
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.
🔥 2 minutes ago
🐊 Florida – Remote
💵 $21 - $22 / hour
⏰ Full Time
🟢 Junior
💊 Pharmacist
🚫👨🎓 No degree required
🦅 H1B Visa Sponsor
👻 Ghost score 3%
Where this job comes from
Posted on Rightway's careers page, not through a job board
First seen by Remote Rocketship 2 minutes ago

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 network pharmacies in processing prescription claims 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 complete assigned projects
• 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 • Detail oriented, adaptable, and analytical • Ability to identify and resolve root causes • Ability to support phone, chat, and email queues while multitasking and prioritizing • Ability to support multiple lines of business and shifting priorities
• Equal Opportunity Employer • Inclusive culture where differences are celebrated • AI-enabled tools and internal knowledge systems provided for work
Apply NowImprove your chances of getting an interview by checking your resume score before you apply.
🔥 16 minutes ago
Pharmacy technician supporting CarelonRx’s clinical pharmacy call center for Medicare, Medicaid, and Commercial members. Processing prescriptions, prior authorizations, member education, and pharmacy benefit inquiries.
🔥 1 hour ago
Pharmacy Specialist processing drug prior authorizations and coverage issues for Horizon Blue Cross Blue Shield of New Jersey. Supporting clinical pharmacy programs, claims, and regulatory compliance.
🇺🇸 United States – Remote
💵 $44.6k - $59.7k / year
⏰ Full Time
🟢 Junior
🟡 Mid-level
💊 Pharmacist
🚫👨🎓 No degree required
🕒 Yesterday
Remote Pharmacy Technician I supporting prior authorization and coverage determination reviews for Centene healthcare members. Reviewing provider forms, researching issues, and gathering missing information.
🕒 2 days ago
Pharmacy Technician Advocate helping Ascension patients access specialty medications and financial assistance. Coordinating PAP applications, prior authorizations, documentation, and care support remotely.
🇺🇸 United States – Remote
💵 $19 - $36 / hour
⏰ Full Time
🟢 Junior
💊 Pharmacist
🚫👨🎓 No degree required
🦅 H1B Visa Sponsor
🕒 2 days ago
CVS Caremark clinical pharmacist advising chronic-disease patients on therapies and adherence. Conducting remote patient consultations and collaborating with prescribers and pharmacy teams.