Remote Pharmacy Technician

The role

You will serve as the primary point of contact for members, providers, and pharmacies via phone, chat, and email. You will resolve inquiries regarding benefits, claims, and clinical program enrollment.

What you will do

• 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.
• Support interactions across phone, chat, email, and other digital channels.
• Assist network pharmacies in processing prescription claims and reviewing for accuracy.
• 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 to resolve inquiries.
• 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, NHA)
• 1 to 3 years as a pharmacy technician in a health plan, retail pharmacy setting, TPA, or PBM contact center role.
• 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.

Nice to have

• associate's or bachelor's degree preferred, or equivalent relevant work experience
• Mail order and specialty pharmacy backgrounds are also a strong fit

About the company

Rightway is on a mission to harmonize healthcare for everyone, everywhere. Their products guide patients to the best care and medications through a modern, mobile app.