Rightwayhealthcare

Remote Seasonal Pharmacy Technician

Remote. Posted a month ago

The role

You will serve as a point of contact for members, providers, and pharmacies regarding benefits, prior authorization, claims, and clinical program enrollment. You will work across phone, chat, and email to resolve inquiries and support clinical pharmacists.

What you will do

  • Serve as a primary point of contact for members, providers, and pharmacies via 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
  • Support interactions across phone, chat, email, and other digital channels
  • Assist network pharmacies in processing and reviewing prescription claims
  • Support clinical pharmacists with patient and provider outreach, scheduling, and enrollment
  • Document interactions and resolutions within internal systems
  • Take ownership of member, provider, and pharmacy issues from initial contact through final resolution
  • Utilize AI-enabled tools and internal knowledge systems
  • Foster a team environment that values cooperation, respect, and diversity
  • Take on other duties and projects as assigned

Required qualifications

  • Active/current National Pharmacy Technician Certification (PTCB or NHA)
  • 1–3 years of experience as a pharmacy technician in a health plan, retail pharmacy, TPA, PBM contact center, mail order, or specialty pharmacy setting
  • Working knowledge of pharmacy claims adjudication, benefit design, and PBM terminology
  • Detail-oriented, adaptable, and analytical
  • Empathetic and intellectually curious
  • Comfortable multitasking and prioritizing across concurrent phone, chat, and email queues
  • Comfortable supporting multiple lines of business and shifting priorities
  • Able to work effectively in a fully remote environment
  • Maintain reliable attendance throughout the seasonal assignment
  • Must reside in Florida, Texas, Georgia, or Tennessee

Nice to have

  • Associate's or bachelor's degree preferred, or equivalent relevant work experience

About the company

Rightway is a company that exists to make pharmacy benefits fair, transparent, and easier to navigate. They use a modern, mobile app to guide patients to the best care and medications.

Remote Seasonal Pharmacy Technician at Rightwayhealthcare | JobZoey