7 open positions available
Lead financial reconciliations and performance reporting in PBM cost components and develop models to forecast pharmacy cost trends. | Bachelor's degree and 3-5 years experience in PBM, pharmacy finance, or underwriting with strong Excel and SQL skills. | ABOUT THE ROLE: We are seeking a Senior Analyst to support financial performance management and COGS strategy within our PBM operations. In this role, you will lead key reconciliations and quarterly performance reporting, and analyze pharmacy cost drivers to identify savings opportunities. You’ll partner cross-functionally to ensure accurate, defensible financial reporting and provide data-driven insights that support strategic cost management and client success. WHAT YOU’LL DO: Lead annual and quarterly financial reconciliations across PBM cost components (claims, rebates, and contractual guarantees), ensuring accuracy and alignment between internal reporting and client-facing results. Develop and maintain financial models to forecast pharmacy cost trends, monitor performance against guarantees, and identify actionable COGS optimization opportunities. Analyze key pharmacy cost drivers and provide data-driven recommendations to reduce overall spend. Investigate and resolve complex financial and contract-related inquiries by performing root-cause analysis and partnering cross-functionally with Finance, Clinical, Contracting, Pricing Operations, and Client Success teams. Support margin optimization and cost containment initiatives by evaluating program levers such as formulary strategy, utilization management, network performance, and rebate positioning. Improve reporting infrastructure and reconciliation processes by building scalable templates, strengthening data controls, and enhancing operational efficiency. Stay current on PBM industry trends, regulatory changes, and emerging cost drivers to inform analysis and recommendations. Other duties as assigned. WHO YOU ARE: Bachelor's degree in Business, Finance, Accounting, or related field 3-5 years of relevant experience in PBM, pharmacy finance, underwriting, pricing, or a related field with demonstrated exposure to claims, rebates, and contract performance. Strong proficiency in Microsoft Excel, including formulas, pivot tables, and data manipulation SQL programming knowledge and experience Excellent attention to detail and accuracy in data entry and analysis Strong written and verbal communication skills Ability to read and interpret contracts and legal documents Experience with database management systems preferred EXTRA CREDIT: Python experience BASE SALARY: $90,000-120,000 Offer amounts for both remote and in office roles are influenced by geographic location. 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 $205mm 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 following 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 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.
Develop analytical models for strategy and pricing, manage regulatory reporting, and quantify financial performance of network contracts. | 4+ years in healthcare analytics, PBM, or financial analysis with strong analytical skills and proficiency in advanced Excel; SQL or programming skills are a plus. | ABOUT THE ROLE: We're seeking an analytical and detail-oriented Senior Analyst to support Rightway's Pharmacy Network team. You'll partner with Pharmacy Network Directors and Managers to drive data-informed decision-making through financial analysis, regulatory reporting, and pricing strategy. This role is essential in optimizing our pharmacy partnerships, ensuring compliance, and quantifying the financial performance of our network contracts. WHAT YOU’LL DO: Partner with Pharmacy Network leadership to develop and maintain analytical models that inform network strategy, pricing decisions, and contract negotiations Manage regulatory reporting requirements, ensuring accuracy, timeliness, and compliance across all pharmacy network submissions Analyze and quantify contractual financial performance with pharmacy partners, identifying trends, opportunities, and areas for optimization Oversee MAC pricing impacts and NADAC management, monitoring pricing changes and assessing their influence on network economics and guarantees Conduct pricing modeling and scenario analysis to evaluate the financial implications of network changes, contract modifications, and market dynamics Respond to internal and external inquiries regarding pharmacy network performance, pricing structures, and contractual terms with clear, data-driven insights Build scalable analytical frameworks and reporting tools that enable the Pharmacy Network team to make informed, strategic decisions Collaborate cross-functionally with Finance, Client COGS, and Operations teams to ensure