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Senior Manager, Customer Performance & Accountability

SmithRx
Raleigh, NC Full Time
POSTED ON 12/8/2025 CLOSED ON 1/8/2026

What are the responsibilities and job description for the Senior Manager, Customer Performance & Accountability position at 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: 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 seeking a Sr. Manager, Customer Performance & Accountability to join our growing team. In this strategic leadership role, you'll collaborate directly with senior executives and our key clients to ensure that SmithRx is achieving our objective of providing the lowest possible drug costs.

This individual will be responsible for architecting and executing SmithRx's strategy for evaluating customer performance and performance relative to contract guarantees (as a modern PBM - we refer to this as "performance accountability"). This will entail collaborating with our Data Analytics, Account Management, Proposals, Sales, Clinical Strategy, and Legal teams to synthesize commercial pharmacy data and contractual obligations to tell the story of SmithRx's performance. The ideal candidate will have a strong background in analytics and program/contracting assessment, and possess a balance in connecting between analytical detail, conceptual frameworks, and communication of results.

What you will do:

  • Performance Assessment
    • Lead initiative, in collaboration with the Account Management team to ensure that SmithRx performance analysis is completed and value is communicated to clients on an ongoing basis so that our customers are aware of our value.
    • Build a "performance assessment playbook" to ensure SmithRx is ahead of all contract performance accountability processes with clients and partners, and clients are satisfied with our outcomes.
    • Work with the Data Analytics team to deeply understand our performance for clients, and build reports to maximally automate the process of performance accountability.
    • Actively participate in deal assessment for ongoing retention activity
Build for the Future

  • Work closely with Sales and Proposals teams to craft offers to pharmacy consultants, brokers, and clients which properly reflect SmithRx's value.
  • Collaborate with the Legal team to ensure that our client agreements appropriately reflect our performance accountability strategy.
  • Work with SmithRx senior leadership to innovate and evolve performance accountability models for SmithRx, and the PBM industry as a whole.
  • Engage pharmacy consultants and brokers to educate the market about SmithRx's performance accountability strategy and why it optimizes client outcomes.
  • Various other ad hoc strategic projects aimed supporting SmithRx growth initiatives

What you will bring to SmithRx:

  • 8 years of experience in analytical, financial, or strategy roles, including 3 years experience in healthcare and/or pharmacy industry related roles.
  • Prior experience in finance, consulting, or startup experience, is a strong plus.
  • Bachelor's degree or equivalent experience, advanced degree or MBA preferred.
  • Excel at both written and oral communication, adeptly presenting SmithRx value proposition and philosophy on performance accountability to audiences including internal leaders, brokers, pharmacy consultants, and employers.

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
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Salary.com Estimation for Senior Manager, Customer Performance & Accountability in Raleigh, NC
$145,217 to $191,185
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