# Manager, Clinical Review and Quality Assurance at SmithRx

- Company: SmithRx
- What the company does: SmithRx is a pharmacy benefits partner built on a modern technology platform that creates new levels of flexibility, efficiency, and customer satisfaction. Backed by Venrock.
- Company website: https://smithrx.com
- Type: Startups
- Level: Senior
- Location: Remote
- Work setup: Remote
- Posted: 2026-09-14
- Apply by: 2026-10-29
- Apply: https://job-boards.greenhouse.io/smithrx/jobs/8805743002
- Page: https://www.1752.vc/careers/jobs/smithrx-manager-clinical-review-and-quality-assurance/

## About the role

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.

## What they're looking for

- 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

Tags: Utilization Management