[Hiring] Pharmacy Network Coordinator @Rightway

Role Description

The Pharmacy Network Coordinator supports the day-to-day management of Rightway's retail, mail-order, and specialty pharmacy networks. This person keeps network data accurate, coordinates pharmacy onboarding and credentialing, and works cross-functionally with claims, client success, and clinical teams to make sure members always have reliable access to the pharmacies they need.

• 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 (e.g., OIG, GSA, 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 the 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.

Qualifications

• 2+ years of experience in pharmacy benefits, PBM operations, network management, or a related healthcare role.
• Working knowledge of pharmacy network contracting, credentialing, or claims adjudication.
• Ability to work independently, with strong attention to detail and comfort managing data across multiple systems.
• Excellent written and verbal communication skills, with a service-first approach to pharmacy partners.
• Proven track record in fast-paced environments, managing multiple priorities simultaneously.
• Intermediate proficiency in Word, Excel or Google Sheets; experience with PBM or claims platforms is a plus.

Requirements

• Familiarity with PBM regulatory and network adequacy requirements.
• Background working directly with retail, mail-order, or specialty pharmacies.
• PTCB certification (or state license).

Benefits

• Compensation: $70,000 - $91,000 annually, in addition to bonus and equity.
• Compensation offered will be determined by geographic location, experience, and qualifications.