alignment on pharmacy economics and client financial performance Identify process improvements and automation opportunities to enhance efficiency and accuracy in pharmacy network analytics and reporting WHO YOU ARE: Analytically strong with 4+ years of experience in healthcare analytics, pharmacy benefit management, financial analysis, or related fields Detail-oriented and organized with proven ability to manage multiple projects, meet deadlines, and maintain accuracy in complex analyses Technically proficient with advanced Excel/Google Sheets skills and experience with data analysis tools; SQL or other programming languages a plus Strong communicator who can translate complex analytical findings into clear, actionable recommendations for diverse audiences Collaborative team player with experience partnering with cross-functional stakeholders and supporting leadership decision-making Self-directed and proactive with ability to work independently, anticipate needs, and drive projects to completion EXTRA CREDIT: Experience in pharmacy benefit management (PBM), pharmacy networks, or pharmaceutical pricing Knowledge of NADAC, MAC pricing methodologies, and pharmacy reimbursement models Familiarity with regulatory reporting requirements in healthcare or pharmacy Background in contract analysis or financial performance evaluation Experience with Tableau, Power BI, Python, or other advanced analytical tools SALARY: $90,000-$120,000 Offer amounts for both remote and in office roles are influenced by geographic location. 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 $205mm 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 following 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 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.
Lead AI-driven full-stack solution development and rapid prototyping to enhance care navigation and PBM services. | Versatile full-stack engineer with 5+ years experience building scalable production applications, strong problem-solving and communication skills, and ability to innovate in ambiguous environments. | ABOUT THE ROLE: As a Sr. Full Stack Engineer (AI) at Rightway Healthcare, you'll spearhead our AI integration initiatives to revolutionize healthcare delivery through our platform. Working with a dynamic team, you'll drive the development of AI-powered features that empower members to make informed healthcare decisions, ensuring they get the right care at the right time and price. This role offers a unique blend of autonomy and innovation, where you'll transform cutting-edge AI concepts into production-ready solutions. While AI is a key focus, you'll also architect and implement solutions that scale across our platform, combining intuitive technology with expert guidance to bring clarity and direction to our members' healthcare journeys. WHAT YOU’LL DO: Pioneer AI-driven solutions that enhance our care navigation and PBM services, directly improving healthcare outcomes for our members Lead rapid prototyping cycles, transforming concepts into production features within days or weeks, not months Architect and implement full-stack solutions using our modern tech stack (Node.js, React, TypeScript, Ruby, GraphQL, Postgres) Drive technical decisions independently while collaborating with cross-functional teams to ensure alignment with business goals Build and maintain scalable, production-grade systems that handle sensitive healthcare data with reliability and security Establish technical standards and best practices for AI integration across the platform Mentor team members and contribute to our engineering culture of innovation and excellence WHO YOU ARE: A versatile full-stack engineer with 5+ years of experience building production applications at scale A self-driven problem solver who thrives in ambiguous environments and creates structure from chaos An innovative thinker who balances quick experimentation with production-quality implementation A technical leader comfortable making independent decisions while valuing team collaboration An effective communicator who can translate complex technical concepts for diverse audiences A pragmatic engineer who values shipping working solutions over perfect solutions Someone passionate about using technology to solve real healthcare challenges EXTRA CREDIT: Experience designing and implementing AI/ML features in production environments Proven track record of optimizing LLM implementations and prompt engineering Background in healthcare technology or experience with HIPAA compliance SALARY (BEFORE COMMISSION POTENTIAL): $175,000 - $190,000 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 a 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 following 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 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.
