by Terrance Ellis | Jan 16, 2026 | Uncategorized
SmithRx is scaling fast (their user base is doubling annually), and they need DevOps leadership that can keep infrastructure reliable, secure, and compliant while the product keeps shipping. If you’re the kind of DevOps engineer who builds systems and builds the culture around those systems, this one fits.
About SmithRx
SmithRx is a venture-backed health tech company modernizing the Pharmacy Benefit Management space with a unified platform, real-time insights, and customer-first service. They’re mission-driven, growth-minded, and operating in a highly regulated environment.
Schedule
- Full-time, remote
- Agile team environment with CI/CD and automation focus
- On-call PagerDuty rotation required
- HIPAA-compliant infrastructure ownership
What You’ll Do
- Build and maintain container-based infrastructure that is scalable, redundant, compliant, and reliable
- Deliver end-to-end automation for deployment, monitoring, and infrastructure management in AWS
- Partner with engineering teams to maintain secure, reproducible CI/CD pipelines
- Monitor and troubleshoot infrastructure issues; perform root cause analysis and implement fixes
- Collaborate with developers to ensure services are built for scalability, reliability, and security
- Improve system availability proactively through strong observability and reliability practices
- Install, configure, test, and maintain operating systems, application software, and system tools
- Write custom scripts to increase efficiency and reduce manual effort
- Evaluate performance, identify bottlenecks, and implement improvements with dev partners
- Maintain security controls and support SmithRx’s security program best practices
- Ensure systems and practices meet HIPAA requirements and align with healthcare regulatory expectations
- Make pragmatic tradeoffs across cost, reliability, security, and resource utilization
- Contribute to a collaborative learning culture by exploring new tools and best practices
What You Need
- 5+ years of DevOps experience
- BS (or higher) in Computer Science or related field (or equivalent experience)
- Strong AWS experience deploying and monitoring web applications
- Experience supporting both product development and operations teams with scalable DevOps practices
- Security-first mindset with experience building secure dev/test environments integrated into CI/CD
- Container infrastructure experience, including Kubernetes
- Infrastructure as Code experience (Terraform a plus) plus infrastructure testing strategies
- Strong background in automation, reliability, monitoring, logging, and load balancing
- CI/CD pipeline automation experience (CircleCI, GitHub Actions, similar)
- Experience in regulated environments (HIPAA preferred; GDPR a plus)
- Working knowledge of SQL and NoSQL systems (Redis, Redshift, RDS, PostgreSQL, BigQuery, Snowflake, etc.)
- Scripting skills (Shell, Python, Go, Ruby, Helm, Groovy, etc.)
Benefits
- Medical, pharmacy, dental, vision
- Life and AD&D insurance
- Flexible Spending Accounts (FSA)
- 401(k) retirement program
- Short-term and long-term disability
- Discretionary PTO
- Paid company holidays
- Wellness benefits
- Commuter benefits
- Paid parental leave
- Employee Assistance Program (EAP)
- Professional development and training
- Well-stocked kitchens in office locations
Quick reality check: this role screams “platform reliability + compliance + scale.” If someone’s allergic to on-call or thinks HIPAA is just a buzzword, they’ll hate it. If you like building resilient systems with real stakes, it’s a strong play.
Happy Hunting,
~Two Chicks…
by Terrance Ellis | Jan 16, 2026 | Uncategorized
SmithRx is scaling fast, and this role is about making sure the database layer doesn’t crack under the weight. You’ll own reliability, performance, security, and growth strategy across AWS-hosted data systems, including PostgreSQL and key AWS database services, in a regulated environment handling sensitive PHI.
About SmithRx
SmithRx is a venture-backed health tech company rebuilding the Pharmacy Benefit Management space with modern infrastructure, real-time insights, and customer-first service. They’re growing quickly, with a user base doubling annually, and they’re investing in scalable, sustainable systems to match.
Schedule
- Full-time, remote
- Hands-on senior ownership of cloud database reliability, performance, and security
- Cross-functional collaboration with Security, Data Engineering, and Product/Engineering teams
What You’ll Do
- Manage and maintain PostgreSQL, DynamoDB, and Athena on AWS, ensuring high availability and reliability
- Monitor database health and performance, proactively identifying and resolving issues
- Design and implement scaling and growth strategies to support rapidly increasing demand
- Build and maintain strong security controls to protect sensitive PHI from internal and external threats
- Ensure compliance with privacy and security frameworks (HIPAA, SOC 2, etc.)
