Remote Pharmacy Support Specialist (Bilingual)

Rightway; United States; Remote; USD 28,000 - 36,000; Full time

Job summary

Rightway is seeking a bilingual (English/Spanish) Pharmacy Support Technician to join our Operations team. You will help members, providers, and pharmacies navigate benefits, prior authorization, and claims across phone, chat, and email channels with empathy and problem-solving focus.

You will assist with benefit design, formulary questions, and clinical program enrollment, while documenting interactions for continuity of care and quality assurance.

Qualifications

• Associate’s or Bachelor’s degree preferred or equivalent work experience.
• 1–3 years as pharmacy technician or in a health plan contact center.
• Active/Current National Pharmacy Technician Certification (PTCB, NHA)

Responsibilities

• Serve as the primary contact for members, providers, and pharmacies across phone, chat, email, and written correspondence.
• Field and resolve inquiries related to mail order, benefit design, formulary coverage, medication cost, prior authorization criteria, and claims adjudication.
• Support clinical pharmacists with patient and provider outreach, including scheduling appointments and enrolling members in Rightway programs.
• Document interactions and resolutions within internal systems for continuity of care and compliance.
• Utilize AI-enabled tools to resolve inquiries and maintain a consistent member experience.
• Take ownership of issues from initial contact through final resolution across multiple channels.

Skills

Bilingual English/Spanish

Customer service

Analytical thinking

Education

Associate’s or Bachelor’s degree preferred

Tools

Pharmacy claims adjudication systems

Internal knowledge systems

AI-enabled tools

Job description

Rightway is seeking a bilingual (English/Spanish) Pharmacy Support Technician to join our Operations team. You will help members, providers, and pharmacies navigate benefits, prior authorization, and claims across phone, chat, and email channels with empathy and problem-solving focus.

You will assist with benefit design, formulary questions, and clinical program enrollment, while documenting interactions for continuity of care and quality assurance.