Pharmacy Technician – Care Team

🕒 September 28

🐊 Florida – Remote

🐊 Florida – Remote

💵 $21 - $22 / hour

⏰ Full Time

🟢 Junior

💊 Pharmacist

🦅 H1B Visa Sponsor

This company has sponsored H1B visas in the past.

👻 Ghost score 3%

What it means: the chance that no one is really hiring for this job.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.Why this score:

• Open for 46 days.
• Jobs at this company usually fill in 45 days.

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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 via phone, chat, email, and written correspondence • Resolve inquiries about mail order, benefit design, formulary coverage, medication cost, prior authorization criteria, and claims adjudication • Assist network pharmacies with prescription claims processing and review claims for accuracy • 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 reporting • Own issues from initial contact through final resolution, coordinating 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

• 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 • Associate's or bachelor's degree preferred, or equivalent relevant work experience • Mail order and specialty pharmacy backgrounds are a strong fit • Ability to analyze root causes and resolve issues • Ability to multitask and prioritize concurrent phone, chat, and email queues • Ability to support multiple lines of business and shifting priorities

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