the status quo to keep moving forward—always.
- Together: The success of SmithRx reflects the strength of our partnerships and the commitment of our team. Our shared values bind us together and make us one. When one falls, we all fall; when one rises, we all rise.
Job Summary:
The Vice President of Pharmacy Networks is a critical executive leadership role responsible for the strategic vision, contracting, and end-to-end management of SmithRx’s national pharmacy network. You will lead negotiations and foster relationships with retail chains, independent pharmacies, Pharmacy Services Administration Organizations (PSAOs), specialty pharmacies, and mail-order facilities.
In this role, you will ensure our network aligns with our transparent, pass-through pricing model while maintaining exceptional coverage, quality, and cost-efficiency for our clients and members. You will oversee a team dedicated to network development, compliance, credentialing, and performance optimization.
What you will do:
Network Strategy & Contracting
- Lead Network Strategy: Design and execute the overarching strategy for SmithRx’s national and custom pharmacy networks, ensuring alignment with our transparent business model and client needs.
- Contract Negotiation: Lead high-level negotiations with major retail chains, PSAOs, specialty pharmacies, and mail-order partners to secure competitive reimbursement rates and favorable contract terms without relying on spread pricing.
- Strategic Partnerships: Identify and develop innovative network programs (e.g., high-performance or narrow networks, direct-to-consumer delivery models) to drive down drug costs and improve member access.
Network Management & Operations
- Oversee Network Performance: Monitor and manage the ongoing performance of the pharmacy network against defined SLAs, ensuring adherence to contractual terms, quality standards, and pricing accuracy.
- Credentialing & Compliance: Direct the credentialing and re-credentialing processes, ensuring all network pharmacies comply with federal, state, and SmithRx regulatory standards.
- Audit & Fraud Prevention: Oversee the pharmacy audit team to manage network integrity, minimize Fraud, Waste, and Abuse (FWA), and execute audit recoveries effectively.
- Government programs readiness: Implementation of needed policies and procedures to meet CMS oversight requirements.
Cross-Functional Leadership
- Internal Alignment: Partner c…