- Design and implement Business Continuity and Disaster Recovery plans (BCP/DR)
- Build and maintain a pipeline to restore anonymized production data into lower environments
- Partner with the Security team on risk analysis and incident response planning for data infrastructure
- Collaborate with Engineering, Architecture, and Release teams on database design recommendations for new features
- Work with Data Engineering to support ETL jobs and downstream applications
- Support dev teams on complex query development, tuning DML, and promoting strong database coding practices
What You Need
- 5+ years of Database Administration experience
- BS (or higher) in Computer Science or a related field
- Experience managing SQL and NoSQL databases (PostgreSQL, MySQL, Redis, Redshift, DynamoDB, BigQuery, MongoDB, Cassandra, Snowflake)
- Deep AWS database knowledge (RDS, Aurora, Redshift, DynamoDB, etc.)
- Strong performance tuning skills: identifying bottlenecks, optimizing queries and schemas
- Experience with monitoring/observability tools (CloudWatch, Datadog), dashboards, alerting, and metrics
- Experience with change management practices, policies, and procedures
- Background in infrastructure automation, reliability engineering, load balancing, monitoring, and logging
- Experience in regulated environments (HIPAA preferred; GDPR a plus)
- Strong scripting in SQL, Python, Shell, etc.
Benefits
- Medical, pharmacy, dental, vision
- Life and AD&D insurance
- Flexible Spending Accounts (FSA)
- 401(k) retirement program
- Short-term and long-term disability
- Discretionary PTO
- Paid company holidays
- Wellness benefits
- Commuter benefits
- Paid parental leave
- Employee Assistance Program (EAP)
- Professional development and training
- Well-stocked kitchens in office locations
Quick gut-check: this isn’t just “keep the database running.” It’s “keep the business running” while protecting PHI and staying audit-ready. If you’re the type who likes owning the whole reliability story end-to-end, this is your lane.
Happy Hunting,
~Two Chicks…
by Terrance Ellis | Jan 16, 2026 | Uncategorized
If you’re the kind of QA leader who treats quality like a product feature, not a final step, this role is built for you. You’ll own test strategy inside a sprint team, push an automation-first culture, and build regression suites that catch defects before customers ever feel them.
About SmithRx
SmithRx is a venture-backed health tech company modernizing the Pharmacy Benefit Management space with a unified platform built for real-time insights, operational efficiency, and a better customer experience. They’re scaling fast and building tech that aims to outperform old-school PBM systems on both service and reliability.
Schedule
- Full-time, remote
- Embedded with a sprint team as the primary quality advocate
- Owns test strategy, automation coverage, and quality metrics for the products you support
What You’ll Do
- Develop and maintain automated tests to expand coverage and speed up defect feedback loops
- Build and improve regression test suites with an automation-first mindset
- Own test strategy, planning, and execution within your sprint team
- Maintain and continuously improve test frameworks so they’re reliable, efficient, and easy to use
- Create test plans, test cases, and testing documentation
- Find, report, and track bugs through resolution with urgency
- Partner with Product to give quality-driven input that strengthens feature impact
- Share clear test results with Engineering and Product to keep progress and expectations aligned
- Create and maintain security and performance tests
- Build deep product knowledge across SmithRx systems
- Use AI tools like Playwright MCP, Claude, and Copilot to work faster and smarter
- Maintain and refine quality metrics to communicate overall product health
What You Need
- Bachelor’s in Computer Science or equivalent experience
- 5+ years in QA and automation testing, with a proven track record of team leadership
- Proficiency in one: Python, TypeScript, Java, or JavaScript
- Experience writing automated API tests in a scripting or programming language
- Experience with API automation frameworks (Pytest or REST Assured)
- Experience with UI automation tools (Selenium, Cypress, or Playwright)
- Familiarity with Page Object Model for UI automation
- Familiarity with CI/CD systems (GitHub Actions, CircleCI, or Jenkins)
Benefits
- Medical, pharmacy, dental, vision
- Life and AD&D insurance
- Flexible Spending Accounts (FSA)
- 401(k) retirement program
- Short-term and long-term disability
- Discretionary PTO
- Paid company holidays
- Wellness benefits
- Commuter benefits
- Paid parental leave
- Employee Assistance Program (EAP)
- Professional development and training
- Well-stocked kitchens in office locations
Real talk: the “Senior” here is less about writing tests and more about owning outcomes. You’re the person who says, “No, we’re not shipping like that,” and has the data and automation to back it up.
