Full-Time

Weekend Manager

Pharmacy Contact Center

Confirmed live in the last 24 hours

Rightway

Rightway

201-500 employees

Personalized healthcare navigation and support platform

Data & Analytics
Healthcare

Compensation Overview

$80k - $95kAnnually

Mid, Senior

Dallas, TX, USA

In-office work required Wednesday - Friday or Monday - Wednesday.

Category
Healthcare Administration & Support
Medical, Clinical & Veterinary
Required Skills
Data Analysis

You match the following Rightway's candidate preferences

Employers are more likely to interview you if you match these preferences:

Degree
Experience
Requirements
  • Bachelor’s degree preferred. Relevant experience considered for exceptional candidates.
  • 3+ years working in a PBM/Health Plan call center management role.
  • Knowledge of pharmacy claims adjudication and benefit designs/terminology.
  • Previous call center experience.
  • Project management experience.
  • Ability to multitask and prioritize work.
  • Ability to work reasonably independently.
  • Presentation and communication skills (written and verbal).
  • Ability to perform intermediate data analysis.
Responsibilities
  • Manages and oversees supervision of the pharmacy contact center team including scheduling, time and attendance, and performance management.
  • Conducts effective resource planning to optimize productivity of staff and technology resources.
  • Develops and optimizes workflows to ensure department standards, contract requirements and performance guarantees are being met.
  • Develops a team environment that fosters growth and the desire to help others.
  • Lead contact center quality improvement initiatives that drive first call/interaction resolution and lower customer repeat inquiry rate.
  • Assists with operational and technology readiness for client implementations by coordinating with internal stakeholders.
  • Monitors operational activity to identify any potential issues and develops rapid response plans to implement solutions and remediation efforts.
  • Develops and maintains standard operating procedures and supports training for new team members.
  • Working knowledge of Pharmacy Benefit Management industry terminology, pharmacy claims adjudication rules, and PBM operations.
Desired Qualifications
  • Detail-oriented
  • Critical thinker
  • Client management skills
  • Ability to dig deep in understanding an issue to get to true root cause and resolution
  • Desire to improve the client and member experience
  • Ability to connect the dots across various departments and processes to identify implications of requirements or issues to other areas of the company
  • Willingness to refine/iterate the process.

Rightway Healthcare provides a comprehensive platform for navigating the healthcare system, primarily aimed at employees of various organizations. The company pairs each employee with a dedicated care team, which includes healthcare professionals like physicians, nurses, and pharmacists, to offer personalized support and guidance. This team serves as a single point of contact for all healthcare needs, helping users understand their options and make informed decisions about their care. Rightway's services are offered through a mobile platform that includes tools like formulary guides and prior authorization forms, enhancing user experience and engagement. Unlike many competitors, Rightway focuses on optimizing healthcare spending for employers while improving health outcomes for employees. The company's goal is to reduce healthcare costs and improve the quality of care by educating patients about cost-effective alternatives and proactively engaging them in their healthcare journey.

Company Size

201-500

Company Stage

Late Stage VC

Total Funding

$234.2M

Headquarters

New York City, New York

Founded

2017

Simplify Jobs

Simplify's Take

What believers are saying

  • Rightway's proactive drug search empowers members to make informed medication decisions.
  • The company is recognized as a top workplace, attracting talent and enhancing reputation.
  • Rightway's transparent PBM model is likely to attract clients seeking fair solutions.

What critics are saying

  • A recent data breach could damage Rightway's reputation and lead to legal issues.
  • Increased competition from AI-driven solutions like Curai Health may challenge Rightway.
  • Dependency on partnerships, like with Amazon's One Medical, poses potential risks.

What makes Rightway unique

  • Rightway offers a unique PBM platform eliminating legacy tactics and misaligned incentives.
  • The company provides a centralized mobile platform for personalized healthcare navigation.
  • Rightway's partnership with Curai Health integrates AI for enhanced virtual urgent care services.

Help us improve and share your feedback! Did you find this helpful?

