SmithRx
SmithRx is a transparent, pass-through pharmacy benefits manager (PBM) that operates independently from insurance companies and pharmacies to align its incentives with self-insured employers and their members. By leveraging modern technology, SmithRx aims to reduce the cost and complexity of pharmacy benefits, ensuring the delivery of effective and low-cost drugs. The company is dedicated to transforming the pharmacy benefits landscape through its flat-rate, transparent pricing model and innovative cost savings programs, which connect members to the lowest cost drugs without the use of spread pricing, rebates, or other tactics. SmithRx's commitment to transparency and superior customer service results in significant savings for employers and a highly satisfactory experience for its members.
Healthcare • Pharmaceuticals • Healthcare IT • Pharmacy Benefit Management • Pharmacy Benefits Management
Compliance Director
February 12
SmithRx
SmithRx is a transparent, pass-through pharmacy benefits manager (PBM) that operates independently from insurance companies and pharmacies to align its incentives with self-insured employers and their members. By leveraging modern technology, SmithRx aims to reduce the cost and complexity of pharmacy benefits, ensuring the delivery of effective and low-cost drugs. The company is dedicated to transforming the pharmacy benefits landscape through its flat-rate, transparent pricing model and innovative cost savings programs, which connect members to the lowest cost drugs without the use of spread pricing, rebates, or other tactics. SmithRx's commitment to transparency and superior customer service results in significant savings for employers and a highly satisfactory experience for its members.
Healthcare • Pharmaceuticals • Healthcare IT • Pharmacy Benefit Management • Pharmacy Benefits Management
📋 Description
• As the Compliance Director, you will be responsible for overseeing healthcare regulatory compliance issues that impact SmithRx. • In a dynamic and rapidly changing regulatory landscape for PBMs, you will partner closely with our Legal team to interpret and operationalize federal and state laws across various functions, including Clinical Strategy, Pharmacy Network, and Customer Success. • You will manage relationships with administrative agencies and regulators, maintain required licenses and reporting obligations, and respond to inquiries. • Additionally, you will provide guidance on strategies to ensure compliance and train colleagues across the company. • You will play a key role in building and strengthening SmithRx’s compliance function. • The ideal candidate will have PBM and/or pharmacy compliance experience and a genuine passion for transforming the U.S. healthcare system.
🎯 Requirements
• Relevant bachelor’s or advanced degree preferred • At least 8 years of experience in healthcare regulatory compliance or related fields • Strong foundation in healthcare laws and regulations affecting PBMs (e.g., HIPAA, PBM/TPA licensing, utilization review laws, pharmacy laws, ERISA regulations) • Experience interacting with government administrative agencies and regulators • Excellent written and oral communication skills • Ability to collaborate effectively with cross-functional teams and external stakeholders • Highly analytical and detail-oriented, able to interpret complex regulations and provide actionable guidance • Adept at navigating fast-paced, high-growth environments • Comfortable operating with a high degree of independence • Skilled at prioritizing tasks under pressure and communicating expectations clearly • Genuine interest in improving access to affordable, convenient healthcare • Excited by the challenge of building a compliance function at a high-growth healthcare technology company
🏖️ Benefits
• Highly competitive wellness benefits including Medical, Pharmacy, Dental, Vision, and Life Insurance and 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
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