Clinical Pharmacist - Care Team

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

Job summary

Rightway HealthCare is seeking a Clinical Pharmacist, Care Team, to engage members via phone, chat, and email with a concierge approach, guiding medication management and disease state optimization. Strong communication and empathy are essential to deliver outstanding customer service.

The role includes drug reviews, regimen recommendations, and collaboration with providers to ensure formulary compliance and high-quality care. Compensation ranges align with market norms in the U.S.

Qualifications

• Pharmacy degree required; PharmD preferred.
• 3 years in direct patient care such as PBM clinical operations or Health Plan Pharmacy.
• Pharmacy License required in state of residence; multi-state licenses preferred or willing to obtain in additional states.

Responsibilities

• Guide members as if you are the 'Pharmacist in the Family' to help manage medications and disease states.
• Engage with members via phone, chat, and email to provide a concierge experience.
• Perform core pharmacist duties: drug utilization reviews, comprehensive medication reviews, and regimen recommendations.
• Collaborate with navigation team to provide holistic support to members and address gaps in therapy.
• Work with providers on medication gaps, formulary compliance, and clinical policy development.

Skills

Empathetic listening

Communication skills

Project leadership

Problem solving

Education

PharmD preferred

Pharmacy license

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, first Our 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 ce