Remote
ABOUT THE ROLE:
The PBM Operations Coordinator is a member of the Rightway Data Operations team reporting to the Manager of Data Operations. This role will be responsible for the day to day inquiries and operations related to data operations, specifically focusing on eligibility and accumulator dat
WHAT YOU’LL DO:
- Primary Contact: Serve as the main point of contact for all internal inquiries related to eligibility and accumulator data, ensuring timely and accurate resolution.
- Troubleshooting: Research and troubleshoot inquiries or issues related to accumulator and eligibility data. This includes reviewing incoming eligibility or accumulator files to troubleshoot the issue.
- Data Management: Identify and address missing accumulator data; update and maintain eligibility records as needed.
- Reporting: Generate and analyze member-level accumulator reports to monitor and ensure data accuracy.
- Collaboration: Work closely with various departments, including Account Management, the Contact Center, and the Benefits Team, to resolve member-specific issues and address or escalate broader client concerns.
- Assistance: Support the PBM Pharmacy Associate with daily error reports concerning eligibility and accumulator data. Also support daily tracking of inbound accumulators and eligibility files.
- Vendor Communication: Liaise with eligibility and accumulator vendors to resolve any member-related issues.
- Complex Issue Resolution: Partner with the PBM Pharmacy Associate to address and resolve complex data-related issues.
- Documentation: Ensure that all documentation regarding system setups and implementations is current and accurate
WHO YOU ARE:
- Pharmacy Technician or related experience highly desirable
- 1-3 years of PBM experience in claims or benefit 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.
