Backed by Khosla.
About the role
Our pharmacy benefit management (PBM) offering represents an important growth area for Rightway. Helping clients better manage pharmacy spend to make drugs more affordable for their employees and dependents is critical to their business sustainability. Rightway is responsible for designing, building, and operating a new-to-the-world PBM model based on our core tenets: fairness & transparency, unlocking the supply chain, supporting the physician-patient relationship, and utilizing navigation to empower consumers.
What they're looking for
- Bachelor's degree preferred. Relevant experience considered for exceptional candidates
- 2-4 years of experience in healthcare operations, PBM, health plan, or data/eligibility operations, entry-level candidates with strong analytical skills are encouraged to apply
- Working knowledge of Excel, ability to research and troubleshoot data discrepancies, eligibility, accumulator, or claims file feed experience
More about this role
Our pharmacy benefit management (PBM) offering represents an important growth area for Rightway. Helping clients better manage pharmacy spend to make drugs more affordable for their employees and dependents is critical to their business sustainability. Rightway is responsible for designing, building, and operating a new-to-the-world PBM model based on our core tenets: fairness & transparency, unlocking the supply chain, supporting the physician-patient relationship, and utilizing navigation to empower consumers.
The PBM Operations Associate is a member of the Rightway Data Operations team, reporting to the Manager, Data Operations. This role provides day-to-day support of eligibility, accumulator, and claims extract file feeds and data — ensuring files are received, processed, and delivered accurately and on time.
- Support the execution of eligibility and accumulator file feeds and interfaces, from implementation through ongoing operations and maintenance.
- Support claims extract file feeds, helping ensure data is accurate, complete, and delivered to external stakeholders on schedule.
- Serve as a day-to-day resource for eligibility, accumulator, and claims extract data needs.
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