Clinical Pharmacist, Specialty

About The Role

Our PBM goal is to help clients better manage pharmacy spend to make drugs more affordable for their employees and dependents. Rightway is responsible for designing, building, and operating a new-to-the-world PBM model based on our core tenets: fairness & transparency, unlocking the supply chain, supporting the physician-patient relationship, and utilizing navigation to empower consumers.

The Clinical Pharmacist, Specialty is a member of the Rightway PBM Clinical Operations team. This role will be key in delivering on the “pharmacist in the family” approach to engaging our members on specialty medications. We are looking for an experienced clinical pharmacist with specialty drug experience to engage with our specialty members in a caring and empathetic manner. Written and verbal communication skills will be critical when interacting with members on the phone, via email, and via the chat function on the Rightway app. A willingness to go the extra mile to provide outstanding customer service is an essential requirement of this role.

What You’ll Do

• Guide specialty members as if you are the “Pharmacist in the Family” to help specialty members manage their medications and disease states.
• Engage with specialty members via phone, chat, and email to provide a white glove/concierge experience for members.
• Support and assist specialty members in enrolling in copay/patient assistance programs.
• Onboard new specialty members: assist in drug selection (as needed), specialty clinical assessment, selection of a specialty dispensing pharmacy, clinically support member throughout the continuum of care.
• Go above and beyond to answer member questions about all things pharmacy related.
• Perform core Pharmacist duties including prospective/retrospective drug utilization reviews, comprehensive medication reviews, and recommending changes to patient's drug regimens.
• Partners with Rightway’s Navigation team where needed to provide holistic support to members.
• Contributes to the Pharmacy & Therapeutics process in the research, preparation and presentation of drug monographs, therapeutic category reviews and clinical policy development. Ensures that these processes meet or exceed regulatory and best practice standards.
• Supports prior authorization review process as needed regarding specialty drug product selection and formulary compliance to ensure quality of care.
• Effectively collaborate with third-parties in the administration of Rightway’s clinical pharmacy strategy.

Who You Are

• Pharmacy degree required, PharmD preferred.
• Managed Care or specialty pharmacy residency preferred
• 3 years in direct patient care such as PBM clinical operations, Health Plan Pharmacy Department, or Specialty pharmacy
• May require occasional travel.
• Required: State of residence. Preferred: Multi-state licenses and/or be willing to attain licensure in additional states.
• Core operating hours are weekdays within 8 am Eastern Time and 8 pm Pacific Time, but may be required to work an evening or weekend shift in the future as Rightway grows. On call approximately once every two months.
• Important characteristics of ideal candidate: Empathetic, detail-oriented, intellectually and clinically curious, good listener, ability to challenge status quo, values exemplar
• Specific skills needed for job: Great clinician, effective & creative problem-solver, ability to prioritize and manage through change. Solid communication skills, ability to lead projects and influence others even without direct reporting line ownership

About Rightway

Rightway is on a mission to harmonize healthcare for everyone, everywhere. Our products guide patients to the best care and medications by inserting clinicians and pharmacists into a patient’s care journey through a modern, mobile app. Rightway is a front door to healthcare, giving patients the tools they need along with on-demand access to Rightway health guides, human experts that answer their questions and manage the frustrating parts of healthcare for them.

Since its founding in 2017, Rightway has raised over $205mm from investors including Khosla Ventures, Thrive Capital, and Tiger Global. We’re headquartered in New York City, with satellite offices in Denver and Dallas. Our clients rely on us to transform the healthcare experience, improve outcomes for their teams, and decrease their healthcare costs.

How We Live Our Values To Our Teammates

We’re seeking those with passion for healthcare and relentless devotion to our goal. We need team members that embody our following core values:

• We are human, first: Our humanity binds us together. We bring the same empathetic approach to every individual we engage with, whether it be our members, our clients, or each other. We are all worthy of respect and understanding and we engage in our interactions with care and intention. We honor our stories. We listen to—and hear—each other, we celebrate our differences and similarities, we are present for each other, and we strive for mutual understanding.
• We redefine what is possible: We always look beyond the obstacles in front of us to imagine new solutions. We approach our work with inspiration from other industries, other leaders, and other challenges. We use ingenuity and resourcefulness when faced with tough problems.
• We debate then commit: We believe that a spirit of open discourse is part of a healthy culture. We understand and appreciate different perspectives and we challenge our assumptions. When working toward a decision or a new solution, we actively listen to one another, approach it with a “yes, and” mentality, and assume positive intent. Once a decision is made, we align and champion it as one team.
• We cultivate grit: Changing healthcare doesn’t happen overnight. We reflect and learn from challenges and approach the future with a determination to strive for better. In the face of daunting situations, we value persistence. We embrace failure as a stepping stone to future success. On this journey, we seek to act with guts, resilience, initiative, and tenacity.
• We seek to delight: Healthcare is complicated and personal. We work tirelessly to meet the goals of our clients while also delivering the best experience to our members. We recognize that no matter the role or team, we each play a crucial part in our members’ care and take that responsibility seriously. When faced with an obstacle, we are kind, respectful, and solution-oriented in our approach. We hold ourselves accountable to our clients and our members’ success.

Key skills/competency

• Specialty Pharmacy
• Clinical Operations
• Medication Management
• Patient Engagement
• Drug Utilization Review (DUR)
• Prior Authorization
• Formulary Management
• Pharmacy Benefit Management (PBM)
• Clinical Policy Development
• Customer Service