Rightway

Full-stack Engineer

• Pioneer AI-driven solutions that enhance our care navigation and PBM services, directly improving healthcare outcomes for our members
• Lead rapid prototyping cycles, transforming concepts into production features within days or weeks, not months
• Architect and implement full-stack solutions using our modern tech stack (Node.js, React, TypeScript, Ruby, GraphQL, Postgres)
• Drive technical decisions independently while collaborating with cross-functional teams to ensure alignment with business goals
• Build and maintain scalable, production-grade systems that handle sensitive healthcare data with reliability and security
• Establish technical standards and best practices for AI integration across the platform
• Mentor team members and contribute to our engineering culture of innovation and excellence

Senior Full Stack Engineer, AI

Customer Success Manager

• Lead a team of high-performing Client Success Managers and Associates within PBM
• Evolve the current client segmentation and service model for a scaling PBM organization and manage team capacity and staffing
• Drive and operationalize client renewal, growth (upsell/cross-sell), and retention strategies specific to PBM services
• Build process playbooks, tools, and templates to ensure consistency and scalability of team execution in PBM
• Partner cross-functionally to introduce new processes that optimize internal resources, improve PBM service quality, and enable higher volume output
• Lead strategic PBM account planning, with involvement from key stakeholders across the organization, and ensure actionable and timely execution on plans
• Drive team accountability in meeting PBM client deadlines and delivering on key initiatives, such as churn mitigation and member activation
• Build long-term strategic client partnerships focused on driving significant ROI that result in expanded relationships over time
• Deepen PBM client feedback and data-gathering and develop strategies to address gap areas
• Collaborate with Marketing, Service Delivery, Ops, Product, Analytics, etc. on strategic initiatives and PBM client requests, including influencing roadmap for PBM-specific customizations
• Optimize the client relationship handoff process from Implementation to CS within PBM
• Manage all facets of CS team member onboarding, training, and growth/development specific to PBM services
• Oversee executive-level PBM client relationships and facilitate involvement of Rightway’s executive sponsors in key accounts
• Drive annual planning process for CS team, including developing PBM-specific goal and KPI targets
• Travel to important PBM client meetings (e.g., kickoffs) and broker/TPA meetings, support finalist and capabilities as relevant

Director, Client Success – PBM

Accounting Manager

• Lead and optimize end-to-end revenue cycle management, encompassing billing operations, revenue recognition, and collections processes
• Oversee and execute revenue recognition review processes in accordance with ASC 606 standards across all customer portfolios, ensuring full regulatory compliance, financial accuracy, and adherence to complex contract terms
• Review and approve all client invoicing on a monthly basis as prepared by staff and senior accountants, ensuring accuracy, completeness, and compliance with contractual terms while maintaining ultimate responsibility for invoice quality and timely delivery to clients
• Implement process improvement strategies to streamline customized billing and revenue processes, including evaluating and implementing new systems, leading cross-functional initiatives with operations and technology teams, and building AI-driven workflows to enhance reporting capabilities, and operational efficiency
• Partner with FP&A and management teams to support revenue forecasting and variance analysis, tracking key performance indicators (KPIs) to measure revenue performance against targets and providing actionable insights to drive strategic decision-making
• Lead collections management strategy, including optimizing dunning processes, driving measurable improvements in collection rates, and developing robust reporting frameworks to track, analyze, and communicate collection performance metrics and results to leadership
• Oversee sales and use tax compliance across multiple jurisdictions, including finalizing the Avalara tax software implementation to enhance automation and accuracy of sales tax filings

