Pharmacy Technician, Care Team

Responsibilities

• Serve as the primary point of contact for members, providers, and pharmacies across 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
• Assist network pharmacies in processing prescription claims and reviewing for accuracy
• Support clinical pharmacists with patient and provider outreach, including scheduling and clinical program enrollment
• Accurately document interactions and resolutions within internal systems
• Utilize AI-enabled tools and internal knowledge systems to resolve inquiries

Requirements

• Active/Current National Pharmacy Technician Certification (PTCB, N0HA)
• 1 to 3 years of experience as a pharmacy technician in a health plan, retail pharmacy, TPA, or PBM contact center
• Associate's or bachelor's degree preferred
• Working knowledge of pharmacy claims adjudication, benefit design, and PBM terminology
• Ability to multitask across concurrent phone, chat, and email queues

About the Company

Rightway is on a mission to harmonize healthcare for everyone, everywhere. 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.