Pharmacy Technician – Care Team, Bilingual

🔥 0 minutes ago

🐊 Florida – Remote

🐊 Florida – Remote

💵 $23 / hour

⏰ Full Time

🟢 Junior

💬 Bilingual

🦅 H1B Visa Sponsor

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Rightway

WebsiteLinkedInAll Job Openings

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.

📋 Description

• Serve as the primary point of contact for members, providers, and pharmacies across phone, chat, email, and written correspondence • Resolve inquiries about 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 with prescription claim processing and review claims 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 as needed • 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

🎯 Requirements

• Bilingual in English/Spanish • Active/current National Pharmacy Technician Certification (PTCB or NHA) • 1 to 3 years of pharmacy technician experience in a health plan, retail pharmacy, TPA, or PBM contact center role • Mail order or specialty pharmacy experience is a strong fit • 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 phone, chat, and email queues • Ability to support multiple lines of business and shifting priorities • Associate's or bachelor's degree preferred, or equivalent relevant work experience

🏖️ Benefits

• Remote work arrangement • Equal opportunity and inclusive workplace • Diverse and respectful team culture