
201 - 500 employees
🏥 Healthcare
⚕️ Healthcare Insurance
☁️ SaaS
💰 $100M Series C on 2021-03
Healthcare • Healthcare Insurance • SaaS
Rightway is a healthcare company focused on providing care navigation and pharmacy benefits management solutions. It specializes in helping employers and health systems lower healthcare costs and improve outcomes through personalized, proactive clinical support and transparent pharmacy benefits management. Rightway offers a human-first approach, providing real-time, one-on-one support to members to help them make better healthcare decisions and navigate the complexities of healthcare systems. The company aims to reduce healthcare costs while improving employee satisfaction with healthcare services.
🕒 August 19
🐊 Florida – Remote
💵 $23 / hour
⏰ Full Time
🟢 Junior
💬 Bilingual
🚫👨🎓 No degree required
🦅 H1B Visa Sponsor
👻 Ghost score 3%
🗣️🇪🇸 Spanish Required
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201 - 500 employees
🏥 Healthcare
⚕️ Healthcare Insurance
☁️ SaaS
💰 $100M Series C on 2021-03
Healthcare • Healthcare Insurance • SaaS
Rightway is a healthcare company focused on providing care navigation and pharmacy benefits management solutions. It specializes in helping employers and health systems lower healthcare costs and improve outcomes through personalized, proactive clinical support and transparent pharmacy benefits management. Rightway offers a human-first approach, providing real-time, one-on-one support to members to help them make better healthcare decisions and navigate the complexities of healthcare systems. The company aims to reduce healthcare costs while improving employee satisfaction with healthcare services.
• Serve as the primary point of contact for members, providers, and pharmacies across phone, chat, email, and written correspondence • Resolve inquiries related to mail order, benefit design, formulary coverage, medication cost, prior authorization criteria, and claims adjudication • Support interactions across phone, chat, email, and other digital channels while maintaining quality and service standards • Assist network pharmacies in processing prescription claims and review claims for accuracy against benefit guidelines and contract standards • Support clinical pharmacists with patient and provider outreach, appointment scheduling, clinical program enrollment, and medication-adherence follow-up • Document interactions and resolutions in internal systems for continuity of care, quality assurance, compliance, and operational reporting • Own issues from initial contact through final resolution and coordinate with internal teams • Use AI-enabled tools and internal knowledge systems to resolve inquiries and document interactions • Foster a cooperative, respectful, and diverse team environment and take on assigned duties and projects
• Bilingual in English/Spanish • Associate's or bachelor's degree preferred, or equivalent relevant work experience • Active/Current National Pharmacy Technician Certification (PTCB, NHA) • 1 to 3 years as a pharmacy technician in a health plan, retail pharmacy setting, TPA, or PBM contact center role • Working knowledge of pharmacy claims adjudication, benefit design, and PBM terminology • Detail oriented, adaptable, and analytical • Ability to identify and resolve root causes • Empathetic and intellectually curious • Ability to multitask and prioritize across concurrent phone, chat, and email queues • Ability to support multiple lines of business and shifting priorities
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