Create and deliver complex data analyses and dashboards to support PBM operations, provide strategic insights, and collaborate cross-functionally to optimize pharmacy benefits services. | 4-8 years of quantitative analytics experience, proficiency with SQL and data visualization tools, pharmacy industry knowledge, strong communication skills, and ability to mentor junior team members. | ABOUT THE ROLE: We are seeking a full-time Business and Operations Analyst III to join our Data & Insights team. In this role, you’ll be responsible for creating data analyses that demonstrate our company’s impact to clients and strategic partners in the PBM space. You will support the development and execution of analytics, provide data-driven strategic insights, and create customized analytic approaches in a pharmacy benefits setting. This role supports Rightway’s clinical delivery, operations, and other internal departments by developing and delivering complex analytical needs, including quarterly performance reviews and ad hoc client inquiries. Additionally, as a Business and Operations Data Analyst III, you will support strategic decision-making processes to optimize our PBM services. WHAT YOU’LL DO: • Work cross-functionally with PBM operational teams including Eligibility and Claim Operations, Configuration, and Contact Center to deliver actionable insights and strategic recommendations that support operational goals. • Refine and enhance data infrastructure and processes to improve the scalability and efficiency of PBM services. • Leverage knowledge of PBM practices, adjudication logic, regulatory requirements, and industry trends to guide analytics and decision-making. • Build tools and reporting capabilities to monitor claims and enrollment data for trends, anomalies, or processing variances, enabling operational teams to act on performance improvement opportunities. • Design and maintain dashboards and monitoring solutions to track claims processing metrics, operational KPIs, and performance guarantee compliance. • Create and manage standardized reporting for internal stakeholders and external clients to support daily operations, audits, and client reporting needs. • Apply advanced statistical techniques to assess PBM program performance and build repeatable measures for operational effectiveness. • Develop analytic frameworks and methodologies to support strategic initiatives and enable data-driven operational improvements. • Translate complex data findings into clear, actionable insights using reports, dashboards, and presentations tailored to a range of stakeholders. • Partner with internal teams to identify and evaluate opportunities for AI and automation in PBM operations and support implementation planning. WHO YOU ARE: • Bachelor’s degree in Analytics, Computer Science, or related field, or equivalent work experience. • Proficiency with SQL, relational databases and database structures • Experience in the pharmacy industry and understanding of PBM operations. • Experience with data visualization tools (e.g., Tableau, Power BI, Metabase) • 4-8 years of experience in quantitative analytics and conducting advanced analytic modeling for large pharmacy and clinical datasets. • 5+ years of industry experience querying and analyzing pharmacy claims and clinical program data. • Basic understanding of AI, Generative-AI, and Machine Learning frameworks. • Experience gathering and documenting requirements from clients or the business. • Ability to communicate analysis to business partners and clients both in writing and verbally. • Excellent communication and interpersonal skills. • Experienced with developing data tools, memos, and presentations to deliver data and insights to stakeholders. • Proven ability to guide standards and provide leadership and mentorship to junior team members. EXTRA CREDIT: • Proficiency in statistical software (Python, R). • Proficiency with dbt. • Experience with version control. • Hands on AWS experience is a plus. BASE SALARY: $100,000 - $135,000 Offer amounts for both remote and in office roles are influenced by geographic location. 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. If you have any questions about a suspicious interaction with Rightway, please feel free to reach out to us at hr@rightwayhealthcare.com. 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 a 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 who will: • 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. • 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. • 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. • 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. • 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 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.
