Rightway is hiring a
Pharmacy Technician

Summary

Join our team as a Specialty Pharmacy Technician / Specialty Pharmacy Guide (CPhT) to support our PBM Clinical Operations team in delivering exceptional customer service to our specialty members. As a key member of the team, you will be responsible for providing direct member and provider contact for specialty pharmacy benefit information, prior authorization requests, and navigation support.

Requirements

• Associate’s or Bachelor’s degree preferred
• 1-2 year’s experience in a pharmacy technician role within a Specialty pharmacy, PBM, pharmacy department of a health plan, or similar managed care setting
• Active Certified Pharmacy Technician (CPhT)

Responsibilities

• Serves as direct member and provider contact for specialty pharmacy benefit information, prior authorization requests, and navigation support
• Prior to the receipt of medication, provides support to members enrolled in specialty management programs, including coordinating any needed prior authorization with the UM team, the fulfillment of the prescription with the specialty pharmacy partner, enrollment in patient assistance programs, and billing questions
• Fields questions from members, human resources departments, pharmacies, and providers related to specialty distribution, benefit design, formulary coverage and cost of medication, prior authorization criteria, claims adjudication, copay/patient assistance, and ensures individual’s questions and issues are resolved
• Supports Specialty Clinical Pharmacists in patient and provider outreaches, including scheduling of appointments between members and pharmacists, enrollment of members into copay or patient assistance programs, medication adherence support, and other administrative tasks
• Assists in ensuring all operating and productivity standards are met, which may include conducting quality reviews of calls, chats, and documentation notes to identify opportunities for improvement
• Ensures regulatory and privacy standards are consistently met
• Provide support to other teams within Clinical Operations, such as utilization management and navigation

Benefits

$22-23/hr base salary