Pharmacy Technician

Rightway

Pharmacy Technician supporting members, providers, and pharmacies for Rightway’s healthcare benefits platform. Resolving benefit, claims, prior authorization, and clinical-program inquiries across phone, chat, and email.

Posted 8/4/2026full-timeRemote • Florida • 🇺🇸 United StatesJunior💰 $22 - $22 per hourWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in pharmacy claims adjudication, benefit design, and member support while providing exceptional service across multiple communication channels. Proficient in using AI-enabled tools for documentation and inquiry resolution, ensuring compliance and quality assurance.

Highest-signal resume keywords

National Pharmacy Technician CertificationPharmacy Claims AdjudicationMail Order Pharmacy ExperienceConcierge-Level ServiceRoot-Cause Problem-Solving

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Pharmacy Claims AdjudicationBenefit DesignMedication Cost AnalysisPrior Authorization CriteriaClinical Program EnrollmentPrescription Claim ProcessingOperational ReportingDetail OrientationAnalytical SkillsMultitasking

Soft Skills

EmpathyIntellectual CuriosityAdaptabilityCooperative Team EnvironmentIndependence

Tools & Technologies

AI-Enabled ToolsInternal Knowledge Systems

Certifications & Qualifications

National Pharmacy Technician Certification

Industry Keywords

Health PlanRetail PharmacyTPAPBMSpecialty Pharmacy

About the role

Key responsibilities & impact

Serve as the primary point of contact for members, providers, and pharmacies across phone, chat, email, and written correspondence.
Resolve inquiries about mail order, benefit design, formulary coverage, medication cost, prior authorization criteria, and claims adjudication.
Support interactions across phone, chat, email, and other digital channels while maintaining consistent quality and service standards.
Assist network pharmacies with prescription claim processing and review claims for accuracy against benefit guidelines and contract standards.
Support clinical pharmacists with patient and provider outreach, appointment scheduling, clinical program enrollment, and medication-adherence follow-up.
Document interactions and resolutions in internal systems for continuity of care, quality assurance, compliance, and operational reporting.
Own member, provider, and pharmacy issues from initial contact through final resolution, coordinating with internal teams as needed.
Use AI-enabled tools and internal knowledge systems to resolve inquiries, document interactions, and deliver a consistent member experience.
Foster a cooperative, respectful, and diverse team environment and take on other assigned duties and projects.

Requirements

What you’ll need

Associate's or bachelor's degree preferred, or equivalent relevant work experience
Active/current National Pharmacy Technician Certification (PTCB or NHA)
1 to 3 years of experience as a pharmacy technician in a health plan, retail pharmacy, TPA, or PBM contact center role
Mail order and specialty pharmacy experience is a strong fit
Working knowledge of pharmacy claims adjudication, benefit design, and PBM terminology
Detail-oriented, adaptable, and analytical, with root-cause problem-solving ability
Empathetic and intellectually curious, with a desire to improve members' healthcare experience
Ability to provide concierge-level service across every channel
Ability to multitask and prioritize across concurrent phone, chat, and email queues
Independence in managing workload
Ability to support multiple lines of business and shift priorities based on business needs, seasonal demand, and service levels

Benefits

Comp & perks

Remote work arrangement
Compensation of $21.50–$22.00 per hour
Inclusive culture celebrating diverse thought, beliefs, backgrounds, and education
Equal opportunity employment