Pharmacy Technician - Specialty

Rightway • Miami, FL

12d • $22 - $23

About The Position

The Specialty Pharmacy Technician / Specialty Pharmacy Guide (CPhT) is part of Rightway’s PBM Clinical Operations team and supports Specialty Clinical Pharmacists in delivering a “pharmacist in the family” experience to members. The role engages specialty members with care and empathy and provides support through phone, email, and the Rightway app’s chat function. Strong written and verbal communication skills and a commitment to outstanding customer service are essential.

The position serves as a direct contact for members and providers seeking specialty pharmacy benefit information, prior authorization support, and navigation assistance. It helps coordinate specialty medication access and fulfillment, patient assistance enrollment, billing questions, follow-up, and refills. The technician also supports pharmacist outreach and other Clinical Operations teams while helping maintain productivity, quality, regulatory, and privacy standards.

Requirements

• Active Certified Pharmacy Technician (CPhT) credential.
• 1–2 years of experience in a pharmacy technician role within a specialty pharmacy, PBM, health plan pharmacy department, or similar managed care setting.
• Detail-oriented, adaptable, and able to think critically and empathetically; able to investigate issues to identify root causes and resolutions.
• Desire to improve patients’ healthcare experience and provide concierge-level service.
• Knowledge of pharmacy claims adjudication and benefit designs and terminology.
• Ability to multitask, prioritize work, and work independently.
• Strong written and verbal communication skills for interaction with members by phone, email, and app chat.

Nice To Haves

• Associate’s or bachelor’s degree preferred.
• Bilingual Spanish preferred.

Responsibilities

• Serve as a direct member and provider contact for specialty pharmacy benefit information, prior authorization requests, and navigation support through telephone, chat, fax, email, or written correspondence.
• Support members enrolled in specialty management programs before they receive medication by coordinating prior authorization with the utilization management team, prescription fulfillment with the specialty pharmacy partner, patient assistance program enrollment, and billing questions.
• Follow up with members after medication receipt to ensure satisfaction, connect them with a pharmacist for clinical questions, and coordinate future refills.
• Respond to questions from members, human resources departments, pharmacies, and providers about specialty distribution, benefit design, formulary coverage and medication costs, prior authorization criteria, claims adjudication, copays, and patient assistance, and resolve their issues.
• Support Specialty Clinical Pharmacists with patient and provider outreach, appointment scheduling, copay or patient assistance enrollment, medication adherence support, and other administrative tasks.
• Help ensure operating and productivity standards are met, including conducting quality reviews of calls, chats, and documentation notes to identify improvement opportunities.
• Ensure regulatory and privacy standards are consistently met.
• Provide support to other Clinical Operations teams, including utilization management and navigation.

What This Job Offers

• Job Type: Full-time
• Education Level: No Education Listed