Revenue Accounting Manager

Analytics Engineer

• Apply hands on analytics and data expertise to solve complex, fast moving financial and operational problems using PBM data.
• Design, develop and maintain scalable, analytics ready data models (primarily in dbt) that power a PBM financial risk engine, leveraging claims, eligibility, pricing, rebates, guarantees and contract data in our Unified Data Warehouse (UDW).
• Translate complex PBM contract and pricing structures (e.g plan paid vs. member paid, rebates, guarantees, caps, fees, exclusions) into transparent, auditable data models that enable financial analysis and risk assessment.
• Partner closely with underwriting, finance, client success and PBM operations teams to understand financial assumptions, risk drivers and reporting requirements and convert them into reliable metrics and models.
• Build curated financial and risk data marts and semantic layers that enable self service analysis for forecasting, scenario modeling and executive reporting among other things.
• Own core financial KPIs and risk metrics E2E from raw claims and contract inputs through production grade models, ensuring consistency and traceability.
• Implement automated data quality checks, reconciliations and controls to validate financial outputs and ensure alignment with source systems and contractual logic.
• Continuously optimize data models and warehouse performance to support large scale claims volumes and time-sensitive financial analysis.
• Contribute to data governance by establishing modeling standards, documentation and guardrails that support auditability, explainability and long term maintainability.
• Communicate complex financial insights clearly through data memos, documentation and presentations for both technical and non technical stakeholders.
• Explore advanced analytics and predictive modeling use cases (e.g utilization forecasting, trend analysis, risk stratification, margin sensitivity) to enhance financial planning and decision making. Experience operationalizing ML models is a plus.

Analytics Engineer, FiRE

Security Analyst

• Coordinate and execute recurring GRC tasks such as quarterly access reviews, audit evidence collection, and risk register reconciliation.
• Document and track completion of control activities and escalate issues where needed.
• Assist with internal and external audits, ensuring timely and complete evidence collection and review.
• Collaborate with Sales, Legal, and Product teams to lead responses for customer security questionnaires and RFPs, progressively owning more complex requests as your experience deepens.
• Maintain and continuously improve a centralized repository of commonly requested security documentation and artifacts (e.g., SOC 2, SIG, CAIQ).
• Work closely with a broad array of business leaders to conduct initial and periodic vendor risk assessments, ensuring that third parties meet Rightway's security and compliance standards.
• Track and follow up on remediation plans and risk treatment for vendors posing unacceptable risk.
• Enable and support automation and optimization of the vendor risk assessment lifecycle using both AI and traditional tooling.
• Support the implementation and operationalization of AI risk and governance controls in alignment with ISO/IEC 42001 (AI Management System) and emerging regulatory guidance e.g., CAIA (Colorado AI Act).
• Monitor AI systems for compliance with ethical and legal standards.

Senior Security Analyst

Data Analyst

• Develop and deliver comprehensive BI and analytics that measure member engagement and outcomes across Rightway’s Pharmacy Navigation and Specialty programs.
• Analyze member engagement across multiple channels, including application usage, email, telephonic and other inbound and outbound communications.
• Produce clinical team and client facing analytics for QBRs, executive reporting and ad hoc inquiries that clearly articulate program value, outcomes and opportunities for optimization.
• Apply advanced analytical and statistical techniques to evaluate the effectiveness of member-facing clinical management programs (e.g diabetes, weight management, GLP-1 programs) and establish repeatable measures of efficacy.
• Partner cross functionally with clinical, operations, product and client success teams to translate business questions into actionable analytics and scalable reporting solutions.
• Support the definition and measurement of return on investment (ROI) for Pharmacy Navigation and Specialty programs for both clients and internal stakeholders.
• Contribute to the evolution of Rightway’s analytics ecosystem by improving data preparation workflows, enabling self-service BI and supporting automated and standardized reporting.
• Lead the development of analytical frameworks and methodologies to support strategic initiatives and new program launches.
• Communicate complex analyses clearly through data memos, dashboards, presentations and verbal storytelling tailored to clinical and business audiences.
• Use AI and advanced analytical tools to accelerate insight generation, root cause analysis and narrative development on top of governed BI models.

