Pharmacy Technician - Specialty

ABOUT THE ROLE:

Our PBM goal is to help clients better manage pharmacy spend to make drugs more affordable for their employees and dependents. Rightway is responsible for designing, building, and operating a new-to-the-world PBM model based on our core tenets: fairness & transparency, unlocking the supply chain, supporting the physician-patient relationship, and utilizing navigation to empower consumers
The Specialty Pharmacy Technician / Specialty Pharmacy Guide (CPhT) is a member of the Rightway PBM Clinical Operations team. We are looking for an experienced certified pharmacy technician to engage with our specialty members in a caring and empathetic manner. Written and verbal communication skills will be critical when interacting with members on the phone, via email, and via the chat function on the Rightway app. A willingness to go the extra mile to provide outstanding customer service is an essential requirement of this role.
Serves as direct member and provider contact for specialty pharmacy benefit information, prior authorization requests, and navigation support. Inquiries may be received by telephone, chat, fax, email, or written correspondence
Prior to the receipt of medication, provides support to members enrolled in specialty management programs, including coordinating any needed prior authorization with the UM team, the fulfillment of the prescription with the specialty pharmacy partner, enrollment in patient assistance programs, and billing questions. Fields questions from members, human resources departments, pharmacies, and providers related to specialty distribution, benefit design, formulary coverage and cost of medication, prior authorization criteria, claims adjudication, copay/patient assistance, and ensures individual’s questions and issues are resolved
Supports Specialty Clinical Pharmacists in patient and provider outreaches, including scheduling of appointments between members and pharmacists, enrollment of members into copay or patient assistance programs, medication adherence support, and other administrative tasks
Assists in ensuring all operating and productivity standards are met, which may include conducting quality reviews of calls, chats, and documentation notes to identify opportunities for improvement
Ensures regulatory and privacy standards are consistently met
Provide support to other teams within Clinical Operations, such as utilization management and navigation
Associate’s or Bachelor’s degree preferred
~1-2 year’s experience in a pharmacy technician role within a Specialty pharmacy, PBM, pharmacy department of a health plan, or similar managed care setting.
~ Active Certified Pharmacy Technician (CPhT)
~ Knowledge of pharmacy claims adjudication and benefit designs/terminology, ability to multi-task and prioritize work, ability to work independently.

Bi-lingual preferred (Spanish)
We will never ask for bank details or deposits of any kind as a condition of employment.
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 has raised over $300mm from investors including Khosla Ventures, Thrive Capital, Francisco Partners, and Tiger Global. 1)

We are human, first

Our humanity binds us together. 4) We cultivate grit

Changing healthcare doesn’t happen overnight. We embrace failure as a stepping stone to future success. 5)

We seek to delight

Healthcare is complicated and personal. All employment decisions are based on merit, qualifications, need, and performance.