Rightway

Full-stack Engineer

• Own and drive technical initiatives
• Lead the architecture and delivery of major features across mobile, web, and API layers, from design through production
• Make architectural decisions (service boundaries, data modeling, API contracts) and document them so the team can build on them
• Elevate the team around you
• Mentor mid-level and junior engineers through pairing, code review, and design discussions. Not just catching bugs, but teaching patterns
• Transfer knowledge proactively, mentoring engineers to discover the "why" with a deep foundation of how systems are built
• Establish and maintain coding standards, testing strategies for your initiative area
• Build and maintain production systems
• Design and build gRPC APIs using NestJS
• Work across React Native (mobile) and React (web) to deliver cohesive member experiences
• Define and implement service communication patterns using Protocol Buffers and gRPC
• Own observability for your systems. Maintain Datadog monitors, Sentry error tracking, and know when something is wrong before users report it
• Shape how we work
• Contribute to architecture decisions in cross-team forums
• Drive AI-native development practices by establishing workflows, sharing findings, and helping the team use AI tools effectively
• Identify and raise risks early, including timeline slippage, technical debt, vendor reliability issues, and compliance gaps
• Coordinate across team boundaries when your work touches other services or teams

Senior Software Engineer, PBM Member Experience

• Own and drive technical initiatives
• Mentor mid-level and junior engineers
• Build and maintain production systems
• Shape how we work by contributing to architecture decisions

Senior Software Engineer, PBM Adjudication

Manager

• Support the development and implementation of strategies to ensure client plan performance commitments are met.
• Act as a clinical SME to the client services team, providing operational guidance and day-to-day management support.
• Collaborate with internal leaders to align clinical consulting efforts with organizational goals.
• Deliver high-quality clinical consulting services to clients, ensuring evidence-based recommendations.
• Assist in the development and implementation of clinical programs to improve patient outcomes and support client strategies.
• Support clinical discussions with clients during sales, implementations, and ongoing operations including how benefit designs and clinical programs impact financial performance.
• Analyze pharmacy benefit plan performance metrics to identify trends and areas for improvement.
• Collaborate with internal teams to identify and execute performance improvement strategies and report on outcomes.
• Provide day-to-day support and guidance to the client services team in managing client relationships and performance.
• Build and maintain effective relationships with clients, internal teams, and external stakeholders.
• Serve as a resource to the client services team in discussing clinical strategies and performance improvements with clients.
• Participate in client meetings, presentations, and consultations to support ongoing client engagement.
• Act as a liaison between clients and internal teams, ensuring clear communication and alignment on goals.
• Support quality assurance efforts to ensure the accuracy and effectiveness of clinical consulting services.
• Stay updated on industry trends and best practices in pharmacy, PBM, and healthcare, ensuring continuous improvement.

Senior Manager, Clinical Consulting – Plan Performance

Customer Success Manager

• Responsible for the overall relationship with assigned PBM clients, including managing ongoing client touchbases, contract deliverables, tracking client inquiries and maintaining logs, resolving client escalations when they occur, and ensuring overall client satisfaction.
• Maintain regular contact with clients, client representatives, and other internal members of the account team regarding ongoing pharmacy operations.
• Serve as the initial point of contact for all day-to-day operational inquiries, either from clients directly or from internal team members on behalf of the client. Lead and facilitate all client meetings, including quarterly and annual business reviews.
• Partner with the Implementation Team during new client implementations to ensure a seamless transition from implementation to client management post-launch.
• Responsible for gathering all client requirements for the annual open enrollment process, including benefit changes and any customized requirements.
• Participate in client webinars, training, and other forums designed to educate their employees on Righway’s PBM solution. Travel to client sites for Open Enrollment or Benefit Fairs may be required.
• Identify trends within issues and work with the operations team and vendor partners to take appropriate preventative measures.
• Work with operations and vendor partners to ensure all requirements and deliverables are met and sent to the client timely and accurately. Ability to track and identify issues and risks that are not being met per contractual obligations.
• Participate in efforts to support standardization across accounts and work in multi-disciplinary teams to design and implement production and operational enhancements.
• Provide ongoing support to Rightway partners which may include, but is not limited to, interpreting plan design, researching and resolving phone, written and electronic inquiries, and resolving claims, benefit and enrollment issues.
• Maintain an understanding of industry trends and provide clients with insights and recommendations on how Rightway’s solutions work to address those trends.

