Jobs at Rightway

Own client-facing technical implementation and support across SSO, file transformations, provider networks, engagement platforms, and eligibility workflows. Configure and validate systems, monitor file ingestion, investigate registration and data-quality issues, resolve standard problems, and coordinate escalations with engineering teams. Maintain implementation records, SOPs, knowledge bases, and QA checklists while partnering with Client Success, Implementation, Data Engineering, and Product to improve tooling and processes.

Manages day-to-day pharmacy benefit configuration and administration, including plan setup, copay structures, formulary schedules, coverage rules, reporting, troubleshooting, documentation, and issue resolution. Serves as the primary contact for benefit configuration inquiries and collaborates with account management, contact center, and clinical teams. Supports pharmacy associates with benefit updates, formulary maintenance, and complex configuration issues. PBM experience in benefits administration or plan configuration is required.

Manage key client relationships in the Pharmacy Benefit Management sector, ensuring high-quality service delivery and client satisfaction while coordinating with internal teams and leading client interactions.

Support day-to-day PBM data operations including eligibility, accumulator, and claims extract file feeds. Monitor and troubleshoot file feeds and third‑party integrations, collaborate with engineering and client teams, maintain documentation and internal controls, and assist during peak seasons to ensure timely, accurate data delivery.

Support client relationships by tracking and resolving cases, coordinating cross-functional teams, pulling and interpreting reports, maintaining documentation, and providing operational and administrative support to ensure client performance guarantees are met.

Serve as a subject-matter expert for Rightway's Navigation and Unity solutions during client engagements. Support RFPs, pitches, demos, workshops, and enablement; translate client needs into actionable solutions; collaborate across product, delivery, marketing, and sales to drive implementation, optimization, and commercial outcomes.

Sell Rightways PBM and Navigation solutions to large, self-funded Fortune 500 employers in the Eastern U.S. Build pipeline, close deals, manage RFP-to-contract process, and coordinate cross-functional teams to onboard clients. Represent the company at industry events and use Salesforce to track sales activities.

Lead design and productionalization of AI-driven features for care navigation and PBM. Rapidly prototype and ship full-stack solutions using Node.js, React, TypeScript, Ruby, GraphQL, and Postgres. Architect scalable, secure systems for sensitive healthcare data, set AI integration standards, drive technical decisions, and mentor engineers to ensure production-quality implementations.

Build and maintain production-grade data pipelines and ELT processes using Python, SQL, Airflow, and dbt within AWS. Design optimized schemas in PostgreSQL and Redshift, leverage AI/LLMs to improve development, automation, testing, and data quality, and scale infrastructure for large healthcare datasets.