Manger, Pharmacy Network Contracting

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 Lead/Manager, Pharmacy Contracting role supports the Director of Contracting by managing day-to-day pharmacy network contracting operations while partnering closely with Provider Relations to support a strong provider experience at scale. This role supervises contracting staff, owns the contracting pipeline and governance, and ensures agreements are negotiated, executed, and accurately configured in SmithRx’s claims adjudication system—including reimbursement rates, network participation, and effective dates. The key objective is to improve contracting throughput, consistency, configuration accuracy, and audit readiness while reducing provider friction through clear coordination, communication, and issue resolution.

What you will do:

• Lead day-to-day pharmacy contracting operations and supervise contracting team members.
• Own the contracting pipeline (intake, prioritization, aging, execution timelines, and deliverables).
• Oversee the contract lifecycle across new agreements, amendments, renewals, notices, and terminations, including milestone and deadline tracking.
• Coordinate contract negotiation workflows and redline reviews with Legal and internal stakeholders.
• Ensure reimbursement exhibits, fee schedules, and effective dates are accurate, approved, and implementation-ready.
• Oversee rate loading and network configuration in the claims adjudication system to ensure executed terms are implemented accurately and on time.
• Establish controls and QA for rate setup (effective dates, plan/network mapping, reimbursement logic, and exception handling).
• Monitor rate load/configuration backlog, prioritize urgent builds, and escalate risks that could impact go-lives or claim outcomes.
• Own post-load validation checkpoints (test claims/spot checks, variance reviews, and issue triage) and ensure corrections are completed.
• Partner with Provider Relations to align contracting timelines, onboarding requirements, and provider-facing communications during contracting and execution.
• Triage contracting- or configuration-related provider escalations; document root causes and drive resolution through the appropriate teams.
• Maintain contracting playbooks, SOPs, templates, clause guidance, and standard responses to improve speed, consistency, and provider clarity.
• Drive contract repository and configuration documentation governance (version control, naming standards, executed package completeness, approvals, and change history).
• Provide routine reporting on contracting/configuration volume, cycle time, backlog, and issue trends; lead continuous process improvement efforts.
• Assist with building and maintaining a contracting knowledge base (FAQs, standard workflows, and escalation paths) to support internal enablement and provider experience.

What you will bring to SmithRx:

• Bachelor’s degree or equivalent relevant experience in PBM, managed care, healthcare contracting, network operations, or provider relations.
• 8+ years of experience in pharmacy/provider contracting, PBM network operations, or healthcare contract administration.
• 2+ years of experience leading teams and/or managing high-volume contracting workflows.
• Strong ability to interpret contract language, manage redlines, and identify business, operational, and compliance risks.
• Working knowledge of claims adjudication and pharmacy reimbursement configuration (how executed terms translate into system setup).
• Experience overseeing or supporting rate loading and configuration accuracy, including effective-date controls and mapping requirements.
• Demonstrated ability to work provider-facing issues through resolution while balancing contracting standards and operational feasibility.
• Strong stakeholder management skills across Provider Relations, Legal, Pricing, Credentialing, Operations, Compliance, and Finance.
• Excellent written and verbal communication skills, including the ability to clearly document issues, decisions, and next steps.
• Strong organizational skills, attention to detail, and ability to manage competing priorities and deadlines.
• Proficiency with Excel/Google Sheets and contract tracking/document management practices.
• PBM pharmacy network experience (retail, PSAO/independents, specialty) preferred.

What SmithRx Offers You: 

• 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 
• Paid Company Holidays
• Wellness Benefits
• Commuter Benefits 
• Paid Parental Leave benefits
• Employee Assistance Program (EAP)
• Well-stocked kitchen in office locations
• Professional development and training opportunities