
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.
🕒 July 15
🐊 Florida – Remote
💵 $22 - $23 / hour
⏰ Full Time
🟢 Junior
💊 Pharmacist
🦅 H1B Visa Sponsor
👻 Ghost score 12%
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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 direct member and provider contact for specialty pharmacy benefit information, prior authorization requests, and navigation support via telephone, chat, fax, email, or written correspondence • Support members enrolled in specialty management programs by coordinating prior authorization, prescription fulfillment, patient assistance program enrollment, billing questions, follow-up, pharmacist connections, and future refills • Resolve questions from members, human resources departments, pharmacies, and providers concerning specialty distribution, benefit design, formulary coverage, medication costs, prior authorization criteria, claims adjudication, copay/patient assistance • Support Specialty Clinical Pharmacists with patient and provider outreach, appointment scheduling, assistance-program enrollment, medication adherence support, and administrative tasks • Help meet operating and productivity standards, including quality reviews of calls, chats, and documentation notes • Ensure regulatory and privacy standards are met • Provide support to other Clinical Operations teams, including utilization management and navigation
• Associate’s or Bachelor’s degree preferred • 1-2 year’s experience in a pharmacy technician role within a Specialty pharmacy, PBM, pharmacy department of a health plan, or similar managed care setting • Active Certified Pharmacy Technician (CPhT) • Detail-oriented, adaptable, critical thinker, empathetic, ability to dig deep in understanding an issue to get to true root cause and resolution, desire to improve a patient’s healthcare experience and provide concierge level service • Knowledge of pharmacy claims adjudication and benefit designs/terminology • Ability to multi-task and prioritize work • Ability to work independently • Bi-lingual preferred (Spanish)
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