---
title: 'Manager, Clinical Review and Quality Assurance at SmithRx'
canonical: 'https://feeny.ai/job/manager-clinical-review-and-quality-assurance-smithrx-remote-pby6adkbtvkc'
type: 'job'
last_seen: '2026-09-06'
---

# Manager, Clinical Review and Quality Assurance at SmithRx

- **Company:** SmithRx
- **Location:** Remote
- **Compensation:** $136k–$192k
- **Work type:** remote
- **Posted:** 2026-09-01
- **Last confirmed live:** 2026-09-06
- **Apply:** https://job-boards.greenhouse.io/smithrx/jobs/8737801002

## Job description

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:

SmithRx is looking for a dynamic and experienced leader to serve as the Manager, Clinical Review Operations and Quality Assurance. This pivotal role is responsible for the integrity, efficiency, and clinical strategy of our prior authorization (PA) ecosystem. You will lead a multidisciplinary function, integrating Quality Assurance (QA) oversight, technical system management, and medication policy execution. You will bridge the gap between business requirements and technical execution, ensuring that our PA programs are safe, evidence-based, compliant, and operationally excellent.

What you will do:

- Team Leadership: Mentor and unify a high-performing team across QA, medication policy, and business analysis to drive organizational goals.
- Quality Assurance: Direct the PA quality assurance program, overseeing interrater reliability audits and reviewing team performance.
- Platform Management: Lead PA platform strategy, technical enhancements, data governance, and clinical rule configuration for optimal efficiency.
- Clinical Strategy: Provide pharmacotherapy expertise for P&T Committee activities, formulary management, and evidence-based medication policy development.
- Process Improvement: Drive technology enhancements and monitor key performance metrics using data-driven insights.
- Change Management: Facilitate process documentation, lead User Acceptance Testing (UAT), and manage stakeholder training for system releases.

What you will bring to SmithRx:

- Education: Doctor of Pharmacy (PharmD) required.
- Licensure: Active, unrestricted Registered Pharmacist (RPh) license.
- Experience: 10+ years in clinical pharmacy, specifically within Health Plan or PBM environments.
- Technical Proficiency: 5+ years supporting PA platforms, including ePA standards (NCPDP) and rule configuration (e.g., Banjo Health, MHK).
- Domain Expertise: Strong background in QA best practices, clinical utilization review, P&T committee support, and regulatory compliance.
- Analytical Skills: Proven ability to translate complex data and business requirements into actionable system changes.
- Soft Skills: Exceptional communication and influencing skills with a bias for action in fast-paced environments.

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

Zone A Pay Range $163,200—$192,000 USD

Zone B includes the following locations:

- California - outside of San Francisco Bay Area
- Metro Denver / Boulder - Colorado
- Metro District of Columbia - District of Columbia, Maryland, Virginia and West Virginia
- Metro Boston / Cambridge - Massachusetts and New Hampshire
- Metro Austin - Texas
- Metro Seattle - Washington

Zone B Pay Range $149,600—$176,000 USD

Zone C includes all other locations not listed above, including:

- Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Illinois, Indiana, Iowa, Kansas, Kentucky, Louisiana, Maine, Michigan, Minnesota, Mississippi, Missouri, Montana, Nebraska, Nevada, New Mexico, North Carolina, North Dakota, Ohio, Oklahoma, Oregon, Rhode Island, South Carolina, South Dakota, Tennessee, Utah, Vermont, Wisconsin, Wyoming
- Non metro Colorado, Connecticut, Maryland, Massachusetts, New Hampshire, New Jersey, New York, Pennsylvania, Texas, Virginia, Washington, and West Virginia

Zone C Pay Range $136,000—$160,000 USD

## Compensation & Benefits

- Base Salary: The range listed above reflects our standard pay scale and actual pay will vary based on work location, job level, job-related knowledge, skills, and experience.
- Total Rewards: In addition to base pay, this role may be eligible for bonuses, commissions, or equity. SmithRx offers a variety of benefits to help you live well, including: time off programs, medical, dental, vision, mental health support, paid parental leave, life and disability insurance and 401(k).

Individual offers are tailored to your geography, experience, skills, and education. Your recruiter can share more specific details during the hiring process. In the meantime, feel free to explore our comprehensive benefits [here](https://benefitsguides.thinkccig.com/smithrx/2026candidates/).

