Regulatory Program Manager (PBM)

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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 Regulatory Program 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. 

The Regulatory Program Manager is a member of the Rightway Legal team reporting to the General Counsel. This role forms key relationships with internal and external stakeholders to ensure Rightway remains up-to-date on all regulatory and licensing requirements in accordance with company, state and federal guidelines.


WHAT YOU’LL DO:

  • Coordinate, process and monitor license obligations with state and federal agencies on behalf of Rightway as an organization and for individuals requiring direct licensure.
  • Monitor ongoing state and federal regulations to understand any impact to Rightway operations for PBM and telemedicine operations.
  • Research state and federal regulations and work with the business area to translate guidance to business requirements.
  • Perform an ongoing operational assessment to ensure compliance with state and federal guidelines (i.e. ERISA, ACA).
  • Assist with completing state licensing applications for clinicians (medical directors, nurses, pharmacists).
  • Monitor and maintain all current licensing documents and assist with renewal applications as applicable.
  • Support the strategic planning, implementation, and renewal of all PBM and telemedicine accreditations, certifications, licenses, and compliance projects.
  • All other duties as assigned.


WHO YOU ARE:

  • Education level: Bachelor’s Degree Required.  Preferred: Master’s Degree
  • Work experience: 3-5 years of relevant work experience
  • Location information: NYC or Denver.  Highly qualified remote candidates will be considered (occasional travel may be required)
  • Important characteristics of ideal candidate: Detail-oriented, analytical, intellectually curious, good listener, empathetic, ability to challenge status quo, values exemplar
  • Specific skills needed for job: Solid communication and organizational skills, ability to lead projects and influence others even without direct reporting line ownership


 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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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.

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