Rightway

Pharmacist

• Serve as the primary point of contact for members, providers, and pharmacies across phone, chat, email, and written correspondence, delivering timely and accurate support regardless of communication channel.
• Field and resolve inquiries related to mail order, benefit design, formulary coverage, medication cost, prior authorization criteria, and claims adjudication.
• Seamlessly support interactions across phone, chat, email, and other digital channels while maintaining consistent quality and service standards.
• Assist network pharmacies in processing prescription claims, reviewing claims for accuracy against benefit guidelines and contract standards.
• Support clinical pharmacists with patient and provider outreach, including scheduling appointments, enrolling members in Rightway clinical programs, and following up on medication adherence.
• Accurately document interactions and resolutions within internal systems to support continuity of care, quality assurance, compliance requirements, and operational reporting.
• Take ownership of member, provider, and pharmacy issues from initial contact through final resolution, coordinating with internal teams when necessary to ensure timely and complete resolution.
• Utilize AI-enabled tools and internal knowledge systems to efficiently resolve inquiries, document interactions, and deliver a consistent member experience.
• Foster a team environment that values cooperation, respect, and diversity, and take on other duties and projects as assigned.

Pharmacy Technician

Data Engineer

• Write production-level Python and SQL code, with a strong emphasis on complex SQL for data transformation, pipeline logic, and analytical query optimization.
• Leverage AI tools and large language models to augment engineering workflows — from code generation and query optimization to automated testing, documentation, and process improvement.
• Utilize AWS services such as Lambda, Glue, and Fargate for scalable data operations.
• Build and maintain large-scale data pipelines using Apache Airflow.
• Oversee the maintenance of Extract, Load, and Transform (ELT) processes using DBT.
• Design optimized database schemas in PostgreSQL and Amazon Redshift to ensure data integrity and high performance.
• Identify opportunities to apply AI-driven automation to repetitive or high-volume data engineering tasks, reducing manual effort and improving throughput.

Data Engineer III

General

• Clinical triage to assess the severity of the patient’s health concerns using evidence-based protocols and algorithms in directing care to the right healthcare resource in a timely manner without compromising quality or safety
• Clinical navigation support includes but is not limited to: condition education, care options, and planning, care compliance, medication adherence, shared decision support, and care coordination
• Appropriately leverages input and direction from the Rightway provider to determine the best clinical options for those more complex patient health care needs.
• Accurately documents symptoms/complaints, nursing assessment, the guidance provided, and member/caller response.
• Acts in the best interest of the member by being a health advocate and supporter in the member’s healthcare journey.
• Proactive outreach engagement of high-risk, rising-risk, and gap in care members and assists them in making the necessary lifestyle and behavior changes.
• Coordinates the completion of screening services in high-risk patients by providing care management and adherence follow-up and care coordination support.
• Member’s trusted healthcare advisor, member experience and retention focus e.g. longitudinal care education, guidance, and support
• Develops effective collaboration and working relationships across the Navigation team and organization.
• Maintains a patient-centric, customer-driven professional attitude.
• Stay within the RN scope of practice by strictly following the protocols set by Clear Triage unless directed to do otherwise by a provider on the clinical team, then documenting appropriately when a change does occur.

Clinical Guide, RN – Part Time

Analytics Engineer

• Apply hands on analytics and data expertise to solve complex, fast moving financial and operational problems in the health tech space
• Design, develop and maintain scalable, analytics ready data models (primarily in dbt) that power a PBM and care navigation data ecosystem that support client reporting, performance analytics, operational analysis and self-service business intelligence.
• Translate complex pharmacy benefits and healthcare navigation workflows, business rules and operational processes into transparent, maintainable, and auditable data models.
• Partner closely with data and analytics engineers, data analysts and business stakeholders to deliver reliable data products that can be leveraged across multiple use cases and continuously optimize data models and warehouse performance to support large-scale PBM/care navigation datasets and growing business needs.
• Implement automated data quality checks, testing frameworks and reconciliation processes to ensure data reliability.
• Establish documentation standards, lineage and analytics engineering guardrails that promote transparency and auditability.
• Contribute to engineering best practices including version control, CI/CD, incremental models, code reviews, and observability.
• Contribute to data governance by establishing modeling standards, documentation and guardrails that support auditability, explainability and long term maintainability.
• Build data foundations that enable future agentic analytics engineering use cases, including self-service analytics and AI-assisted insight generation.
• Stay informed on emerging technologies and identify opportunities to incorporate AI into analytics engineering workflows.

Analytics Engineer, Platform

Accountant

• Lead daily accounting operations including payables, customer billing, cash transactions, payroll processing, and responding to inquiries
• Prepare and post journal entries for monthly, quarterly, and year-end close processes
• Reconcile general ledger accounts, ensuring accuracy and resolving discrepancies
• Process multi-state payroll accurately and on schedule, reconciling discrepancies and ensuring compliance with applicable tax and labor regulations
• Assist in preparing financial statements and management reporting
• Contribute to audit preparations, both internal and external, by providing required documentation
• Collaborate with cross-functional teams to support company-wide initiatives and projects
• Assist in preparation of sales and use tax filings/software (Avalara or Sovos)
• Ability to operate in a fast paced, dynamic environment and can adapt to new and unique accounting requirements

Staff Accountant

IT Support

• Source, analyze and maintain up to date information in order for our Health Guides to best support our members with benefit options and available programs and services.
• Conduct quality audits and maintain accountability for accuracy.
• Maintenance of our content management system as well as the member-facing benefits tools, primarily focused on small group and mid-sized clients.
• Partner cross-functionally with internal stakeholders to assess priorities for navigating benefit ecosystem.
• Answers benefit questions; ensures members understand their options and shared financial responsibility, e.g. deductibles, coinsurance, and out of pocket maximum.
• During peak periods, supports the navigation team by sourcing high-quality care providers based on a member’s needs and preferences.

Benefit Specialist

Security Engineer

• Direct the daily execution of Application Security and Cloud Security functions.
• Establish technical priorities, decision frameworks, and operating expectations.
• Architect and deploy defensive controls for AI-enabled capabilities.
• Assess software, services, dependencies, and infrastructure for weaknesses.
• Raise resilience of AWS footprint across identity boundaries and configurations.
• Expand automation for cloud and platform assurance.
• Set approach for risk-based prioritization for addressing issues.
• Define secure engineering expectations for design, build, test, and release activities.
• Shape secure implementation patterns for new platform capabilities.
• Run deep technical reviews for major initiatives.
• Guide authentication and authorization decisions for business workflows.
• Unify application and cloud control strategies.
• Coordinate with Corporate Security for shared capabilities.
• Improve detection, validation, and testing approaches.

Staff Security Engineer

Product Manager

• Own and evolve the vision for Rightway’s digital pharmacy experience, keeping members at the center of every product decision.
• Build intuitive, engaging features—like drug search, cost transparency, benefits clarity, and personalized reminders—that turn complex pharmacy benefits into simple member experiences.
• Partner closely with design, engineering, and clinical experts to create elegant solutions that balance usability with operational and regulatory needs.
• Use experimentation, analytics, and member feedback to continually improve adoption, satisfaction, and outcomes.
• Inspire the team with insights about member behavior and trends in digital health, translating them into actionable roadmaps.
• Lead and mentor an Associate Product Manager, fostering a culture of creativity, empathy, and data-driven decision making.
• Stay curious—explore how AI, digital retail, and consumer health innovations can push our member experience forward.