Manage key client relationships and ensure the delivery of high-quality pharmacy benefits. Drive client satisfaction through effective communication and resolution of escalations. | A Bachelor's Degree is required, with a preferred Master's Degree. Candidates should have 5-8 years of experience in pharmacy operations and possess strong communication and organizational skills. | ABOUT THE ROLE: We are seeking a dynamic and experienced Senior Client Success Manager to join our Pharmacy Benefit Management (PBM) team. The successful candidate will be responsible for managing key client relationships, taking a consultative approach to account management, ensuring the delivery of high-quality pharmacy benefits, and driving client satisfaction. This role requires a deep understanding of PBM services, strong communication skills, and the ability to manage complex accounts. WHAT YOU’LL DO: Responsible for the overall relationship with assigned PBM clients, including managing ongoing client touchbases, contract deliverables, tracking client inquiries and maintaining logs, resolving client escalations when they occur, and ensuring overall client satisfaction. Maintain regular contact with clients, client representatives, and other internal members of the account team regarding ongoing pharmacy operations. Serve as the initial point of contact for all day-to-day operational inquiries, either from clients directly or from internal team members on behalf of the client. Lead and facilitate all client meetings, including quarterly and annual business reviews. Partner with the Implementation Team during new client implementations to ensure a seamless transition from implementation to client management post-launch. Responsible for gathering all client requirements for the annual open enrollment process, including benefit changes and any customized requirements. Participate in client webinars, training, and other forums designed to educate their employees on Righway’s PBM solution. Travel to client sites for Open Enrollment or Benefit Fairs may be required. Identify trends within issues and work with the operations team and vendor partners to take appropriate preventative measures. Work with operations and vendor partners to ensure all requirements and deliverables are met and sent to the client timely and accurately. Ability to track and identify issues and risks that are not being met per contractual obligations. Participate in efforts to support standardization across accounts and work in multi-disciplinary teams to design and implement production and operational enhancements. Provide ongoing support to Rightway partners which may include, but is not limited to, interpreting plan design, researching and resolving phone, written and electronic inquiries, and resolving claims, benefit and enrollment issues. Maintain an understanding of industry trends and provide clients with insights and recommendations on how Rightway’s solutions work to address those trends. WHO YOU ARE: Education level: Bachelor’s Degree Required. Preferred: Master’s Degree Work experience: 5-8 years in pharmacy operations Location information: Remote or Dallas, TX Important characteristics of ideal candidate: Detail-oriented, consultative and presentation skills, excellent communication & organization skills, ability to bring stakeholders together to identify solutions to challenges Specific skills needed for the job: Solid client management skills, pharmacy benefit knowledge, effective & creative problem-solving, ability to prioritize and manage through change. Solid communication skills, ability to lead projects and influence others even without direct reporting line ownership. Basic knowledge of common spreadsheet tools (Excel, Google Sheets) and Presentation Tools (Power Point, Google Slides) SALARY (BEFORE BONUS POTENTIAL): $125,000 - $145,000 Offer amounts for both remote and in office roles are influenced by geographic location. 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. 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 $205mm 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 following 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 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.
Review and resolve medical, dental, and vision claims by interpreting benefits, investigating claims, communicating with providers and carriers, and maintaining HIPAA compliance. | Requires strong communication skills, experience with benefit plan interpretation, provider billing, claim adjudication, and preferably a bachelor's degree in health sciences with 2+ years as a medical claims specialist. | WHAT YOU'LL DO: • Determines coverage for medical, dental, and vision procedures by studying provisions of the member's health policy • Extracts additional information as required from outside sources, including claimant, physician, employer, hospital, insurance carriers, and other third partners • Initiates investigation of questionable claims • Resolves medical, dental, and vision claims and billing questions and issues by • examining the summary of benefits • contacting the carrier and/or the provider billing office to ensure the member is not being overcharged • calculating out-of-pocket costs based on benefits • initiating reimbursement requests with the carrier • composing appeal letter • Provides information on year-to-date deductible, copay, and coinsurance activity to team members • Maintains quality customer service by following customer service practices and responding to customer inquiries in a timely manner • Protects claimant information by following HIPAA guidelines • Reports claim status updates in proprietary CRM and provides detailed information on each claim WHO YOU ARE: Our Navigation Operations is a fast-paced, dynamic, and growing environment. We are looking for individuals who are passionate about concierge service delivery and changing the healthcare experience for consumers. • Strong communication skills, both written and verbal • Professional experience with both benefit plan interpretation, provider billing practices, and claim adjudication • Strong demonstration of critical thinking and problem-solving skills • Bachelor's degree in health sciences or related field and minimum of 2 years of experience as a medical claims specialist preferred Expected hourly rate - $22-$25/HR 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 that embody our following 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 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.
