Pharmacist, Formulary & Clinical Strategy

Responsibilities

• Interpret formulary and clinical program performance data to identify trends and opportunities
• Translate data findings into actionable clinical recommendations for leadership
• Incorporate AI tools into daily workflow for literature review, PA criteria drafting, and data summarization
• Support development, maintenance, and updating of formularies and drug lists
• Develop and maintain prior authorization criteria and clinical coverage policies
• Partner cross-functionally with Product, Data & Insights, Cost of Goods, and Client Operations
• Provide clinical support to operational teams and clients during implementation and ongoing management

Requirements

• PharmD required; active pharmacist licensure in at least one US state
• 1–3 years of experience in managed care pharmacy, health plan, or PBM (or PGY1/PGY2 residency)
• Proficient with AI tools in a professional context
• Working knowledge of formulary management, PA criteria development, and managed care fundamentals
• Comfortable reading and interpreting data dashboards and utilization reports
• Strong written and verbal communication skills
• Organized, detail-oriented, and capable of managing multiple projects simultaneously

Preferred Qualifications

• Experience with PBM platform formulary coding or claims adjudication workflows
• Familiarity with CMS formulary compliance requirements or Medicare Part D operations
• Experience using AI tools for clinical literature review, policy drafting, or documentation
• Comfort working in a fast-paced, startup environment

About the Company

Rightway is on a mission to harmonize healthcare for everyone, everywhere. The company guides patients to the best care and medications through a modern, mobile app, providing on-demand access to human health guides and pharmacists. Founded in 2017 and headquartered in New York City, Rightway serves clients seeking to transform the healthcare experience, improve outcomes, and decrease costs.