Clinical Pharmacist, Specialty

ABOUT THE ROLE:

Our PBM goal is to help clients better manage pharmacy spend to make drugs more affordable for their employees and dependents. 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 Clinical Pharmacist, Specialty is a member of the Rightway PBM Clinical Operations team. This role will be key in delivering on the “pharmacist in the family” approach to engaging our members on specialty medications. We are looking for an experienced clinical pharmacist with specialty drug experience to engage with our specialty members in a caring and empathetic manner. Written and verbal communication skills will be critical when interacting with members on the phone, via email, and via the chat function on the Rightway app. A willingness to go the extra mile to provide outstanding customer service is an essential requirement of this role.

WHAT YOU'LL DO:

• Guide specialty members as if you are the “Pharmacist in the Family” to help specialty members manage their medications and disease states
• Engage with specialty members via phone, chat, and email to provide a white glove/concierge experience for members
• Support and assist specialty members in enrolling in copay/patient assistance programs
• Onboard new specialty members: assist in drug selection (as needed), specialty clinical assessment, selection of a specialty dispensing pharmacy, clinically support member throughout the continuum of care
• Go above and beyond to answer member questions about all things pharmacy related
• Perform core Pharmacist duties including prospective/retrospective drug utilization reviews, comprehensive medication reviews, and recommending changes to patient's drug regimens  
• Partners with Rightway’s Navigation team where needed to provide holistic support to members
• Contributes to the Pharmacy & Therapeutics process in the research, preparation and presentation of drug monographs, therapeutic category reviews and clinical policy development.  Ensures that these processes meet or exceed regulatory and best practice standards
• Supports prior authorization review process as needed regarding specialty drug product selection and formulary compliance to ensure quality of care
• Effectively collaborate with third-parties in the administration of Rightway’s clinical pharmacy strategy
• Responsible for achieving productivity and quality of work metrics for clinical pharmacy interactions
• Contribute to the design and evolution of technology-enabled processes to create a scalable clinical pharmacy operation
• Ensures regulatory standards are consistently met

WHO YOU ARE:

• Pharmacy degree required, PharmD preferred. Managed Care or specialty pharmacy residency preferred
• 3 years in direct patient care such as PBM clinical operations, Health Plan Pharmacy Department, or Specialty pharmacy
• Required: State of residence. Preferred: Multi-state licenses and/or be willing to attain licensure in additional states. 
• Empathetic, detail-oriented, intellectually and clinically curious, good listener, ability to challenge status quo, values exemplar
• Great clinician, effective & creative problem-solver, ability to prioritize and manage through change. Solid communication skills, ability to lead projects and influence others even without direct reporting line ownership
• Core operating hours are weekdays within 8 am Eastern Time and 8 pm Pacific Time, but may be required to work an evening or weekend shift in the future as Rightway grows. On call approximately once every two months.
• Ok with Remote/Work from home/Virtual. May require occasional travel.

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 $130mm from investors including Khosla Ventures, Thrive Capital, and Tiger Global at a valuation of $1 billion. We’re headquartered in New York City, with a satellite office in Denver. 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 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.