Happy Hunting,
~Two Chicks…
by Terrance Ellis | Jan 16, 2026 | Uncategorized
This is a top-of-the-house technical leadership role. You’re not just shipping features, you’re steering multi-year, multi-team initiatives, shaping architecture choices, and keeping the whole platform healthy while the business scales. If you love setting the technical direction and bringing teams along with you, this is that seat at the table.
About SmithRx
SmithRx is a venture-backed health tech company on a mission to modernize the Pharmacy Benefit Management space with a next-generation drug acquisition platform powered by cutting-edge tech, cost-saving tools, and high-touch service. They’re fast-growing, mission-driven, and serious about building durable systems.
Schedule
- Full-time, remote
- Senior technical leadership partnering with Engineering, Product, and Design leadership
- Cross-team influence role driving multi-year initiatives and platform quality
What You’ll Do
- Define and align technical strategy for multi-year, multi-team initiatives tied to company goals
- Own major architecture decisions, including framework/tooling selection and build-versus-buy calls
- Design systems for reliability, scalability, and long-term maintainability with staged validation plans
- Run system “health” reviews and raise engineering quality through documentation and testing strategy
- Drive testing and validation frameworks for high-reliability systems
- Design platforms with embedded ML capabilities that are production-ready
- Collaborate with ML engineers on anomaly detection and NLP-related systems to meet SLAs
- Partner with Directors, PMs, and Design leadership to align technical direction with business objectives
- Influence product scope and trade-offs to maximize customer value without sacrificing quality
- Rally teams around a clear technical vision, especially when choices affect the whole org
- Step in when projects drift off-course and refocus efforts toward meaningful business impact
- Mentor engineers across levels and set the bar for engineering excellence
What You Need
- BS (or advanced degree) in CS or equivalent experience
- 15+ years of software engineering experience (or 12+ with an advanced degree)
- Deep expertise in system architecture: scalability, reliability, maintainability
- Strong build-versus-buy judgment and framework/tool evaluation chops
- Track record tackling ambiguous problems with research and validation plans
- Proven ownership of system quality: testing strategies, documentation, operational rigor
- Strong influence skills across teams and stakeholder groups
- Working knowledge of ML concepts, including NLP and anomaly detection in production contexts
- Excellent communication: you can simplify the complex and build alignment fast
Benefits
- Medical, pharmacy, dental, vision
- Life and AD&D insurance
- Flexible Spending Accounts (FSA)
- 401(k) retirement program
- Short-term and long-term disability
- Discretionary PTO
- 12 paid company holidays
- Wellness benefits
- Commuter benefits
- Paid parental leave
- Employee Assistance Program (EAP)
- Professional development and training
- Well-stocked kitchens in office locations
Quick gut-check: this is “architect + diplomat + quality sheriff.” If you don’t enjoy influencing without direct authority, this role will be miserable. If you do, you’ll be dangerous in the best way.
Happy Hunting,
~Two Chicks…
by Terrance Ellis | Jan 16, 2026 | Uncategorized
If you’re a builder-turned-leader who can scale teams, drive platform roadmaps, and keep systems sane while the company grows fast, this is your lane. You’ll lead Platform Engineering teams working on high-impact domains like Claims and integrations, balancing delivery speed with architectural quality.
About SmithRx
SmithRx is a venture-backed health tech company working to modernize the Pharmacy Benefit Management space with a next-generation drug acquisition platform powered by modern technology, cost-saving tools, and high-touch service. They’re mission-driven, fast-growing, and values-led.
