Pharmacy Implementation Manager at Rightway

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ABOUT RIGHTWAY:

Rightway is the leader in driving healthcare value for everyone, everywhere through smart clinical navigation, best-in-class technology, and the lightest lift client experience.

Rightway’s care navigation and new-to-the-world PBM platforms have revolutionized the way members traverse the confusing healthcare landscape. With us, employers can provide employees and their families with the education, navigation, and advocacy they need to be better healthcare consumers.   We simplify the healthcare journey and guide members to the highest quality care and medication, leading to better care and happier people at lower cost.

Started in 2017, Rightway is rapidly growing and has raised over $130mm to date from investors including Khosla Ventures, Thrive Capital, Tiger Global, and others. We are headquartered in New York City, with satellite offices in Miami and Denver. Empowered by a talented team of medical experts, pharmacists, entrepreneurs, tech experts, engineers, and strategists, we’re making our vision of radically simplifying healthcare, a reality.


ROLE:

We’re looking for a Pharmacy Implementation Manager who is motivated by our mission to unlock transformational healthcare outcomes.  To simplify the healthcare experience for employers and members, we have created a single digital platform across medical, pharmacy benefits & virtual care. 


WHAT YOU’LL DO:

  • Leads new client TPA/employer group implementation process, including leading client/consultant meetings and gathering/documenting requirements for internal and external teams.
  • Manages internal strategic projects, including leading internal/vendor stakeholder meetings to gather/document requirements, maintain project plans, track tasks, track risks/issues, and create status reports for various internal and external audiences.
  • Has working knowledge of Pharmacy Benefit Management industry terminology, including benefit design options, pharmacy claims adjudication rules, and PBM operations.
  • Reviews client RFPs and contracts to ensure all commitments are incorporated into the project scope.
  • Ability to manage concurrent client implementations.
  • Identifies project risks and develops mitigation plans.
  • Coordinates configuration testing and interprets results for accuracy.
  • Manages member transition disruption with internal and external stakeholders. Partners with client team to develop and execute a member and provider communication plan.
  • Ensures operational and technology readiness for go-live by coordinating with internal and external stakeholders.
  • Monitors go-live claim and operational activity to identify any potential issues and develops rapid response plans to implement solutions and remediation efforts.
  • Develops and maintains standard operating procedures and supports training for new team members.
  • Ensures regulatory and privacy standards are consistently met.

WHO YOU ARE:

  • Education level: Bachelor’s degree required, CPhT certification a plus
  • Work experience: 3 years’ experience as an implementation manager or similar project management and client-facing role within a PBM or pharmacy department of a health plan.
  • Location information: Remote. Looking for highly qualified candidates with demonstrated ability to work in remote environments. May require occasional travel to Miami, Denver or New York City offices.
  • Core working hours are weekdays between 8am and 6pm ET, but nature of the role will require weekend and holiday hours during client go-live dates
  • Important characteristics of ideal candidate: Detail-oriented, critical thinker, client management skills, ability to dig deep in understanding an issue to get to true root cause and resolution, desire to improve the client and member experience during a PBM transition, ability to connect the dots across various departments and processes to identify implications of requirements or issues to other areas of the company. Willingness to refine/iterate the process.
  • Specific skills needed for the job: Knowledge of pharmacy claims adjudication and benefit designs/terminology, project management experience, ability to multitask and prioritize work, ability to work reasonably independently, presentation and communication skills (written and verbal), ability to perform intermediate data analysis.

 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 who will:

  • Paint the back of the fence

We look for people that take pride in producing excellent work – whether or not it’s seen. We empower each employee to operate with an “ownership” mentality and trust that they will produce exceptional results.  

  • Execute with empathy 

We practice compassionate empathy in every interaction. Our team is focused on humanizing the healthcare experience and treats our workplace no differently.

  • Struggle once to solve twice 

We value ingenuity. We encourage our team to think about scalable solutions that will allow Rightway to execute well today and even better tomorrow.

  • Compound your pennies 

We recognize that small decisions can drive outsized returns. We love when our team makes impactful, incremental advances, especially if they believe it will drive a million-dollar return.

  • It’s a great day for a great day 

We remind ourselves each and every day that we’re fortunate to be changing the healthcare system for the better. We view it as a duty to perform our roles with unbounded optimism and best-in-class execution, given how lucky we are.

