Clinical Pharmacist - Care Team

OpenKrill; United States; Remote; USD 120,000 - 125,000; Full time

Job summary

Rightway is seeking a Clinical Pharmacist, Care Team, to join its PBM Clinical Operations. The role emphasizes a pharmacist-in-the-family approach, engaging members by phone, chat, and email with compassionate, high-touch service.

You will perform drug utilization reviews, comprehensive medication reviews, and collaborate with providers to close therapy gaps, while ensuring formulary compliance and regulatory standards. Travel may be occasional.

Qualifications

• Pharmacy degree required; PharmD preferred.
• 3 years in direct patient care such as PBM clinical operations or Health Plan Pharmacy.
• Pharmacy License: state licensure required; multi-state licenses preferred.

Responsibilities

• Guide members as if you are the “Pharmacist in the Family” to help members manage their medications and disease states
• Engage with members via phone, chat, and email to provide a white glove/concierge experience for members
• Go above and beyond to answer member questions about all things pharmacy related
• Perform core Pharmacist duties including prospective/retrospective drug utilization reviews, comprehensive medication reviews, and recommending changes to patient's drug regimens
• Partners with Rightway’s Navigation team where needed to provide holistic support to members
• Engages with providers to address medication gaps in therapy for patients, drug therapy recommendations, formulary compliance, and serve as a subject matter expert on medications
• Contributes to the Pharmacy & Therapeutics committee in the research, preparation and presentation of drug monographs, therapeutic category reviews and clinical policy development. Ensures that these processes meet or exceed regulatory and best practice standards
• Supports prior authorization review process as needed regarding drug product selection and formulary compliance to ensure quality of care
• Perform utilization management reviews and support outreach to members and providers to drive clinical and cost-savings outcomes.
• Effectively collaborate with third-parties in the administration of Rightway’s clinical pharmacy strategy
• Responsible for achieving productivity and quality of work metrics for clinical pharmacy interactions
• Contribute to the design and evolution of technology-enabled processes to create a scalable clinical pharmacy operation
• Ensures regulatory standards are consistently met

Skills

Empathy

Communication

Problem-solving

Attention to detail

Project leadership

Phone/chat support

Education

Doctor of Pharmacy (PharmD)

Licensed pharmacist in US

Job description

ABOUT THE ROLE:

The Clinical Pharmacist, Care Team is a member of the Rightway PBM Clinical Operations team. This role will be key in delivering on the “pharmacist in the family” approach to engaging our members. We are looking for an experienced clinical pharmacist to engage with our members in a caring and empathetic manner. Written and verbal communication skills will be critical when interacting with members on the phone, via email, and via the chat function on the Rightway app. A willingness to go the extra mile to provide outstanding customer service is an essential requirement of this role.

WHAT YOU’LL DO:

• Guide members as if you are the “Pharmacist in the Family” to help members manage their medications and disease states
• Engage with members via phone, chat, and email to provide a white glove/concierge experience for members
• Go above and beyond to answer member questions about all things pharmacy related
• Perform core Pharmacist duties including prospective/retrospective drug utilization reviews, comprehensive medication reviews, and recommending changes to patient's drug regimens
• Partners with Rightway’s Navigation team where needed to provide holistic support to members
• Engages with providers to address medication gaps in therapy for patients, drug therapy recommendations, formulary compliance, and serve as a subject matter expert on medications
• Contributes to the Pharmacy & Therapeutics committee in the research, preparation and presentation of drug monographs, therapeutic category reviews and clinical policy development. Ensures that these processes meet or exceed regulatory and best practice standards
• Supports prior authorization review process as needed regarding drug product selection and formulary compliance to ensure quality of care
• Perform utilization management reviews and support outreach to members and providers to drive clinical and cost-savings outcomes.
• Effectively collaborate with third-parties in the administration of Rightway’s clinical pharmacy strategy
• Responsible for achieving productivity and quality of work metrics for clinical pharmacy interactions
• Contribute to the design and evolution of technology-enabled processes to create a scalable clinical pharmacy operation
• Ensures regulatory standards are consistently met

