Serve as direct member and provider contact for specialty pharmacy benefit information, prior authorization requests, and navigation support.
Support members enrolled in specialty management programs by coordinating prior authorizations, fulfilling prescriptions, and enrolling in assistance programs.
Follow up with members post-medication receipt to ensure satisfaction, coordinate refills, and connect with pharmacists for clinical questions.
Resolve inquiries from members, providers, and HR departments regarding specialty distribution, formulary coverage, cost, and claims adjudication.
Support Specialty Clinical Pharmacists with appointment scheduling, medication adherence outreach, and administrative documentation.
Conduct quality reviews of interactions to ensure operating standards and regulatory privacy requirements are met.
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About Rightway
Rightway is transforming healthcare by radically simplifying it for clients and members. You will help build innovative Care Navigation and Pharmacy Benefit Management (PBM) platforms. These tools reimagine the member experience, drive industry-leading engagement, and significantly cut total healthcare costs. Since 2017, Rightway has raised over $238 million, serving clients like Tyson Foods and One Medical. They are building a front door to healthcare for over four million members, making care more accessible and affordable.
How We Work
You will join a team that values both intensity and kindness. Rightway operates with core values like being "human, first" and cultivating grit. They believe in open discourse and debate before committing, fostering a culture of mutual understanding. The company encourages redefining what's possible, tackling tough problems with ingenuity. You will work within a flexible environment, with many roles supporting remote work and offering home office stipends.
Engineering at Rightway
You will craft technology that makes healthcare simpler for millions. Rightway uses proprietary machine learning and AI to identify rising-risk members, enabling proactive outreach. Engineers build scalable self-serve analytics dashboards, translating complex healthcare data into intuitive experiences. You will also develop structured platforms to improve implementation tracking and workflow efficiency, solving critical operational bottlenecks. Their modern mobile app guides members to the best care and medications, creating a personalized health journey.
Why Join Us
You will pioneer innovative solutions that radically simplify the complex healthcare system.
You will build and own high-impact products, like the Client Portal, that directly improve customer experience and operational efficiency.
You will contribute to a rapidly growing company, backed by $238M in funding, that actively reduces healthcare costs for millions.
You will work in a flexible, supportive environment where grit, debate, and a human-first approach are core values.
You will use cutting-edge technology including machine learning and AI to deliver data-driven healthcare insights and solutions.
Benefits & Perks
Flexible Spending Account (FSA) and Health Savings Account (HSA)