 

Rightway is a healthcare company looking to improve healthcare outcomes for everyone, everywhere. With that in mind, we have to consider what is good for the health of our team, the company, and the communities we operate in. As such, Rightway has determined a mandatory COVID-19 vaccination policy for all employees, in combination with other safety precautions, is the best way forward.

Rightway is PROUDLY an Equal Opportunity Employer that believes in ‘strength in the diversity of thought processes, beliefs, background and education’ and fosters an inclusive culture where differences are celebrated to drive the best business decisions possible. We do not discriminate on any basis covered by appropriate law. All employment is decided on the consideration of merit, qualifications, need and performance.

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Technology we use

  • Engineering
  • Product
  • Sales & Marketing
    • JavascriptLanguages
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    • ZoomInfoLead Gen

Location

Rightway's prized location along the Silicon Alley corridor places it at the epicenter of New York City’s booming tech hub. Now a preferred site for top tech and internet companies, our neighborhood boasts some of the best food and entertainment in NYC. Not to mention its a commuter's paradise.

An Insider's view of Rightway

What’s the vibe like in the office?

Since joining Rightway I’ve had the opportunity to experience the incredible and welcoming culture of our company and office. Rightway not only encourages creativity, partnerships, and eagerness to succeed, but its company culture is closely tied to our mission. I am so excited for all the great things that are yet to come.

Valentina

Tech Recruiting Sourcer

What does your typical day look like?

My typical weekday starts with checking my work calendar. From there, I compare it with what I had planned to get done and see if I can join meetings I’m interested in. Most of the day is spent collaborating with my team or working on high-priority tasks. I also take a few breaks to go through email or do something to keep my mind sharp.

Liam

Data Engineer

How does the company support your career growth?

Rightway has recognized my efforts to grow and has motivated me to achieve my career goals. I have had the opportunity to truly see my potential from starting out at an entry level position, to completing my Master’s Degree with their encouragement, and even earning a Manager role at the company. Every step of the way they have advocated growth.

Shanice

People Ops Program Manager

What is your vision for the company?

Transforming the way consumers experience healthcare is truly our passion and mission here at Rightway. We believe that no one should face the daunting task of navigating the healthcare system alone. Our team of Rightway Health Guides are here to provide that personalized guidance and support for our members every step of the way.

Paula

EVP of Advocacy Strategy & Delivery

How do your team's ideas influence the company's direction?

We are a product-led organization that puts the user's experience at the center of all of our decisions. Building the tools that empower our health guides and members is our passion. The Rightway Product, Analytics, & Engineering teams are not afraid of taking risks and to continuously explore emerging technologies.

Ion

Chief Technology Officer

What are Rightway Perks + Benefits

Rightway Benefits Overview

Join a team that's creating a better healthcare experience for all. Nothing is more important to us than the health and happiness of our members — and our employees.

