Rightway

Software Engineer

• Serve as the first dedicated engineer for Rightway's commercial organization
• Architect and build tooling, automation, and AI for commercial teams
• Own and extend Salesforce and the broader commercial systems stack
• Connect commercial tools and build custom tooling and integrations using Apex, Lightning/LWC, and APIs
• Improve commercial data quality, consistency, and reliability through automations, controls, standards, and pipelines
• Feed commercial data into the company's central warehouse and partner with Data & Insights
• Build automation and AI tools such as deal briefs, finalist preparation, renewal-risk alerts, and AI agents for at-risk deals and next steps
• Potentially mentor and manage a team member and help shape the commercial engineering function

Founding Engineer, Commercial Systems

Pharmacist

• Guide specialty members as the “Pharmacist in the Family” to help them manage medications and disease states
• Engage specialty members via phone, chat, and email to provide a white glove/concierge experience
• Support members in enrolling in copay and patient assistance programs
• Onboard new specialty members, including assisting with drug selection, conducting specialty clinical assessments, selecting specialty dispensing pharmacies, and providing clinical support throughout the continuum of care
• Answer member questions about pharmacy-related matters
• Perform prospective and retrospective drug utilization reviews and comprehensive medication reviews
• Recommend changes to patients’ drug regimens
• Partner with Rightway’s Navigation team to provide holistic member support
• Contribute to Pharmacy & Therapeutics activities, including researching, preparing, and presenting drug monographs, therapeutic category reviews, and clinical policy development
• Ensure processes meet or exceed regulatory and best-practice standards
• Support prior authorization review for specialty drug product selection and formulary compliance
• Collaborate with third parties in administering Rightway’s clinical pharmacy strategy

Clinical Pharmacist – Specialty

Financial Planning and Analysis

• Lead the FP&A and strategic finance function
• Serve as a key partner to Accounting, senior leadership, and the board
• Build, own, and continuously improve an integrated 3-statement financial model for planning, scenario analysis, and fundraising
• Lead annual budgeting, monthly and quarterly forecasting, and long-range financial planning across all business functions
• Own 13-week and full-year cash forecasting models
• Build runway and scenario models incorporating hiring plans and churn
• Prepare board decks, investor reporting, and diligence-ready materials
• Own SaaS and healthcare metrics including CARR, net revenue retention, and gross margin
• Lead headcount and compensation planning tied to department budgets and the hiring plan
• Partner with department leaders on accountability and financial implications of business decisions
• Partner with Accounting during monthly close cycles for variance analysis and timely reporting
• Mentor and develop finance team members
• Report to the SVP of Finance

Director of Finance

Data Analyst

• Carry out data analysis demonstrating Rightway’s impact to clients and strategic partners in care navigation
• Support the development and execution of analytics and provide data-driven strategic insights
• Create customized analytic approaches in a care navigation setting
• Develop and deliver complex analytical needs, including quarterly performance reviews and ad hoc client inquiries
• Guide standards and implement coding and technical best practices in the analytics ecosystem
• Develop operational analytics using eligibility, medical claims, and member interaction data to surface trends, inefficiencies, and opportunities
• Integrate and blend data from NIC, claims, Typeform, and Salesforce into unified reporting datasets
• Support data engineering initiatives, including DAG development, automated file ingestion, and report delivery controls
• Use business intelligence and data visualization tools for data storytelling and evaluation of clinical management programs
• Work cross-functionally to provide actionable insights and develop scalable data processes
• Provide ad hoc and strategic analysis for care management and population health program performance
• Participate in analytic frameworks and methodologies for strategic initiatives
• Identify and qualify AI opportunities, understand technical challenges, and recommend operationalization strategies

Data Analyst III, Care Navigation

Director

• Manage and cultivate a portfolio of consultant relationships, strengthening existing partnerships and building new ones
• Communicate Rightway’s value proposition to position its solutions as top choices for clients
• Expand Rightway’s presence within the consultant community and target consultants influencing key market segments
• Develop and implement a business plan to increase consultant-driven opportunities and revenue
• Collaborate with Sales, Client Success, and Marketing teams to align consultant engagement with broader business goals
• Incorporate consultant feedback into go-to-market strategies and product positioning
• Regularly travel to meet consultants, nurture relationships, and uncover new business opportunities
• Drive growth in the sales pipeline and enhance consultant advocacy for Rightway’s solutions
• Provide concierge-level service as the primary contact for consultant issues, questions, and communications
• Work with the VP of Consultant Relations to identify and prioritize opportunities with broker agencies

Director, Consultant Relations

• Serve as a primary contact for members, providers, and pharmacies via phone, chat, email, and written correspondence
• Resolve inquiries about mail order, benefit design, formulary coverage, medication cost, prior authorization criteria, and claims adjudication
• Process and review prescription claims for accuracy 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 reporting
• Own issues from initial contact through final resolution, coordinating 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 complete other assigned duties and projects

Seasonal Pharmacy Technician

• Serve as the primary point of contact for members, providers, and pharmacies via phone, chat, email, and written correspondence
• Resolve inquiries about mail order, benefit design, formulary coverage, medication cost, prior authorization criteria, and claims adjudication
• Assist network pharmacies with prescription claims processing and review claims for accuracy
• 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 reporting
• Own issues from initial contact through final resolution, coordinating 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

