Remote Seasonal Pharmacy Tech — Member & Pharmacy Support

Rightway; Clifton (TX); Remote; USD 30,000 - 31,000; Full time

Job summary

Rightway is seeking a Remote Seasonal Pharmacy Technician to join the Operations team. Start dates in October and November, with a through February end date.

The role spans phone, chat, and email support for members, providers, and pharmacies, handling benefits, prior authorization, claims, and clinical program enrollment. Requirements include an Associate's or Bachelor's degree (or equivalent experience) and active National Pharmacy Technician Certification.

Qualifications

• Associate's or Bachelor's degree preferred, or equivalent relevant work experience.
• Active/certified National Pharmacy Technician Certification (PTCB or NHA).
• 1-3 years of experience as a pharmacy technician in a health plan, retail pharmacy, TPA, PBM contact center, mail order, or specialty pharmacy setting.
• Working knowledge of pharmacy claims adjudication, benefit design, and PBM terminology.
• Detail-oriented and analytical with ability to identify root causes.
• Empathetic and service-driven with focus on member experience across channels.

Responsibilities

• Serve as a primary contact for members, providers, and pharmacies via 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 interactions across multiple channels while maintaining quality and consistency.
• Assist network pharmacies in processing prescription claims and reviewing claims for accuracy.
• Support clinical pharmacists with outreach and enrollment in Rightway programs, and patient adherence follow-up.
• Document interactions and resolutions in internal systems for continuity of care and reporting.
• Own issues from initial contact to final resolution, coordinating with internal teams as needed.
• Use AI-enabled tools and internal knowledge bases to resolve inquiries efficiently.

Education

Associate's or Bachelor's degree preferred, or equivalent work experience

National Pharmacy Technician Certification (PTCB or NHA) active/certified

Job description

Rightway is seeking a Remote Seasonal Pharmacy Technician to join the Operations team. Start dates in October and November, with a through February end date.

The role spans phone, chat, and email support for members, providers, and pharmacies, handling benefits, prior authorization, claims, and clinical program enrollment. Requirements include an Associate's or Bachelor's degree (or equivalent experience) and active National Pharmacy Technician Certification.