Senior CSM, PBM

Software Engineer

• Lead, coach, and grow a team of engineers building modern web and backend systems
• Drive delivery of high quality, reliable software that delivers value to our members and clients
• Partner with Product and Design to shape roadmaps, prioritize work, and deliver meaningful outcomes
• Provide technical guidance and help the team make sound architectural and implementation decisions
• Support the growth of engineers through mentorship, coaching, and clear feedback
• Promote strong engineering practices including testing, code quality, and operational excellence
• Help scale the team through thoughtful hiring, onboarding, and continuous improvement of team processes

Senior Manager, Engineering

Payroll

• Lead and optimize end-to-end payroll cycle management, encompassing bi-weekly payroll processing, tax compliance, and benefits administration while ensuring accuracy, completeness, and compliance with federal, state, and local regulations across all employee populations
• Implement process improvement strategies to streamline payroll operations, including evaluating and implementing new HRIS systems, leading cross-functional initiatives with HR and Finance teams, and building automated workflows to enhance reporting capabilities, operational efficiency, and strategic decision-making support
• Manage payroll tax compliance and filings across multiple jurisdictions, including quarterly and year-end reporting, and coordinating with external tax advisors to ensure accurate and timely submissions
• Oversee garnishment processing, benefits deductions, and equity compensation administration, ensuring proper documentation and compliance with all applicable regulations

Payroll Manager

Director

• Own Rightway's client risk strategy by overseeing the annual risk management portfolio that quantifies performance across all client financial guarantees
• Lead and mentor two specialized teams—Client COGS and Pricing Operations—building a culture of operational excellence, technical innovation, and strategic thinking
• Partner with executive leadership and cross-functional stakeholders to drive financial performance, optimize client financial management, and influence strategic organizational decisions
• Oversee client financial guarantee management including quarterly settlement payments, financial reporting, and client financial strategy development
• Spearhead the development and implementation of the Financial Risk Engine (FiRE), a transformative technical platform designed to scale risk management at the client level and identify strategic opportunities
• Oversee strategic financial scenario modeling and planning initiatives, including MAC management and pricing change strategy, working with analysts to assess their influence on broader client guarantee performance and organizational risk tolerance
• Drive operational efficiency and automation by overseeing database maintenance, governance, and technical solutions that enhance scalability and reduce manual processes
• Ensure compliance and accuracy across ad hoc and regulatory reporting requirements while maintaining data quality and transparency in all financial operations
• Set strategic priorities and KPIs for both teams, aligning day-to-day operations with broader organizational goals and ensuring seamless execution of financial and technical initiatives

Director, Cost of Goods Sold

Analyst

• Lead annual and quarterly financial reconciliations across PBM cost components (claims, rebates, and contractual guarantees), ensuring accuracy and alignment between internal reporting and client-facing results.
• Develop and maintain financial models to forecast pharmacy cost trends, monitor performance against guarantees, and identify actionable COGS optimization opportunities.
• Analyze key pharmacy cost drivers and provide data-driven recommendations to reduce overall spend.
• Investigate and resolve complex financial and contract-related inquiries by performing root-cause analysis and partnering cross-functionally with Finance, Clinical, Contracting, Pricing Operations, and Client Success teams.
• Support margin optimization and cost containment initiatives by evaluating program levers such as formulary strategy, utilization management, network performance, and rebate positioning.
• Improve reporting infrastructure and reconciliation processes by building scalable templates, strengthening data controls, and enhancing operational efficiency.
• Stay current on PBM industry trends, regulatory changes, and emerging cost drivers to inform analysis and recommendations.
• Other duties as assigned.

Senior Analyst, Cost of Goods Sold

• Partner with Pharmacy Network leadership to develop and maintain analytical models that inform network strategy, pricing decisions, and contract negotiations
• Manage regulatory reporting requirements, ensuring accuracy, timeliness, and compliance across all pharmacy network submissions
• Analyze and quantify contractual financial performance with pharmacy partners, identifying trends, opportunities, and areas for optimization
• Oversee MAC pricing impacts and NADAC management, monitoring pricing changes and assessing their influence on network economics and guarantees
• Conduct pricing modeling and scenario analysis to evaluate the financial implications of network changes, contract modifications, and market dynamics
• Respond to internal and external inquiries regarding pharmacy network performance, pricing structures, and contractual terms with clear, data-driven insights
• Build scalable analytical frameworks and reporting tools that enable the Pharmacy Network team to make informed, strategic decisions
• Collaborate cross-functionally with Finance, Client COGS, and Operations teams to ensure alignment on pharmacy economics and client financial performance
• Identify process improvements and automation opportunities to enhance efficiency and accuracy in pharmacy network analytics and reporting

Senior Analyst, Pharmacy Network

• Oversee and review client impact analysis, regulatory reporting, MAC Management, as well as other financial analysis to support PBM pricing strategies and operational decisions
• Write complex SQL queries and Python scripts independently to extract, transform, and analyze pricing data, as well as to automate existing manual processes - documenting and utilizing version control as appropriate
• Design and maintain database structures following best practices for table design, permissions, and data integrity. This includes drug lists, pharmacy network lists, rebate data ingestion, and contractual term management, ensuring data integrity through systematic validation processes
• Build specialized reports and analytical frameworks from first principles, moving beyond pre-configured templates to deliver custom solutions
• Identify and implement automation opportunities to streamline pricing operations and reporting processes
• Collaborate with business stakeholders to translate business needs into technical solutions and models to add scalability and value to our operations
• Organize, document, and create structure around data processes, establishing frameworks where none exist
• Other duties as assigned.

Manager, Pricing Analytics

• 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

• 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