Pharmacy Technician- Care Team

Rightway • Dallas, TX

11d • Onsite

About The Position

The Pharmacy Technician is part of Rightway’s Operations team and serves as a front-line contact for members, providers, and pharmacies with questions about pharmacy benefits, prior authorizations, claims, and clinical program enrollment. The role provides empathetic, accurate support through phone, chat, email, and written correspondence, using root-cause problem solving to help people navigate pharmacy benefits.

Based in Rightway’s Dallas office in Irving, Texas, this position is onsite five days a week. The technician assists with prescription claim processing and accuracy reviews, supports clinical pharmacists with outreach and program enrollment, and documents interactions to support continuity of care, compliance, quality assurance, and reporting. The role owns inquiries through resolution, coordinates with internal teams as needed, and uses AI-enabled tools and internal knowledge systems to deliver consistent service.

Requirements

• 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.
• Working knowledge of pharmacy claims adjudication, benefit design, and PBM terminology.
• Detail-oriented, adaptable, and analytical, with the ability to identify and resolve root causes.
• Empathetic and intellectually curious, with a desire to improve members’ healthcare experiences and provide concierge-level service across channels.
• Able to multitask and prioritize concurrent phone, chat, and email queues and independently manage workload.
• Comfortable supporting multiple lines of business and shifting priorities based on business needs, seasonal demand, and service levels.

Nice To Haves

• Associate’s or bachelor’s degree, or equivalent relevant work experience.
• Mail order or specialty pharmacy background.

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 costs, prior authorization criteria, and claims adjudication.
• Support interactions across communication channels while maintaining consistent service quality.
• Assist network pharmacies with prescription claim processing and review claims for accuracy against benefit guidelines and contract standards.
• Support clinical pharmacists with patient and provider outreach, appointment scheduling, enrollment in Rightway clinical programs, and medication-adherence follow-up.
• Document interactions and resolutions in internal systems to support continuity of care, quality assurance, compliance, and operational reporting.
• Own member, provider, and pharmacy issues from initial contact through resolution, coordinating with internal teams when necessary.
• Use AI-enabled tools and internal knowledge systems to resolve inquiries, document interactions, and provide a consistent member experience.
• Contribute to a cooperative, respectful, and diverse team environment and take on other duties and projects as assigned.

What This Job Offers

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