Remote
ABOUT THE ROLE:
The PBM Benefits Coordinator is a member of the Rightway Operations team reporting to the Manager of Benefit Configuration. This role will be responsible for the day-to-day inquiries and operations related to benefit configuration and administration, specifically focusing on benefit plan setup.
WHAT YOU’LL DO:
- Primary Contact: Serve as the main point of contact for all internal inquiries related to benefit configuration, formulary management, and plan setup, ensuring timely and accurate resolution.
- Troubleshooting: Research and troubleshoot inquiries or issues related to benefit configurations and formulary setups. This includes reviewing benefit plan documents and formulary files to identify and resolve discrepancies.
- Benefit Management: Configure and maintain benefit plans, copay structures, and formulary schedules; update benefit parameters and coverage rules as needed.
- Reporting: Generate and analyze benefit utilization reports and formulary compliance metrics to monitor plan performance and ensure accurate benefit administration.
- Collaboration: Work closely with various departments, including Account Management, the Contact Center, and the Clinical Team, to resolve benefit-specific issues and address or escalate broader client concerns.
- Assistance: Support the PBM Pharmacy Associate with daily benefit configuration tasks and formulary maintenance. Also support daily tracking of benefit plan updates and formulary changes.
- Complex Issue Resolution: Partner with the PBM Pharmacy Associate to address and resolve complex benefit configuration and formulary-related issues.
- Documentation: Ensure that all documentation regarding benefit plan setups, formulary configurations, and implementations is current and accurate.
WHO YOU ARE:
- Pharmacy Technician or related experience highly desirable
- 1-3 years of PBM experience in benefits administration or plan configuration
SALARY: $22.00-$26.44/hr
Offer amounts for both remote and in office roles are influenced by geographic location.
CYBERSECURITY AWARENESS NOTICE
In response to ongoing and industry-wide fraudulent recruitment activities (i.e., job scams), Rightway wants to inform potential candidates that we will only contact them from the @rightwayhealthcare.com email domain. We will never ask for bank details or deposits of any kind as a condition of employment.
ABOUT RIGHTWAY:
Rightway is on a mission to harmonize healthcare for everyone, everywhere. Our products guide patients to the best care and medications by inserting clinicians and pharmacists into a patient’s care journey through a modern, mobile app. Rightway is a front door to healthcare, giving patients the tools they need along with on-demand access to Rightway health guides, human experts that answer their questions and manage the frustrating parts of healthcare for them.
Since its founding in 2017, Rightway has raised over $205mm from investors including Khosla Ventures, Thrive Capital, and Tiger Global. We’re headquartered in New York City, with a satellite office in Denver. Our clients rely on us to transform the healthcare experience, improve outcomes for their teams, and decrease their healthcare costs.
