EDI Configuration Analyst
2024-08-08
USA
SmithRx
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: Always operate with honesty and transparency so we earn the trust of our clients.
Courage: Demonstrate the courage needed to take on a broken industry and continuously improve what we offer to optimize health outcomes.
Together: Foster a collaborative and inclusive environment that values teamwork, respect, and open communication, and encourages creativity and diversity of thought
Job Summary:
The Technical Integration Specialist will operate as a part of SmithRx’s growing Adjudication Platform Team. Candidate will work cross-functionally with our business and technology organizations to develop and implement streamlined solutions to electronic data integration workflows. Candidate will assist the team in designing processes to support integral PBM file exchanges that contribute to the ongoing success of SmithRx and our client. Our goal is to assist our business partners and effectively champion an efficient and streamlined data file sharing process for all parties.
With fast-paced growth comes a critical need to support the implementation phase with all new SmithRx clients. The implementation and integration technical team leads mission-critical tasks related to electronic data interchange (EDI) and file management. The team is the frontline resource for ensuring all data exchange between SmithRx and the client are successful. The implementation and integration technical team collaborates with various internal and external partners to ensure seamless execution for members, clients, and other key stakeholders.
What you will do:
Ensure project implementation resources are executing on implementation of the solution in a timely manner, and in accordance with solution design
Serve as the primary technical contact on all eligibility and data integration discussions
Ensure client understands technical implementation roles & responsibilities
Attend implementation meetings to provide guidance on our technical integration processes
Ensure client is trained and empowered on SmithRx’s data integration solution
Lead and/or assist in solution configuration and quality assurance
Participate in implementation tasks (including technical tasks) as needed to meet project timelines and deliverables
Troubleshoot and resolve any current and ongoing electronic data sharing issues to include but not limited to eligibility, accumulator and paid claim file formats, SFTP connectivity, data ingestion and data accuracy.
Develop proficiency on SmithRx data process flows to play role of EDI expert to the client
Provide product knowledge and expertise to implementation staff, client, and other stakeholders
Manage implementation resource on project execution, without direct managerial ownership
Manage integrations with third party systems.
Excellent communication with technical, business, and non-technical team members.
Excellent organizational and multi-tasking skills, attention to quality, self-motivation, and a desire to succeed.
What you will bring to SmithRx:
Bachelor’s degree or equivalent experience preferred
4-6 years EDI experience required
Pharmacy claims adjudication (NCPDP) experience preferred
Intermediate skill in SQL (preferably PostgreSQL)
Intermediate skill in Microsoft Excel
Robust analytical skills, ability to think critically about data and data flow
General understanding of Healthcare Industry players (PBMs, EHRs,TPAs, Aggregators, Pharmacies)
Strong communication skills, both in-person and written
Self-starter mentality: ability to make informed decisions, find creative approaches to difficult challenges, and deliver on commitments
Execution-focused ethos - you are a solutions-oriented problem solver and efficiency driven
Flexible, adaptable, and able to respond under the pressure of a fast-paced technology company
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
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
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: Always operate with honesty and transparency so we earn the trust of our clients.
Courage: Demonstrate the courage needed to take on a broken industry and continuously improve what we offer to optimize health outcomes.
Together: Foster a collaborative and inclusive environment that values teamwork, respect, and open communication, and encourages creativity and diversity of thought
Job Summary:
The Technical Integration Specialist will operate as a part of SmithRx’s growing Adjudication Platform Team. Candidate will work cross-functionally with our business and technology organizations to develop and implement streamlined solutions to electronic data integration workflows. Candidate will assist the team in designing processes to support integral PBM file exchanges that contribute to the ongoing success of SmithRx and our client. Our goal is to assist our business partners and effectively champion an efficient and streamlined data file sharing process for all parties.
With fast-paced growth comes a critical need to support the implementation phase with all new SmithRx clients. The implementation and integration technical team leads mission-critical tasks related to electronic data interchange (EDI) and file management. The team is the frontline resource for ensuring all data exchange between SmithRx and the client are successful. The implementation and integration technical team collaborates with various internal and external partners to ensure seamless execution for members, clients, and other key stakeholders.
What you will do:
Ensure project implementation resources are executing on implementation of the solution in a timely manner, and in accordance with solution design
Serve as the primary technical contact on all eligibility and data integration discussions
Ensure client understands technical implementation roles & responsibilities
Attend implementation meetings to provide guidance on our technical integration processes
Ensure client is trained and empowered on SmithRx’s data integration solution
Lead and/or assist in solution configuration and quality assurance
Participate in implementation tasks (including technical tasks) as needed to meet project timelines and deliverables
Troubleshoot and resolve any current and ongoing electronic data sharing issues to include but not limited to eligibility, accumulator and paid claim file formats, SFTP connectivity, data ingestion and data accuracy.
Develop proficiency on SmithRx data process flows to play role of EDI expert to the client
Provide product knowledge and expertise to implementation staff, client, and other stakeholders
Manage implementation resource on project execution, without direct managerial ownership
Manage integrations with third party systems.
Excellent communication with technical, business, and non-technical team members.
Excellent organizational and multi-tasking skills, attention to quality, self-motivation, and a desire to succeed.
What you will bring to SmithRx:
Bachelor’s degree or equivalent experience preferred
4-6 years EDI experience required
Pharmacy claims adjudication (NCPDP) experience preferred
Intermediate skill in SQL (preferably PostgreSQL)
Intermediate skill in Microsoft Excel
Robust analytical skills, ability to think critically about data and data flow
General understanding of Healthcare Industry players (PBMs, EHRs,TPAs, Aggregators, Pharmacies)
Strong communication skills, both in-person and written
Self-starter mentality: ability to make informed decisions, find creative approaches to difficult challenges, and deliver on commitments
Execution-focused ethos - you are a solutions-oriented problem solver and efficiency driven
Flexible, adaptable, and able to respond under the pressure of a fast-paced technology company
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
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