WHO YOU ARE:

• Pharmacy degree required, PharmD preferred. Managed Care or other pharmacy residency preferred
• 3 years in direct patient care such as PBM clinical operations or Health Plan Pharmacy Department or provision of Medication Therapy Management services
• Pharmacy License: Required: State of residence. Preferred: Multi-state licenses and/or be willing to attain licensure in additional states
• Empathetic, detail-oriented, intellectually and clinically curious, good listener, ability to challenge status quo, values exemplar
• Great clinician, effective & creative problem-solver, ability to prioritize and manage through change. Solid communication skills, ability to lead projects and influence others even without direct reporting line ownership
• Occasional travel may be required

COMPENSATION:

$120,000 - $125,000 annually, in addition to bonus and equity.

Compensation offered will be determined by geographic location, experience, and qualifications.

CYBERSECURITY AWARENESS NOTICE

In response to ongoing and industry-wide fraudulent recruitment activities (i.e., job scams), Rightway wants to inform potential candidates that we will only contact them from the @rightwayhealthcare.com email domain. We will never ask for bank details or deposits of any kind as a condition of employment.

ABOUT RIGHTWAY:

Rightway is on a mission to harmonize healthcare for everyone, everywhere. Our products guide patients to the best care and medications by inserting clinicians and pharmacists into a patient’s care journey through a modern, mobile app. Rightway is a front door to healthcare, giving patients the tools they need along with on-demand access to Rightway health guides, human experts that answer their questions and manage the frustrating parts of healthcare for them.

Since its founding in 2017, Rightway has raised over $300mm from investors including Khosla Ventures, Thrive Capital, Francisco Partners, and Tiger Global. We’re headquartered in New York City, with satellite offices in Denver and Dallas. Our clients rely on us to transform the healthcare experience, improve outcomes for their teams, and decrease their healthcare costs.

HOW WE LIVE OUR VALUES TO OUR TEAMMATES:

We’re seeking those with passion for healthcare and relentless devotion to our goal. We need team members that embody our core values:

1. We are human, firstOur humanity binds us together. We bring the same empathetic approach to every individual we engage with, whether it be our members, our clients, or each other. We are all worthy of respect and understanding and we engage in our interactions with care and intention. We honor our stories. We listen to—and hear—each other, we celebrate our differences and similarities, we are present for each other, and we strive for mutual understanding.
2. We redefine what is possibleWe always look beyond the obstacles in front of us to imagine new solutions. We approach our work with inspiration from other industries, other leaders, and other challenges. We use ingenuity and resourcefulness when faced with tough problems.
3. We debate then commitWe believe that a spirit of open discourse is part of a healthy culture. We understand and appreciate different perspectives and we challenge our assumptions. When working toward a decision or a new solution, we actively listen to one another, approach it with a “yes, and” mentality, and assume positive intent. Once a decision is made, we align and champion it as one team.
4. We cultivate gritChanging healthcare doesn’t happen overnight. We reflect and learn from challenges and approach the future with a determination to strive for better. In the face of daunting situations, we value persistence. We embrace failure as a stepping stone to future success. On this journey, we seek to act with guts, resilience, initiative, and tenacity.
5. We seek to delightHealthcare is complicated and personal. We work tirelessly to meet the goals of our clients while also delivering the best experience to our members. We recognize that no matter the role or team, we each play a crucial part in our members’ care and take that responsibility seriously. When faced with an obstacle, we are kind, respectful, and solution-oriented in our approach. We hold ourselves accountable to our clients and our members’ success.

Rightway is proud to be an Equal Opportunity Employer that believes in the strength of diverse thought, beliefs, backgrounds, and education. We foster an inclusive culture where differences are celebrated to drive the best business decisions possible. We do not discriminate on any basis protected by applicable law. All employment decisions are based on merit, qualifications, need, and performance.