Data Analyst III, Care Complete

• Apply hands-on analytics engineering expertise to solve complex, fast-paced business and clinical problems using data.
• Design, develop and maintain scalable, analytics ready data models and pipelines (primarily in dbt) that power clinical program reporting, metrics and insights in our Unified Data Warehouse (UDW).
• Partner closely with clinical program leaders, analysts, product teams, and operations stakeholders to understand program workflows (e.g., enrollment, adherence, outcomes, follow ups) and translate them into intuitive, well-documented data models.
• Build curated data marts and semantic layers that make analytics for clinical programs (such as diabetes and weight management) easy to self-serve for dashboards, ad-hoc analysis and operational reporting.
• Own KPI and metric definitions end-to-end, from raw source data through production-grade models, ensuring consistency, transparency and trust in reporting.
• Implement automated data validation, testing and quality checks to ensure high data reliability across clinical and operational datasets.
• Continuously optimize data models and warehouse performance for both cost and speed as usage scales.
• Contribute to analytics governance by establishing guardrails, documentation and best practices that improve accountability, ownership, and data literacy across teams.
• Communicate insights effectively by developing clear data memos, documentation and presentations tailored to clinical and business stakeholders.
• Explore and integrate AI-enabled analytics and predictive modeling use cases (e.g., adherence risk, program outcomes, operational forecasting) into the analytics stack. Experience operationalizing ML models is a plus.

Product Manager

• Own the product vision and roadmap for Rightway’s Clinical Risk & Engagement product suite, balancing near-term delivery (monitoring + identification) with a longer-term path to proactive and automated engagement.
• Define the end-to-end “risk to action” workflow across teams: forecast → detect risk → explain drivers → prioritize opportunities → enable outreach → measure impact.
• Build tools that reduce or replace manual analysis by enabling:
• automated monitoring of employer populations against contractual guarantee thresholds
• trend detection using contract rules and claims-based spend
• clear views into “what changed” and “why we’re trending over”.
• Create dashboard-style experiences to identify and understand the members driving spend, enabling rapid drill-down from customer → cohort → member.
• Partner with clinical teams to develop a high-signal workflow that supports outreach and behavior change, including:
• a prioritized, ranked “chase list” of members based on estimated intervention value
• member context (condition, medication usage) and clinically appropriate alternatives
• clear explanations that help clinical teams act confidently and consistently.
• Ensure outputs are practical for real outreach operations (not just analytics), and iterate with fast feedback loops.
• Partner with Data Engineering and Analytics teams to define the models and datasets that power these products, leveraging:
• Rx claims, medical claims
• demographics (age, sex)
• member-provided information (health profile submissions).
• Set standards for usability and trust: timeliness, data quality, explainability, and auditability (especially where contract rules and dollars are involved).
• Explore opportunities to incorporate AI/ML where it improves model quality and prioritization without sacrificing interpretability and reliability.
• Translate business needs into detailed requirements, user stories, acceptance criteria, and success metrics.
• Lead discovery with financial risk and clinical partners; align stakeholders around scope, sequencing, and tradeoffs.
• Manage a prioritized backlog across application engineering and data teams; ship iteratively and improve based on adoption and outcomes.

Senior Product Manager, Clinical Risk

Proposal Manager

• Own complex, high-risk proposals end to end, with full accountability for strategy, quality, and delivery.
• Analyze RFP/RFI requirements to understand client needs, evaluation criteria, and risk areas.
• Lead proposal strategy and messaging in partnership with Sales and SMEs to clearly articulate Rightway’s value and differentiation.
• Create, write, edit, and format proposal responses using cloud-based tools (Responsive).
• Drive timelines, coordinate inputs, and ensure proposals are compliant, accurate, and professionally produced.
• Partner with Pod Leaders to provide coaching and quality oversight for Proposal Leads, strengthening writing quality, structure, and overall proposal consistency across the pod.
• Drive continuous improvement within your pod, identifying and implementing enhancements to proposal content, workflows, and quality standards to improve efficiency and outcomes.