Pharmacy Technician

Pharmacy Technician – Care Team

Operations

• Support cross-functional projects across PBM operations, including go-live management and other strategic initiatives
• Assist with client and plan implementations, coordinating across teams to help ensure accurate benefit setup, testing, and a smooth go-live
• Provide pre- and post-audit support, managing deliverables and tracking to ensure timely, accurate completion
• Coordinate Ops involvement across internal projects that require operational input or support
• Track project timelines, deliverables, and action items, flagging risks or delays as they arise
• Maintain clear, organized documentation, including SOPs and process trackers, to support visibility across projects and teams
• Partner with cross-functional stakeholders, including Clinical, Client Services, IT, and Compliance, to help ensure operational readiness for new initiatives and process changes
• Support data validation and reporting tied to PBM operations projects, such as claims, eligibility, and formulary data
• Support CMS reporting obligations, including Section 111 Medicare Secondary Payer (MSP) data submissions and Retiree Drug Subsidy (RDS) reporting, helping track deadlines, reconcile data, and resolve discrepancies
• Identify opportunities to improve PBM operations workflows and help implement process improvements
• Perform other duties as assigned

PBM Operations Associate

• Support execution of eligibility and accumulator file feeds and interfaces from implementation through ongoing operations and maintenance
• Support claims extract file feeds, ensuring data is accurate, complete, and delivered to external stakeholders on schedule
• Serve as a day-to-day resource for eligibility, accumulator, and claims extract data needs
• Collaborate with engineering, client success, implementations, benefit administration, and other internal stakeholders
• Monitor downstream vendor feeds and third-party integrations; escalate and assist in troubleshooting issues
• Research and troubleshoot inquiries or issues related to eligibility, accumulators, and claims extract/data feeds
• Maintain accurate, up-to-date documentation of processes and internal controls
• Take on additional responsibilities as business needs evolve

Sales

• Sell Rightway's pharmacy benefit management (PBM) solution to self-funded employer groups of 5–20k lives, third-party administrators, brokers, consultants, and coalitions within the assigned territory
• Collaborate with Commercial leadership to develop and execute a direct-to-prospect strategy
• Manage complex deals from initial discovery through RFP and finalist stages
• Identify, source, and build relationships with new client prospects and channel partners
• Manage discovery, solution development, pricing recommendations, proposals, and finalist presentations end to end
• Structure pricing, contracting, and solution design
• Collaborate with underwriting, marketing, strategic partnerships, product, implementation, and customer success teams on go-to-market strategies and client onboarding
• Finalize contract terms and translate proposals into contractual agreements
• Maintain the sales process and Salesforce records, track and report sales activity, and manage deals from discovery to close
• Participate in business events, conferences, trade shows, and seminars

RVP, PBM Enterprise Sales

• Maintains and audits pharmacy network directories, contracts, and credentialing records for accuracy and compliance
• Obtains applicable licenses and certificates of insurance from pharmacies
• Verifies eligibility through the NCPDP database and federal and state sources, including OIG, GSA, and SAM
• Coordinates onboarding, terminations, and status changes for retail, mail-order, and specialty pharmacies
• Serves as a day-to-day point of contact for network pharmacies, resolving claims, enrollment, and access issues
• Partners with claims and clinical teams to troubleshoot pharmacy-level adjudication and payment issues
• Supports the benefit and navigation team with network-related issues
• Develops and delivers ad hoc network reports for clients
• Helps document and continuously improve network operations processes

Pharmacy Network Coordinator

Product Manager

• Own the vision, roadmap, and delivery plan for claims adjudication, including how it scales with volume, new clients, and new lines of business
• Build deep expertise in pharmacy claims adjudication across eligibility, coverage rules, pricing, rejections, overrides, and coordination of benefits, and turn it into a structured, prioritized plan
• Define the long-term strategy for platform evolution to support operational scale, regulatory requirements, and new lines of business, including Medicare
• Write specs, user stories, and acceptance criteria; lead backlog refinement, sprint planning, and release coordination in an agile environment
• Partner with the adjudication engineering team to sequence work, manage dependencies, and resolve ambiguity in claim behavior
• Set correctness standards and own testing and claim certification to prove production readiness
• Own readiness and rollout planning, including validation against real claim volume, parallel testing, and phased release
• Coordinate go-live readiness across operations, clinical, client success, and compliance
• Partner with PBM operations, clinical, legal, and client success teams to meet workflow and regulatory requirements
• Manage drug data, formulary, and prior authorization dependencies
• Define and track KPIs for claim accuracy, system performance, and reliability
• Act as the primary product point of contact for adjudication across the organization and with external partners

Senior Product Manager, PBM Platform

Account Manager

• Establish net new relationships with partner companies and nurture them toward contracted relationships with shared and committed commercialization goals
• Expand existing opportunities and relationships and bring a fresh perspective to accelerate them
• Build relationships with key stakeholders and executives across partners to drive awareness and growth strategies
• Manage commercial processes with prospective partners, including discovery meetings, RFPs, finalist pitches, price negotiation, contracting, hand-off to Implementation and Client Management, and ongoing growth strategy
• Collaborate with Product, Analytics, Clinical, Operations, Implementation, and other internal teams to scope opportunities and design optimal partner setup
• Collaborate with Client Management to ensure successful ongoing management of strategic partner accounts
• Contribute to the product roadmap and commercial strategy by surfacing partner and market feedback
• Track activity in Salesforce and provide pipeline visibility through reporting and updates
• Lead Partnership Manager(s) responsible for ongoing partnership health, performance, and metrics tracking
• Travel as necessary to manage business objectives

Founding Engineer, Commercial Systems

Clinical Pharmacist – Specialty

Director of Finance

Data Analyst III, Care Navigation

Director, Consultant Relations

Seasonal Pharmacy Technician

Pharmacy Technician

Pharmacy Technician – Care Team

PBM Operations Associate

PBM Operations Associate

RVP, PBM Enterprise Sales

Pharmacy Network Coordinator

Senior Product Manager, PBM Platform

Director, Strategic Partnerships