SmithRx Tech Stack

Transparent pharmacy benefits platform for self-insured employers

Hospitals and Health Care San Francisco, CA 501–1,000 employees Founded 2016 Privately Held

SmithRx operates a modern PBM (pharmacy benefits manager) platform built on React, Node.js, GraphQL, and AWS infrastructure, with a data stack anchored in PostgreSQL, DynamoDB, and Apache Airflow + dbt. The engineering-forward hiring mix—20 engineers across a 65-person hiring pipeline—maps directly to three active platform initiatives: a next-generation PBM rebuild, scalable data modeling for drug pricing, and claims optimization via machine learning. Scaling challenges (database doubling, team growth, adjudication performance) are actively being addressed in their technical roadmap.

Tech Stack 38 technologies

Core StackJavaScript React Node.js GraphQL React Native Greenhouse PostgreSQL DynamoDB AWS Docker Kubernetes Salesforce Go TypeScript AWS Lambda Apache Airflow dbt Python SQL Athena macOS Microsoft Office Google Workspace Excel Google Sheets Salesforce Service Cloud LinkedIn Twitter Adobe AWS Fargate+8 more

What SmithRx Is Building

◆Challenges

Inefficient pbm sector
Workflow efficiency improvement
Scaling engineering teams
Process workflow inefficiencies
Scaling database for doubling user base
Identifying client satisfaction risks
Widespread deficiencies in pbm
Maintaining data accuracy across platforms
Optimizing adjudication system performance
Inefficient pharmacy benefit management

▲Active Projects

System enhancements for workflow automation
Next-generation pbm platform
Unified technology platform
Mobile development and deployment pipeline
Automation of deployment, monitoring, and infrastructure management
Design and implement scalable data models for drug pricing insights
Implement data governance policies for pii/phi protection
Claims optimization ml solution
Design and implement bcp and dr plan
Scalable payroll processes

Hiring Activity

Accelerating65 roles · 30 in 30d

Department

Engineering

Support

Ops

Sales

Data

Product

Finance

Healthcare

Seniority

Senior

Mid

Junior

Manager

Principal

Director

Lead

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About SmithRx

SmithRx is a transparent, pass-through pharmacy benefits manager serving self-insured employers and their members in the United States. Founded in 2016 and headquartered in San Francisco, the company employs 501–1,000 people and operates independently from insurance carriers and pharmacy networks to align incentives solely with customer cost reduction. The platform connects employers and members to lower-cost drug options through modern technology and cost-savings programs. Current operational focus spans workflow automation, scalable data infrastructure for pricing insights, claims optimization, and business continuity planning.

HeadquartersSan Francisco, CA

Company Size501–1,000 employees

Founded2016

Hiring MarketsUnited States

Frequently Asked Questions

What tech stack does SmithRx use?

React, Node.js, GraphQL, PostgreSQL, DynamoDB, AWS (Lambda, Fargate, Athena), Apache Airflow, dbt, Python, Docker, Kubernetes, TypeScript, and Go. Primary data store is PostgreSQL with DynamoDB for operational data.

What is SmithRx working on?

A next-generation PBM platform, unified technology stack, mobile development pipeline, claims optimization ML solution, scalable drug pricing data models, data governance (PII/PHI protection), and infrastructure automation via Kubernetes and monitoring systems.