Culture
Volunteer in local community
As we have a workforce spanning the country, we encourage our team to volunteer with local organizations; for our NYC office, we actively support Robin Hood, Children of Bellevue, and Build NYC.
Partners with Nonprofits
Our team is dedicated to creating a positive impact within our communities. Our employees hold Board positions at Build NYC, Children of Bellevue, and Minds Matter, and actively fundraise for them.
Friends outside of work
Eat lunch together
Intracompany committees
At our core, we are a company with a heritage of exceptional people, who have a richness of backgrounds and beliefs. We have created workplace and culture committees to help cultivate this.
Daily sync
Open door policy
Team owned deliverables
Team based strategic planning
Group brainstorming sessions
Pair programming
Open office floor plan
Diversity
Highly diverse management team
Rightway is committed to DE&I. We strive to reflect the diverse members we serve - over 50% of our workforce comes from underrepresented communities. We continue to prioritize leadership diversity.
Unconscious bias training
On a yearly basis, Rightway provides employees, at every level, training to recognize, understand and manage hidden biases. We are fully committed to a safe and inclusive environment.
Diversity manifesto
Diversity Employee Resource Groups
Rightway supports the formation and operation of workplace Employee Resource Groups (ERGs). We currently offer People of Color & Allies, Women, and Mental Health ERGs, and adding more every day!
Hiring Practices that Promote Diversity
Health Insurance & Wellness Benefits
Flexible Spending Account (FSA)
We help with medical expenses and also are building out a further learning program.
Disability Insurance
We are covered through Sequoia benefits and have multiple Empire Blue Cross Blue Shield plans to choose from.
Dental Benefits
We are covered through Sequoia benefits and have multiple Empire Blue Cross Blue Shield plans to choose from.
Vision Benefits
We are covered through Sequoia benefits and have multiple Empire Blue Cross Blue Shield plans to choose from.
Health Insurance Benefits
We are covered through Sequoia benefits and have multiple Empire Blue Cross Blue Shield plans to choose from.
Life Insurance
Employee Benefit: Rightway provides $50,000 Basic Term Life coverage for all full time employees AD&D: Coverage includes Enhanced Accidental Death and Dismemberment coverage equal to one times the em
Pet Insurance
Wellness Programs
We support a variety of wellness programs and initiatives including Aaptiv, a service offering unlimited access to audio–based fitness classes.
Team workouts
We have both a cycling and running club! Plus, our employees have created other cool groups with great indoor and outdoor activities.
Mental Health Benefits
Retirement & Stock Options Benefits
401(K)
We use Guideline as our 401k platform.
Company Equity
We currently offer shares in the form of ISO's.
Performance Bonus
We include a performance bonus which will be a percentage of your annual base salary.
Match charitable contributions
We've done charity drives before where Rightway matched what employees contributed.
Child Care & Parental Leave Benefits
Generous Parental Leave
Flexible Work Schedule
We have a headquarters in NYC, an office in Miami, and an office in Denver, CO. We are flexible work-from-home and in-office. We don't have hard hours.
Remote Work Program
We have a headquarters in NYC, an office in Miami, and an office in Denver, CO. We are flexible work-from-home and in-office
Family Medical Leave
Company sponsored family events
Vacation & Time Off Benefits
Generous PTO
Rightway offers generous and all-encompassing PTO policy covering a month of time off.
Paid Holidays
Paid Sick Days
Rightway offers five paid sick days for all employees.
Perks & Discounts
Casual Dress
Rightway's casual dress code promotes comfort and professionalism.
Commuter Benefits
Rightway offers pre-tax commuter benefits for all employees, as well as a free bike storage room in our office.
Company Outings
Rightway has regular team outings, virtual events, as well as company-wide annual holiday parties and other events, for all employees and a guest.
Free Daily Meals
Rightway provides daily breakfast and coffee for employees.
Stocked Kitchen
Rightway has a fully stocked kitchen including unlimited healthy snacks, coffee, tea and flavored water. We have a snack ordering form and try our best to cater to your needs!
Some Meals Provided
Rightway provides daily breakfast and coffee and regularly brings in dinner and/or lunch for our team.
Happy Hours
Rightway sponsors monthly happy hours on Thursday evenings exploring the amazing bar scene around our area.
Parking
Recreational Clubs
Rightway sponsors ERGs and clubs for our employees and provides a yearly budgeting cycle for groups to pitch their ideas for fun events and activities. If you can dream it, we can sponsor it!
Relocation Assistance
Rightway offers relocation assistance, including home finding, temporary housing, moving costs, and travel expenses reimbursement.
Home Office Stipend for Remote Employees
During the pandemic, all employees have been offered a stipend for home office supplies to ease the transition. In addition, all remote employees receive generous stipends to set up a home office.
Professional Development Benefits
Job Training & Conferences
Rightway celebrates employee skill growth and leadership development and sponsors training programs for all employees, as well as an annual budget for attending industry conferences.
Diversity Program
Lunch and learns
Rightway hosts a month "lunch and learn" spotlighting various leaders and team members from across the org. This sponsored lunch promotes openness and collaboration. Lunch is also provided.
Cross functional training encouraged
Promote from within
Mentorship program
Rightway has a formal mentorship program pairing executive leadership with various team members to promote skill growth and leadership development.
Online course subscriptions available

Additional Perks + Benefits

As a company guiding members through the confusing landscape of healthcare benefits, we take our own benefits and perks seriously! We know how impactful not just healthcare, but all benefit options can be for the overall wellbeing of a person. We pride ourselves in not only offering great benefits, but also providing the support one needs to meaningfully use them.

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