Rightway exists to make pharmacy benefits fair, transparent, and easier to navigate. This role sits on the Rightway Operations team as the frontline point of contact for members, providers, and pharmacies with questions about benefits, prior authorization, claims, and clinical program enrollment.
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 across channels.
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 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 in internal systems to support continuity of care, quality assurance, compliance, and reporting.
What they're looking for
Associate or bachelor degree preferred, or equivalent relevant work experience; active or current National Pharmacy Technician Certification (PTCB, NHA).
1 to 3 years as a pharmacy technician in a health plan, retail pharmacy, TPA, or PBM contact center; mail order or specialty pharmacy backgrounds are a strong fit.
Working knowledge of pharmacy claims adjudication, benefit design, and PBM terminology.
Detail oriented, adaptable, analytical, and capable of root-cause problem solving; empathetic and service oriented.
Comfortable multitasking across phone, chat, and email, and able to support multiple lines of business and shifting priorities.
For applicants in Nigeria
Pay is $21.50 to $22.00 per hour USD; compensation determined by geographic location, experience, and qualifications.
The listing does not state a timezone requirement; confirm before interviewing.
The listing does not specify whether the role is contractor or employee; confirm during interview.
The listing does not state visa or work authorization requirements; confirm if sponsorship is needed.
Summarized by RemoteWork from the original listing. Always confirm details on the employer’s page.
Perks & benefits
What this listing says it offers, and who each perk covers. Perks limited to US or EU employees often do not reach contractors or people hired through an employer of record, which is how many hires from Nigeria are paid.
Pays in USD
$21.50–$22.00/hr compensation
Compensation offered is determined by geographic location, experience, and qualifications.
Not stated who it coversFrom this job listing
Ready to apply?
Your application goes straight to Rightway, on their own hiring page.