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← Rightway

PBM Operations Associate

Rightway
Location
Remote
Posted
12 days ago
Department
PBM: Operations & Management
Salary
$65,000 - $85,000
What they actually want (must-haves)
  • 1-3 years of PBM experience in claims adjudication, benefit configuration, or testing/QA
  • Strong attention to detail
  • Ability to navigate ambiguity and work from incomplete requirements
  • Comfortable working in structured tools (Excel, Smartsheet, claims platforms)
  • Clear written communication skills
Nice to have
  • Bachelor’s degree preferred; relevant experience considered for exceptional candidates
  • Pharmacy Technician certification or related pharmacy experience highly desirable
What the job really is

The PBM Operations Associate at Rightway will be responsible for configuring and maintaining client benefits within the claims adjudication platform. Daily tasks include reviewing benefit design documentation, executing test claim scenarios, resolving inquiries related to claims, and collaborating with cross-functional teams to ensure accurate benefit operations. The role demands strong attention to detail and effective communication to keep stakeholders informed.

Benefits
  • $65,000 - $85,000 annually
  • Bonus and equity
Things to weigh
  • No specific mention of remote work policies or team structure
  • Compensation varies based on geographic location, experience, and qualifications
  • Role involves navigating ambiguity which may require proactive problem-solving
Job score3.6/5
Benefits1/5
Freshness5/5
Career value3/5
Role clarity4/5
Pay transparency5/5

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