📍 Remote | $21–$22/hr
🕒 Full-Time | Multiple shift blocks available
🏢 About Rightway
Rightway is on a mission to harmonize healthcare for everyone, everywhere. Through our all-in-one digital platform, we’re transforming how people access care, medications, and support—powered by a team of real human experts, not just algorithms.
We’ve raised over $205M from investors like Khosla Ventures, Thrive Capital, and Tiger Global, and we’re growing fast. Join us in building a simpler, more empowering healthcare experience.
🚀 The Role
We’re seeking a Pharmacy Customer Service Representative to join our RightwayRx Operations Team. This team member will support members and providers with inquiries related to benefits, claim adjudication, and utilization management. Reporting to the Sr. Director of PBM Operations, you’ll help us deliver fairness, transparency, and excellence in pharmacy support.
💼 What You’ll Do
- 📞 Handle inbound/outbound calls and electronic inquiries from members and providers
- 🧠 Assist with claim troubleshooting, adjudication issues, and benefit clarification
- 📋 Accurately document call resolutions using call-tracking protocols
- 💡 Act as a customer advocate, ensuring problems are resolved quickly and clearly
- 🏥 Help pharmacies process claims accurately within benefit guidelines
- 🤝 Foster an inclusive, respectful, and collaborative team culture
- 📌 Take on additional duties or projects as needed
🧑💼 Who You Are
- 🎓 Education: Bachelor’s degree or equivalent experience
- 💳 Certifications: Active National PTCB or NHA Certification (Required)
- 💼 Experience: 3–5 years in a health plan, TPA, or PBM contact center
- 🧠 Strengths: Detail-oriented, empathetic, resourceful, analytical, and proactive
- 🗣 Communication: Clear, concise, and confident in all forms of interaction
- 🔄 Adaptable: Comfortable navigating change, solving problems, and thinking critically
💰 Compensation
- Hourly Rate: $21–$22/hr
- Location-based compensation may apply
🧠 Rightway Values We Live By
- 🤝 We are human, first — Empathy drives everything we do
- 🔍 We redefine what’s possible — Innovation is our foundation
- 🗣 We debate, then commit — Collaboration fuels smarter outcomes
- 💪 We cultivate grit — Resilience makes big change possible
- 😊 We seek to delight — We take every opportunity to improve lives
🛡️ Cybersecurity Notice
Rightway will only contact you from @rightwayhealthcare.com and will never request personal banking information or deposits during the hiring process.
📬 How to Apply
💡 Required: Active NATIONAL certification (PTCB or NHA)
🕐 Availability: Choose from morning, evening, overnight, or weekend shifts
🗽 Must be authorized to work in the U.S.
To apply:
✅ Upload your Resume/CV
✅ Submit a Cover Letter
✅ Answer application questions honestly and thoroughly
🌟 Join a team that values people, not just processes. If you’re passionate about simplifying healthcare and helping others, Rightway wants to hear from you.