Benefits

Remote Work Options

Growth & Insights and Company News

Headcount

6 month growth

0%

1 year growth

0%

2 year growth

-1%
Hit Consultant
Nov 22nd, 2024
Rightway & Curai Health To Offer Ai-Powered Virtual Urgent Care

What You Should Know:–  Rightway, a company transforming care navigation and pharmacy benefits,  announced a strategic partnership with Curai Health, an AI-powered virtual clinic to maximize member outcomes and reduce costs.–  Members can access Curai for virtual urgent care 24/7 through the Rightway app. Within minutes, members can connect with a Curai MD, DO, or ARNP for diagnosis, treatment, prescriptions, and follow-ups as needed. Rightway nurses ensure seamless post-visit support by coordinating prescriptions, labs, imaging, referrals, and driving members to third-party solutions when applicable to enhance ongoing care.Transforming Healthcare Access with AI-Powered Virtual Care and Navigation SolutionsCurai Health: Redefining Virtual Primary CareCurai Health is a trailblazer in leveraging artificial intelligence (AI) to revolutionize clinical workflows, delivering high-quality and affordable virtual primary and urgent care. Established in 2017, Curai Health combines the expertise of dedicated, licensed clinicians with AI-driven efficiencies to achieve superior care delivery. This hybrid model enables:On-demand, affordable, and accessible healthcare services.Enhanced patient engagement, improved outcomes, and cost reductions for health systems and insurers.Streamlined patient care coordination, facilitated through its AI-powered clinical teams.Curai Health partners with insurers and health systems, ensuring seamless integration with existing workflows. Its innovative, chat-first platform empowers clinicians to provide personalized care at a fraction of the cost, democratizing healthcare access for diverse populations.Rightway: Simplifying Healthcare NavigationRightway transforms the healthcare experience by serving as a centralized entry point for benefit offerings through its user-friendly platform

PR Newswire
Nov 21st, 2024
Rightway Partners With Curai Health To Expand Access To High-Quality, Affordable Virtual Care

NEW YORK, Nov. 21, 2024 /PRNewswire/ -- Today, Rightway, a company transforming care navigation and pharmacy benefits, announced a strategic partnership with Curai Health, an AI-powered virtual clinic to maximize member outcomes and reduce costs. Members can access Curai for virtual urgent care 24/7 through the Rightway app. Within minutes, members can connect with a Curai MD, DO, or ARNP for diagnosis, treatment, prescriptions, and follow-ups as needed. Rightway nurses ensure seamless post-visit support by coordinating prescriptions, labs, imaging, referrals, and driving members to third-party solutions when applicable to enhance ongoing care. Rightway provides members with a clinical care team and a user-friendly platform that serves as a single entry point to healthcare that consolidates and centralizes all benefit offerings

Access Market Intelligence
Sep 6th, 2024
Transparent PBM Rightway Plans to Double Growth in 2024

In 2020, Rightway launched RightwayRx, a PBM solution that eliminates legacy tactics and misaligned incentives, transforming the model into one that is fair and transparent.

Endpoints News
Apr 4th, 2024
Exclusive: PBM unicorn startup Rightway raises $109M, according to filing

(This story is from our new Health Tech newsletter. If you’d like to sign up, just click here.)   An upstart pharmacy benefit manager that signed on conglomerate Tyson Foods as a client earlier this year just raised a fresh round of funding, according to a securities filing. Rightway has raised

PR Newswire
Feb 21st, 2024
Rightway Empowers Members To Make Smarter Rx Decisions With Proactive Drug Search

NEW YORK, Feb. 21, 2024 /PRNewswire/ -- Rightway, the industry's most effective, transparent pharmacy benefit manager (PBM), is excited to highlight the transformative power of proactive drug search, available to all members who use its app. Proactive drug search allows members to easily discover the price of any medication in their plan, whether the doctor has already sent in the prescription or not, empowering them to make the most informed decisions about their healthcare spending.High, unexpected Rx costs contribute to the estimated 20-30% of prescriptions that are never filled. Searching for prescription costs online is time-consuming and can provide inaccurate results, ultimately causing patients to pay more than necessary for their medications. With just a few clicks, Rightway members can access estimated drug prices at their preferred pharmacy and compare prices across the Rightway pharmacy network, including mail-order options and lower-cost therapeutic alternatives. By understanding their cost before leaving the doctor's office, patients can be proactive about finding an appropriate medication that fits their budget."The high cost of prescription medications is a major barrier for many patients," said Scott Musial, Chief Commercial Officer at Rightway