Schedule
- Full-time, remote
- Engineering leadership role over Platform Engineering teams
- Partners closely with Product, Principal Engineers, architects, and cross-functional stakeholders
What You’ll Do
- Lead and develop a team of engineers (up to Senior level) delivering high-quality software
- Build a high-performing culture rooted in accountability, innovation, and execution
- Run performance management, coaching, and growth planning for your team
- Define the team vision and roadmap aligned to company goals and OKRs
- Translate business needs into executable engineering plans with stakeholders
- Balance near-term shipping with long-term scalability and platform health
- Drive architectural and operational excellence with Principal Engineers and architects
- Identify and mitigate technical risks, including long-term architecture deficiencies
- Establish best practices for development, testing, and operational workflows
- Collaborate cross-functionally to reduce inefficiencies and improve delivery speed
- Represent your teams to senior leadership, customers, and stakeholders
What You Need
- 7+ years in software development, including 3+ years managing teams
- Strong grasp of software architecture, APIs, and scalable systems
- Proven ability to make smart trade-offs between short-term delivery and long-term health
- Demonstrated experience building, leading, and retaining high-performing teams
- Experience defining team mission/roadmaps aligned to broader OKRs
- Excellent written and verbal communication, including strategic documentation (narratives, proposals)
- Track record of delivering results in ambiguous, high-pressure environments
Nice to Have
- Experience managing backend teams
- Familiarity with domain-driven design and cross-functional development
- Experience leading geographically distributed teams and stakeholders
Benefits
- Medical, pharmacy, dental, vision
- Life and AD&D insurance
- Flexible Spending Accounts (FSA)
- 401(k) retirement program
- Short-term and long-term disability
- Discretionary PTO
- Paid company holidays
- Wellness benefits
- Commuter benefits
- Paid parental leave
- Employee Assistance Program (EAP)
- Professional development and training
- Well-stocked kitchens in office locations
This role is less “code every day” and more “protect the platform, unblock the team, and ship the roadmap without breaking production.” If you’re the calm adult in the room who still understands the tech deeply, you’ll fit.
Happy Hunting,
~Two Chicks…
by Terrance Ellis | Jan 16, 2026 | Uncategorized
If you’re the kind of data scientist who can run experiments, argue with the numbers (politely), and move executives with a clean story, SmithRx is calling. This role sits at the center of product and strategy, shaping how a modern PBM measures impact and makes decisions.
About SmithRx
SmithRx is a venture-backed health tech company on a mission to disrupt the Pharmacy Benefit Management space with a next-generation drug acquisition platform powered by modern technology, cost-saving tools, and high-touch service. They’ve onboarded hundreds of thousands of members since 2016 and are focused on making healthcare more affordable and accessible.
Schedule
- Full-time, remote
- Partners closely with Product, Clinical, Customer Success, and GTM
- Collaborates with Data & ML Engineering on data modeling and governance
What You’ll Do
- Partner with stakeholders to define success states and set data-driven goals
- Design key metrics to track progress and identify opportunities for product and business improvement
- Design and run experiments to evaluate opportunities with statistical rigor and significance
- Influence data model design by collaborating with Data & ML Engineers (dimensional models, reliability, accessibility)
- Champion strong data governance and raise the bar on data and code quality
- Mentor and elevate the team through technical guidance, curiosity, and clarity in ambiguity
What You Need
- Bachelor’s degree in a quantitative field (math, stats, etc.); Master’s/PhD preferred
- 8+ years of hands-on experience influencing product and business decisions through experimentation and advanced analytics
- Healthcare and/or pharmacy experience (preferred)
- Deep technical strength in:
- SQL and dbt for querying, transforming, and validating complex datasets
- Python and/or R for advanced statistical modeling
- Building robust data models and enforcing data quality guardrails with engineering partners
- Designing and scaling causal inference and experimentation frameworks
- Data visualization and storytelling that drives action across technical and non-technical audiences
- Self-starter mindset with strong ownership, creativity, and follow-through
- Excellent communication, strong leadership instincts, and ability to align people around a vision
Benefits
- Medical, pharmacy, dental, vision
- Life and AD&D insurance
- Flexible Spending Accounts (FSA)
- 401(k) retirement program
- Short-term and long-term disability
- Discretionary PTO
- Paid company holidays
- Wellness benefits
- Commuter benefits
- Paid parental leave
- Employee Assistance Program (EAP)
- Professional development and training
- Well-stocked kitchens in office locations
This is a “science + influence” seat. The tech skills matter, but the real differentiator is whether you can translate experiments into decisions people actually make.
Happy Hunting,
~Two Chicks…
