Pharmacy Technician, Care Team

Rightway; United States; On-site; USD 30,000 - 31,000; Full time

Job summary

Rightway is seeking a Pharmacy Technician to join its Operations team in the United States. You’ll be the first point of contact for members, providers, and pharmacies across phone, chat, and email, delivering empathetic and accurate support on benefits, prior authorization, and claims.

With 1–3 years in a health plan or PBM setting and a current PTCB/NHA certification, you’ll handle claims adjudication, enrollment in Rightway programs, and medication adherence outreach, documenting interactions

Qualifications

• Education: associate's or bachelor's degree preferred, or equivalent relevant work experience.
• Certification: Active/Current National Pharmacy Technician Certification (PTCB, NHA)
• Experience: 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.
• Detail oriented, adaptable, and analytical, with the ability to dig past a symptom to find and resolve the true root cause.
• Empathetic and intellectually curious, with a genuine desire to improve a member's healthcare experience and deliver concierge level service across every channel.
• Comfortable multitasking and prioritizing across concurrent phone, chat, and email queues, with the independence to manage your own workload.
• Comfortable supporting multiple lines of business and shifting priorities based on business needs, seasonal demand, and service levels.

Responsibilities

• Serve as the primary point of contact for members, providers, and pharmacies across phone, chat, email, and written correspondence, delivering timely and accurate support regardless of communication channel.
• Field and resolve inquiries related to mail order, benefit design, formulary coverage, medication cost, prior authorization criteria, and claims adjudication.
• Seamlessly support interactions across phone, chat, email, and other digital channels while maintaining consistent quality and service standards.
• Assist network pharmacies in processing prescription claims, reviewing claims for accuracy against benefit guidelines and contract standards.
• Support clinical pharmacists with patient and provider outreach, including scheduling appointments, enrolling members in Rightway clinical programs, and following up on medication adherence.
• Accurately document interactions and resolutions within internal systems to support continuity of care, quality assurance, compliance requirements, and operational reporting.
• Take ownership of member, provider, and pharmacy issues from initial contact through final resolution, coordinating with internal teams when necessary to ensure timely and complete resolution.
• Utilize AI-enabled tools and internal knowledge systems to efficiently resolve inquiries, document interactions, and deliver a consistent member experience.
• Foster a team environment that values cooperation, respect, and diversity, and take on other duties and projects as assigned.

Skills

Empathy

Problem solving

Customer service

Communication

Attention to detail

Multitasking

Education

Associate's or Bachelor's degree preferred

Tools

Internal systems

Job description

About The Role

Rightway exists to make pharmacy benefits fair, transparent, and easier to navigate. This role sits on the Rightway Operations team and is a member of the front line of that mission: the first point of contact for members, providers, and pharmacies with questions about benefits, prior authorization, claims, and clinical program enrollment. You'll work across phone, chat, and email applying the same standard of empathy and root cause problem solving no matter the channel a member chooses.

What You’ll Do

• Serve as the primary point of contact for members, providers, and pharmacies across phone, chat, email, and written correspondence, delivering timely and accurate support regardless of communication channel.
• Field and resolve inquiries related to mail order, benefit design, formulary coverage, medication cost, prior authorization criteria, and claims adjudication.
• Seamlessly support interactions across phone, chat, email, and other digital channels while maintaining consistent quality and service standards.
• Assist network pharmacies in processing prescription claims, reviewing claims for accuracy against benefit guidelines and contract standards.
• Support clinical pharmacists with patient and provider outreach, including scheduling appointments, enrolling members in Rightway clinical programs, and following up on medication adherence.
• Accurately document interactions and resolutions within internal systems to support continuity of care, quality assurance, compliance requirements, and operational reporting.
• Take ownership of member, provider, and pharmacy issues from initial contact through final resolution, coordinating with internal teams when necessary to ensure timely and complete resolution.
• Utilize AI-enabled tools and internal knowledge systems to efficiently resolve inquiries, document interactions, and deliver a consistent member experience.
• Foster a team environment that values cooperation, respect, and diversity, and take on other duties and projects as assigned.

Who You Are

• Education: associate's or bachelor's degree preferred, or equivalent relevant work experience.
• Certification: Active/Current National Pharmacy Technician Certification (PTCB, NHA)
• Experience: 1 to 3 years as a pharmacy technician in a health plan, retail pharmacy setting, TPA, or PBM contact center role. Mail order and specialty pharmacy backgrounds are also a strong fit.
• Working knowledge of pharmacy claims adjudication, benefit design, and PBM terminology.
• Detail oriented, adaptable, and analytical, with the ability to dig past a symptom to find and resolve the true root cause.
• Empathetic and intellectually curious, with a genuine desire to improve a member's healthcare experience and deliver concierge level service across every channel.
• Comfortable multitasking and prioritizing across concurrent phone, chat, and email queues, with the independence to manage your own workload.
• Comfortable supporting multiple lines of business and shifting priorities based on business needs, seasonal demand, and service levels.

COMPENSATION: $21.50 - $22.00/hr

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

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 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 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 celebrate our differences and similarities, we are present for each other, and we strive for mutual understanding.

We redefine what is possible

We 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.

We debate then commit

We 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.

We cultivate grit

Changing 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.

We seek to delight

Healthcare 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.