About the job
About Us:
At SmithRx, a rapidly expanding venture-backed Health-Tech company, our mission is to revolutionize the Pharmacy Benefit Management (PBM) sector. We are doing this by creating a state-of-the-art drug acquisition platform powered by advanced technology, innovative cost-saving tools, and exceptional customer service. Since our inception in 2016, we have successfully onboarded hundreds of thousands of members, providing solutions that resonate with clients nationwide.
We take pride in fostering a mission-driven and collaborative culture that empowers our employees to excel. We are committed to transforming the U.S. healthcare system and come to work each day with a dedication to making this vision a reality. Our core values include:
- Integrity: Our purpose directs our actions, instilling confidence in our future. With unwavering honesty and reliability, we courageously challenge the status quo and exemplify ethical leadership in our industry.
- Courage: We tackle continuous challenges with resilience and determination. Embracing the discomfort of the unknown, we balance autonomy with empathy and ownership with vulnerability, boldly pushing forward at all times.
- Unity: Our success is a reflection of the strength of our partnerships and the dedication of our team. Our shared values unite us, ensuring that we rise and fall together.
Position Overview:
The Rebate Operations Manager will oversee the complete data lifecycle of our rebate programs. This pivotal role involves ensuring the technical accuracy of claims submissions, validating payments against contract rates, and recovering missed billing opportunities. You will act as the main liaison between our internal data and external partners, ensuring that our rebate revenue is captured comprehensively and accurately at the NDC-11 level.
Key Responsibilities:
Claims Lifecycle & Quality Assurance
- Submission Management: Supervise initial claims file submissions and perform detailed QA summaries to identify potential issues before submission.
- Error Resolution: Manage rejections from external partners; conduct root-cause analysis on data issues and re-submit corrected claims to optimize revenue capture.
- Stale Billing Recovery: Monitor and proactively recover stale billing opportunities to support revenue maximization.