## About SmithRx

## Company Overview
- **One-liner**: SmithRx is a transparent, pass-through pharmacy benefits manager (PBM) for self-insured employers, using modern technology to lower drug costs and improve member outcomes.
- **Entity Type**: Private (Series A and Seed funding; most recent Series A in 2021)
- **Headquarters**: San Francisco, California, United States
- **Founded**: 2016
- **Founders**: Jake Frenz

## Core Business
- **Primary industry**: Pharmacy Benefit Management (PBM) – healthcare technology and services
- **Target customers**: Self-insured employers (B2B/Enterprise), also serves brokers and plan sponsors
- **Mission**: To reduce the cost and complexity of pharmacy benefits for America’s employers and patients, bringing transparency and fairness to a system built on opacity [smithrx.com](https://smithrx.com/our-story)

## Products & Services
- **SmithRx PBM Platform**: A fully transparent, pass-through pharmacy benefits administration service. Routes every claim to the lowest-cost drug, pharmacy, and price, while providing white-glove member support. Includes clinical formulary optimization, cost-saving programs, and real-time data analytics. (SaaS + Service)

## Market Standing
- **Valuation/Market Cap**: Not publicly disclosed
- **Key Metric**: Total funding of **$104.7M** across six rounds (Seed in 2017, Series A in 2018/2019/2021) [linkedin.com](https://www.linkedin.com/company/smithrx)
- **Notable Investors/Partners**: Founders Fund (led Series A in 2018); other undisclosed investors. Partners include best-of-breed healthcare solutions [smithrx.com](https://smithrx.com/our-story)
- **Growth Signals**: 
  - 422 employees as of mid-2026, with monthly headcount growth of +3.7% [linkedin.com](https://www.linkedin.com/company/smithrx)
  - 84 active job postings; quarterly job postings up 180% [linkedin.com](https://www.linkedin.com/company/smithrx)
  - Claims clients consistently save **20% or more** on total drug costs compared to legacy PBMs [smithrx.com](https://smithrx.com/)
  - Named to “Best Places to Work” (per LinkedIn snippet)

## Competitive Advantages
- **Radical transparency**: SmithRx operates with a pass-through model – all rebates and discounts are passed to the client, eliminating conflicts of interest that plague incumbent PBMs.
- **Independent ownership**: Not owned by an insurance company or pharmacy chain, so incentives are 100% aligned with employers and patients.
- **Modern technology**: Proprietary platform that continuously optimizes drug selection based on efficacy, safety, and total cost.
- **High net promoter scores**: Based on 2025 client survey results.

## Strategic Focus
- Continue disrupting the legacy PBM oligopoly by proving that a transparent, technology-driven model delivers superior savings and member experience.
- Expand client base among self-insured employers and grow partnerships with brokers and consultants.
- Scale engineering and data capabilities to further automate drug pricing and clinical decision support.

## Why Work Here
- **Culture**: Guided by values of Courage, Integrity, and Together – a team that “runs toward complex problems” with high autonomy and grit [smithrx.com](https://smithrx.com/careers)
- **Remote/Hybrid**: Remote work options for Engineering, Marketing, and G&A roles; in-office hubs in San Francisco, Lehi (UT), and Plano (TX) [smithrx.com](https://smithrx.com/careers)
- **Benefits**: Comprehensive medical, dental, vision with low employee costs; gym memberships; Employee Assistance Program; pet pharmacy benefits; generous PTO; 12 company holidays including an annual “Anvil Day” [smithrx.com](https://smithrx.com/careers)
- **Career Growth**: Training and development support at every stage; named to “Best Places to Work”
- **Employee Rating**: 3.6/5 on LinkedIn (82 reviews) with highest marks for culture (3.8) [linkedin.com](https://www.linkedin.com/company/smithrx)

## Sources
1. [smithrx.com](https://smithrx.com/) – company homepage
2. [linkedin.com](https://www.linkedin.com/company/smithrx) – LinkedIn company profile
3. [smithrx.com](https://smithrx.com/our-story) – founder story and mission
4. [smithrx.com](https://smithrx.com/careers) – careers page
5. [greenhouse.io](http://job-boards.greenhouse.io/smithrx) – job listings and open roles

## Other roles at SmithRx

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- [Pharmacy Technician (Seasonal)](https://feeny.ai/job/pharmacy-technician-seasonal-smithrx-remote-vv7px19zqfgn)
- [Lead, Member Support](https://feeny.ai/job/lead-member-support-smithrx-plano-m535dnvemtq1) — Plano, TX
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- [Lead, Member Support](https://feeny.ai/job/lead-member-support-smithrx-lehi-dqgywpx4rq33) — Lehi, UT
- [Systems Support Specialist](https://feeny.ai/job/systems-support-specialist-smithrx-plano-fy6yd7r8kbmc) — Plano, TX
- [Benefits Configuration Analyst](https://feeny.ai/job/benefits-configuration-analyst-smithrx-remote-cm3mvsnzj1ba)
- [Staff Data Scientist](https://feeny.ai/job/staff-data-scientist-smithrx-remote-ede44q25w185)
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