greenhouse
Pharmacy Technician, Care Team
Rightway
Remote, USA
Full-time
Entry
Remote
USD 21.5-22 hourly
Discovered 1 weeks ago
Free
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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.
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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.
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