Pharmacy Technician – Care Team, Bilingual
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Job Description
Bilingual Pharmacy Technician supporting Rightway’s digital pharmacy benefits platform. Resolving member, provider, and pharmacy questions across phone, chat, email, claims, and clinical programs.
Responsibilities:
- Serve as the primary point of contact for members, providers, and pharmacies across phone, chat, email, and written correspondence
- Resolve inquiries about mail order, benefit design, formulary coverage, medication cost, prior authorization criteria, and claims adjudication
- Support interactions across phone, chat, email, and other digital channels while maintaining quality and service standards
- Assist network pharmacies with prescription claim processing and review claims against benefit guidelines and contract standards
- Support clinical pharmacists with patient and provider outreach, appointment scheduling, clinical program enrollment, and medication-adherence follow-up
- Document interactions and resolutions in internal systems for continuity of care, quality assurance, compliance, and operational reporting
- Own issues from initial contact through final resolution and coordinate with internal teams as needed
- Use AI-enabled tools and internal knowledge systems to resolve inquiries and document interactions
- Foster a cooperative, respectful, and diverse team environment and take on assigned duties and projects
Requirements:
- Bilingual in English/Spanish
- Active/current National Pharmacy Technician Certification (PTCB or NHA)
- 1 to 3 years of pharmacy technician experience in a health plan, retail pharmacy, TPA, or PBM contact center role
- Mail order or specialty pharmacy experience is a strong fit
- Working knowledge of pharmacy claims adjudication, benefit design, and PBM terminology
- Detail-oriented, adaptable, and analytical
- Ability to identify and resolve root causes
- Empathetic and intellectually curious
- Ability to multitask and prioritize across phone, chat, and email queues
- Ability to support multiple lines of business and shifting priorities
- Associate's or bachelor's degree preferred, or equivalent relevant work experience
Benefits:
- Remote work arrangement
- Equal opportunity and inclusive workplace
- Diverse and respectful team culture
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