- Salary
- $70k – $91k
- Location
- Remote
- Workplace
- Remote
- Department
- IT
- Experience
- 2+ years
Description
ABOUT THE ROLE:
The Pharmacy Network Coordinator supports the day-to-day management of Rightway's retail, mail-order, and specialty pharmacy networks. This person keeps network data accurate, coordinates pharmacy onboarding and credentialing, and works cross-functionally with claims, client success, and clinical teams to make sure members always have reliable access to the pharmacies they need.
WHAT YOU’LL DO:
- Maintains and audits pharmacy network directories, contracts, and credentialing records for accuracy and compliance. This includes obtaining applicable licenses and certificates of insurance from pharmacies, as well as verifying eligibility through the NCPDP database and federal and state sources (e.g., OIG, GSA, SAM).
- Coordinates onboarding, terminations, and status changes for retail, mail-order, and specialty pharmacies.
- Serves as a day-to-day point of contact for network pharmacies, resolving claims, enrollment, and access issues.
- Partners with the claims and clinical teams to troubleshoot pharmacy-level adjudication and payment issues.
- Supports the benefit and navigation team with network-related issues.
- Develops and delivers ad hoc network reports for clients.
- Helps document and continuously improve network operations processes.
WHO YOU ARE:
- 2+ years of experience in pharmacy benefits, PBM operations, network management, or a related healthcare role.
- Working knowledge of pharmacy network contracting, credentialing, or claims adjudication.
- Ability to work independently, with strong attention to detail and comfort managing data across multiple systems.
- Excellent written and verbal communication skills, with a service-first approach to pharmacy partners.
- Proven track record in fast-paced environments, managing multiple priorities simultaneously and bringing the initiative and persistence needed to drive outreach to pharmacy providers and close out contracts and tasks.
- Intermediate Proficiency in Word, Excel or Google Sheets; experience with PBM or claims platforms is a plus.
EXTRA CREDIT:
- Familiarity with PBM regulatory and network adequacy requirements.
- Background working directly with retail, mail-order, or specialty pharmacies.
- PTCB certification (or state license).
COMPENSATION: $70,000 - $91,000 annually, in addition to bonus and equity
Compensation offered will be determined by geographic location, experience, and qualifications.
CYBERSECURITY AWARENESS NOTICE
In response to ongoing and industry-wide fraudulent recruitment activities (i.e., job scams), Rightway wants to inform potential candidates that we will only contact them from the @rightwayhealthcare.com email domain. We will never ask for bank details or deposits of any kind as a condition of employment.
ABOUT RIGHTWAY:
Rightway is on a mission to harmonize healthcare for everyone, everywhere. Our products guide patients to the best care and medications by inserting clinicians and pharmacists into a patient’s care journey through a modern, mobile app. Rightway is a front door to healthcare, giving patients the tools they need along with on-demand access to Rightway health guides, human experts that answer their questions and manage the frustrating parts of healthcare for them.
Since its founding in 2017, Rightway has raised over $200mm from investors including Khosla Ventures, Thrive Capital, and Tiger Global. We’re headquartered in New York City, with satellite offices in Denver and Dallas. Our clients rely on us to transform the healthcare experience, improve outcomes for their teams, and decrease their healthcare costs.
HOW WE LIVE OUR VALUES TO OUR TEAMMATES:
We’re seeking those with passion for healthcare and relentless devotion to our goal. We need team members that embody our core values:
1) We are human, first
Our humanity binds us together. We bring the same empathetic approach to every individual we engage with, whether it be our members, our clients, or each other. We are all worthy of respect and understanding and we engage in our interactions with care and intention. We honor our stories. We listen to—and hear—each other, we celebrate our differences and similarities, we are present for each other, and we strive for mutual understanding.
2) We redefine what is possible
We always look beyond the obstacles in front of us to imagine new solutions. We approach our work with inspiration from other industries, other leaders, and other challenges. We use ingenuity and resourcefulness when faced with tough problems.
3) We debate then commit
We believe that a spirit of open discourse is part of a healthy culture. We understand and appreciate different perspectives and we challenge our assumptions. When working toward a decision or a new solution, we actively listen to one another, approach it with a “yes, and” mentality, and assume positive intent. Once a decision is made, we align and champion it as one team.
4) We cultivate grit
Changing healthcare doesn’t happen overnight. We reflect and learn from challenges and approach the future with a determination to strive for better. In the face of daunting situations, we value persistence. We embrace failure as a stepping stone to future success. On this journey, we seek to act with guts, resilience, initiative, and tenacity.
5) We seek to delight
Healthcare is complicated and personal. We work tirelessly to meet the goals of our clients while also delivering the best experience to our members. We recognize that no matter the role or team, we each play a crucial part in our members’ care and take that responsibility seriously. When faced with an obstacle, we are kind, respectful, and solution-oriented in our approach. We hold ourselves accountable to our clients and our members’ success.
Rightway is proud to be an Equal Opportunity Employer that believes in the strength of diverse thought, beliefs, backgrounds, and education. We foster an inclusive culture where differences are celebrated to drive the best business decisions possible. We do not discriminate on any basis protected by applicable law. All employment decisions are based on merit, qualifications, need, and performance.
