GTM Finance Senior Manager / Director

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:

We are seeking a strategic and hands-on GTM Finance Sr. Manager / Director to serve as our first GTM finance business partner at SmithRx. Partnering closely with Sales and Marketing (S&M) leadership, this builder will shape the financial foundation of our go-to-market engine. We are looking for an individual who can scale a business-oriented finance function from the ground up. Reporting to the Senior Director, Strategic Finance, this role will own financial planning, forecasting, and performance analysis across the GTM organization. You will play a critical role in driving GTM strategy, delivering actionable insights, and ensuring alignment between growth investments and financial outcomes.

What you will do:

Build deep partnerships with Sales and Marketing (S&M) leadership by providing strategic decision support across all areas of investment, delivering high-level financial results, and identifying emerging market trends.

Own and continuously improve forecasting models for members and revenue, ensuring alignment with pipeline, targets and long-range planning.

Own and evolve GTM KPIs and ROI frameworks (CAC, LTV, Payback) to guide decision making that aligns with the Company’s long-term objectives.

Partner with GTM teams on pricing strategy and proposals, developing robust P&L models for new customers and contracts.

Own the monthly forecasts, executive-level variance analysis, annual planning, and spend management for the S&M organization.

Partner with Sales, Rev Ops and HR to align headcount planning, capacity models, and incentive structures including commission modeling and quota development.

Stand up the systems, tooling, and frameworks needed to influence the business, including automation, reporting, and operational rhythms.

What you will bring to SmithRx:

8+ years of experience in FP&A, GTM Finance, Strategic Finance, or related fields, preferably in a high-growth environment.

Proven experience supporting Sales or Marketing leadership, with strong understanding of revenue models and GTM unit economics.

Experience in healthcare or health tech is preferred.

Capable of managing executive relationships, high-stakes deliverables, and complex expectations with your business partners.

Expert in financial modeling and quantitative analysis who thrives on solving unstructured problems and influencing senior business partners.

Strong communication skills and executive presence, with the judgment to challenge assumptions while maintaining strong relationships.

High level of ownership, curiosity, and urgency, with the ability to operate independently and navigate ambiguity.

Bachelor’s degree required.

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 $193,800 — $264,000 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 $177,700 — $242,000 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 $161,500 — $220,000 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 .