SmithRx - Pharmacy Network Contracting Manager

• Lead day-to-day pharmacy contracting operations, serving as the principal subject matter expert and providing mentorship and process guidance to team members. • Own and optimize the contracting pipeline (intake, prioritization, aging, execution timelines, and deliverables). • Govern  the end-to-end contract lifecycle across new agreements, amendments, renewals, notices, and terminations, including milestone and deadline tracking. • Lead complex contract negotiation workflows and redline reviews partnering directly with Legal and internal stakeholders to mitigate systemic risks. • Ensure all reimbursement exhibits, fee schedules, and effective dates are meticulously accurate, approved, and implementation-ready. • Drive rate loading and network configuration in the claims adjudication system to ensure executed terms are implemented accurately and on time. • Architect and enforce controls and QA frameworks for rate setup (effective dates, plan/network mapping, reimbursement logic, and exception handling). • Monitor and manage the rate load/configuration backlog, proactively prioritize urgent builds, mitigate 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) lead root-cause analysis and ensure corrections are completed. • Partner strategically with Provider Relations to align contracting timelines, onboarding requirements, and provider-facing communications during contracting and execution. • Act as the definitive escalation point for contracting- or configuration-related provider escalations; document root causes and drive resolution through and across the appropriate teams. • Author, govern, and 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). • Leverage data to provide routine reporting on contracting/configuration volume, cycle time, backlog, and issue trends; lead continuous process improvement initiatives to scale operations. • Architect and maintain a comprehensive contracting knowledge base (FAQs, standard workflows, and escalation paths) to drive internal enablement and elevate the provider experience. • 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 serving as a principal subject matter expert, process owner and/or managing high-volume contracting workflows. • Exceptional ability to interpret complex contract language, lead redline negotiations, and strategically identify business, operational, and compliance risks. • Deep technical understanding  of claims adjudication and pharmacy reimbursement configuration (how executed terms translate into system setup). • Proven experience architecting or overseeing 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. • Advanced cross-functional stakeholder management skills across Provider Relations, Legal, Pricing, Credentialing, Operations, Compliance, and Finance. • Excellent written and verbal communication skills with the ability to clearly document complex issues, decisions, and next steps. • Meticulous attention to detail, and the ability to autonomously manage competing priorities and deadlines. • Advanced 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 • Zone A includes the following locations: • San Francisco Bay Area - California • Metro New York City - Connecticut, New Jersey, New York and Pennsylvania