Pharmacy Technician – Care Team

Rightway

. Serve as the primary point of contact for members, providers, and pharmacies via phone, chat, email, and written correspondence .

Posted 9/28/2026full-timeRemote • Florida • United StatesJunior💰 $22 - $22 per hourWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in pharmacy claims adjudication, benefit design, and medication management while effectively communicating with members, providers, and pharmacies. Proficient in utilizing AI-enabled tools for inquiry resolution and documentation.

Highest-signal resume keywords

National Pharmacy Technician CertificationPharmacy Claims AdjudicationBenefit Design KnowledgeMail Order Pharmacy ExperienceMultitasking and Prioritization

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Claims ProcessingMedication Cost AnalysisPrior Authorization CriteriaClinical Program EnrollmentDocumentation in Internal Systems

Soft Skills

Problem SolvingTeam CollaborationCommunication SkillsCustomer Service Orientation

Tools & Technologies

AI-Enabled ToolsInternal Knowledge Systems

Certifications & Qualifications

National Pharmacy Technician Certification

Industry Keywords

Pharmacy Benefit Manager (PBM)Retail PharmacyHealth PlanThird Party Administrator (TPA)Specialty Pharmacy

About the role

Key responsibilities & impact

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

Requirements

What you’ll need

Active/Current National Pharmacy Technician Certification (PTCB, NHA)
1 to 3 years as a pharmacy technician in a health plan, retail pharmacy setting, TPA, or PBM contact center role
Working knowledge of pharmacy claims adjudication, benefit design, and PBM terminology
Associate's or bachelor's degree preferred, or equivalent relevant work experience
Mail order and specialty pharmacy backgrounds are a strong fit
Ability to analyze root causes and resolve issues
Ability to multitask and prioritize concurrent phone, chat, and email queues
Ability to support multiple lines of business and shifting priorities