Remote opportunity at
SmithRxPharmacy Network Contracting Manager
SmithRx, a health-tech enterprise developing next-generation drug acquisition platforms to reshape the pharmacy benefit management industry, is hiring a Pharmacy Network Contracting Manager. In this remote,…
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About This Role
SmithRx, a health-tech enterprise developing next-generation drug acquisition platforms to reshape the pharmacy benefit management industry, is hiring a Pharmacy Network Contracting Manager. In this remote, full-time position operating as an autonomous individual contributor, the person in this role will support the Director of Contracting by managing daily pharmacy network contracting activities, overseeing the pipeline, and collaborating closely with Provider Relations to streamline provider experiences. This position requires an individual…
Job Description
SmithRx, a health-tech enterprise developing next-generation drug acquisition platforms to reshape the pharmacy benefit management industry, is hiring a Pharmacy Network Contracting Manager. In this remote, full-time position operating as an autonomous individual contributor, the person in this role will support the Director of Contracting by managing daily pharmacy network contracting activities, overseeing the pipeline, and collaborating closely with Provider Relations to streamline provider experiences.
This position requires an individual who can handle complex contract redline reviews, enforce rate-loading and system configuration controls in claims adjudication software, and act as a primary escalation resource for provider issues. The ideal candidate brings extensive background in healthcare contracting or PBM network operations, exceptional attention to detail, and advanced cross-functional stakeholder management abilities across legal, pricing, and compliance teams.
SmithRx provides a competitive compensation package featuring a base salary range of USD 147,000 to 174,000 per year depending on geographic location, alongside comprehensive wellness offerings such as medical, dental, vision, life insurance, 401(k) retirement plans, flexible spending accounts, discretionary time off, and paid parental leave.
Responsibilities
- Manage daily pharmacy contracting functions and provide process guidance to team members
- Oversee the contracting pipeline including intake, priority setting, cycle times, and deliverables
- Direct the end-to-end contract lifecycle across new agreements, amendments, renewals, and terminations
- Partner with legal teams and internal stakeholders on complex contract redline negotiations
- Verify that reimbursement exhibits, fee schedules, and effective dates are accurate and execution-ready
- Execute rate loading and network configuration within the claims adjudication system
- Design and enforce quality assurance frameworks for rate setup and exception management
- Track and prioritize the rate configuration backlog to protect go-live timelines and claim outcomes
- Execute post-load validation steps such as spot checks and variance reviews to correct root-cause errors
- Coordinate with Provider Relations to align onboarding timelines and provider communications
- Serve as the main escalation point for contract and configuration disputes
- Develop and update standard operating procedures, contracting playbooks, templates, and knowledge bases
- Generate routine reports detailing contracting volume, cycle duration, backlog, and issue patterns
Requirements
- At least 8 years of experience in pharmacy or provider contracting, PBM network operations, or healthcare contract administration
- At least 2 years of experience operating as a principal subject matter expert, process owner, or high-volume contracting workflow manager
- Technical understanding of claims adjudication and pharmacy reimbursement configuration
- Experience designing or supervising rate loading and configuration accuracy controls
- Proficiency with Excel, Google Sheets, and document management practices
Qualifications
- Bachelor’s degree or equivalent relevant experience in PBM, managed care, healthcare contracting, network operations, or provider relations
- PBM pharmacy network experience across retail, PSAO, independents, or specialty sectors
Core Skills
Benefits
- Medical, pharmacy, dental, vision, and life insurance
- Flexible Spending Benefits
- 401(k) Retirement Savings Program
- Short-term and long-term disability
- Discretionary Paid Time Off
- Paid Company Holidays
- Commuter Benefits
- Paid Parental Leave
- Employee Assistance Program
Frequently Asked Questions
Answers are based only on the employer’s listing; where it doesn’t say, neither do we.
Is this position remote?
Yes, the source posting indicates that the position is remote.
What is the salary range for this role?
The base salary ranges from USD 147,000 to 174,000 per year for Zone A locations, with different pay scales applying to Zone B and Zone C geographies.
What level of experience is required?
Candidates must have at least 8 years of experience in healthcare contract administration, PBM network operations, or pharmacy and provider contracting, including 2 years as a principal subject matter expert or process owner.
What type of employment is this?
This is a full-time employment opportunity.
Sample Interview Questions
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