Pharmacy Technician

🔥 36 minutes ago

🐊 Florida – Remote

🐊 Florida – Remote

💵 $21 - $22 / hour

⏰ Full Time

🟢 Junior

💊 Pharmacist

🚫👨‍🎓 No degree required

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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 consistent quality and service standards. • Assist network pharmacies with prescription claim processing 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 member, provider, and pharmacy issues from initial contact through final resolution, coordinating with internal teams as needed. • Use AI-enabled tools and internal knowledge systems to resolve inquiries, document interactions, and deliver a consistent member experience. • Foster a cooperative, respectful, and diverse team environment and take on other assigned duties and projects.

🎯 Requirements

• Associate's or bachelor's degree preferred, or equivalent relevant work experience • Active/current National Pharmacy Technician Certification (PTCB or NHA) • 1 to 3 years of experience as a pharmacy technician in a health plan, retail pharmacy, TPA, or PBM contact center role • Mail order and specialty pharmacy experience is a strong fit • Working knowledge of pharmacy claims adjudication, benefit design, and PBM terminology • Detail-oriented, adaptable, and analytical, with root-cause problem-solving ability • Empathetic and intellectually curious, with a desire to improve members' healthcare experience • Ability to provide concierge-level service across every channel • Ability to multitask and prioritize across concurrent phone, chat, and email queues • Independence in managing workload • Ability to support multiple lines of business and shift priorities based on business needs, seasonal demand, and service levels

🏖️ Benefits

• Remote work arrangement • Compensation of $21.50–$22.00 per hour • Inclusive culture celebrating diverse thought, beliefs, backgrounds, and education • Equal opportunity employment