Senior Proposal Lead

• Own the vision and roadmap for Rightway’s Clinical Programs
• Define the end-to-end member journey for clinical programs
• Partner with clinical operations and leadership to translate program requirements
• Build the in-product experiences that help eligible members
• Own the tools that enable clinical operations to effectively serve members at scale
• Build the reporting foundation to measure program adoption, engagement, and adherence

Senior Product Manager, Clinical Programs

Product Designer

• Own the entire UX/UI process for the products you will be working on. Follow and evolve our existing design process.
• Conduct user and stakeholder interviews, usability testing, and iterative design validation to generate actionable insights. You’ll design and run research yourself and partner with teammates as needed.
• Work closely with PMs, engineers, and business stakeholders. Be an active, supportive member of our tight-knit design team, reviewing, ideating, and iterating together.
• Use AI tools to accelerate synthesis, explore design alternatives, and prototype faster.
• Design final (or close-to-final) engaging solution screens.
• Work closely with engineers through implementation to ensure high-quality execution and polish.
• Build inclusive experiences with attention to accessibility and usability across diverse member needs.
• Lead collaborative sessions that foster creativity, clarity, and team alignment.

Lead UX/UI Designer

Director

• Oversee networks, adjudication, and pharmacy network configuration while monitoring performance metrics and implementing improvement strategies
• Oversee and manage pharmacy audits, develop audit protocols, and ensure adherence to regulatory requirements and industry standards
• Negotiate contracts for the entire pharmacy network and lead strategic relationship management with key pharmacy partners
• Develop pricing strategies and guardrails for contracting, lead pharmacy rate negotiations, and serve as final contract approver
• Partner with Finance and Accounting teams on pharmacy remittances, payments, and other financial reporting
• Coordinate specialty negotiation strategy with specialty pharmacy teams while collaborating closely with internal Rightway specialty operations team
• Oversee pharmacy analytics and compliance reporting, generating performance reports and providing data-driven insights for strategic decision-making
• Collaborate cross-functionally with internal teams to drive operational excellence and ensure contract terms align with Rightway's business objectives
• Other duties as assigned to support Rightway's mission and objectives

Director, Pharmacy Networks

• Develop comprehensive analytics focusing on engagement with Rightway’s application.
• Work cross-functionally with teams to provide actionable insights and refine and develop data processes for scalability.
• Use advanced statistical analysis techniques to evaluate the effectiveness of our clinical management programs and devise measures for assessing efficacy on a recurring basis.
• Contribute to the improvement of Rightway’s analytical infrastructure by implementing data preparation tools and automated reporting solutions.
• Provide leadership and mentorship to junior analysts, guiding standards and best practices within the team.
• Lead the development of analytic frameworks and methodologies to support strategic initiatives.
• Communicate complex data analysis results effectively to stakeholders and provide actionable recommendations.
• Work with the team to identify and qualify new analytic product opportunities, understand key technical challenges and recommend strategies to operationalize solutions.
• Present reporting results to internal stakeholders and implement feedback to create optimal data analytics.
• Perform detailed pharmacy claims analysis to identify and remedy variances in reporting between Rightway and third party data collectors.

Data Analyst III, PBM Client Success

Financial Planning and Analysis

• Oversee annual budgeting, monthly/quarterly forecasting, and long-term financial planning across all business functions.
• Develop and maintain dynamic financial models to assess revenue performance, margin trends, and unit economics.
• Design and optimize management dashboards and monthly business reviews that deliver clear, data-driven insights to executive leadership.
• Prepare board decks, fundraising materials, and investor reports.
• Improve financial systems and processes, strengthen forecasting accuracy, and implement scalable tools to enable Rightway’s continued growth.
• Partner with Accounting during monthly close cycles to ensure accurate variance analysis and timely financial reporting.
• Identify process improvements to increase efficiency and maintain financial data integrity.
• Ability to operate in a fast paced, dynamic environment and can adapt to new requirements.