Lead end-to-end UX/UI product design for web and mobile platforms, conduct user research and usability testing, own and evolve design systems, drive innovation, and collaborate cross-functionally. | 6+ years UX/UI design experience with 2+ years in senior roles, mastery of Figma and usability testing tools, strong research and motion design skills, excellent communication and leadership, and a proactive approach in ambiguous environments. | (Remote - preferably EST location /ability to join 9 am EST calls) ABOUT THE ROLE: The UX team at Rightway creates user-friendly digital experiences that enhance patient care and their pharmacy needs for patients on a healthcare journey. We are a small, full-stack design and research shop supporting the entire company. As we grow, we're seeking a world-class Senior UX /UI Product Designer to craft seamless user experiences and beautiful and intuitive interfaces for our platforms. As the Senior Product Designer, you’ll push boundaries with innovative design trends, ensuring our interfaces are visually captivating and highly usable. You’ll immerse yourself in the user journey, collaborate closely with users, product managers, and engineers. You will play a critical role in delivering exceptional experiences across web and mobile platforms. You will own and evolve our design system while crafting stunning, user-centric interfaces. This is an impactful, ‘roll up your sleeves’ entrepreneurial position where you will manage a wide range of high-impact projects. This is not a passive execution role. We're looking for a proactive design leader who thrives in ambiguity, drives product strategy through research, and champions collaboration. If you're passionate about solving complex problems, exploring new paradigms, and shaping healthcare design, this role is for you. KEY RESPONSIBILITIES: Lead End-to-End Product Design: Own the entire UX/UI process for consumer-facing and internal products - discovery through delivery - while evolving our design process.Follow and evolve our existing design process. Champion UX Research: Conduct user and stakeholder interviews, usability testing, and iterative design validation to generate actionable insights. Craft Exceptional UI: Design accessible, engaging interfaces that exceed user expectations and delight visually. Own & Evolve Design Systems: Drive the development and maintenance of scalable, consistent design system, integrated with engineering workflows. Drive Innovation: Explore new design paradigms, AI tools, motion design, and interaction models to elevate the product experience. Collaborate Cross-Functionally: Work closely with PMs, engineers, and business stakeholders. Be an active, supportive member of our tight-knit design team, reviewing, ideating, and iterating together. Facilitate Ideation & Alignment: Lead collaborative workshops that foster creativity, clarity, and team alignment. Enable Others Through Design Tools: Create systems and guidelines that empower non-designers to contribute while maintaining consistency (including AI design tools). Apply AI in Practice: Leverage AI to accelerate user research synthesis, ideation, prototyping, and more. YOUR SKILLS: 6+ years of experience designing UX/UI for web and mobile products, with 2+ years in a senior or lead role. A portfolio that demonstrates end-to-end design thinking, UX research, innovation, and visual excellence. Deep experience owning and evolving design systems. Mastery of Figma, usability testing tools, and modern AI-enhanced design tools. Strong experience in qualitative and quantitative user research, usability testing, and methods like JTBD. Excellent skills in motion design, transitions, and micro-interactions that enhance usability. Strong presenter, facilitator, and influencer; you communicate clearly and guide discussions with confidence. A self-starter with a high level of initiative and comfort operating in ambiguity BONUS SKILLS: Degree in UX, HCI, Human Factors, Psychology, Visual Design, or related field. Experience in healthcare product design. Background in business analysis, requirements gathering, product/project management. IMPORTANT: A high-quality portfolio and a short design challenge presentation will be part of the interview process. BASE SALARY: $110,000-155,000 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. If you have any questions about a suspicious interaction with Rightway, please feel free to reach out to us at hr@rightwayhealthcare.com. HOW WE LIVE OUR VALUES TO OUR TEAMMATES: We’re seeking those with a passion for healthcare and a relentless devotion to our goal. We need team members who will: 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. 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. 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. 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. 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 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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