Director, Pharmacy Networks

ABOUT THE ROLE:

We are seeking a Director of Pharmacy Networks that will serve as a strategic leader responsible for overseeing and optimizing Rightway's pharmacy network operations, contract negotiations, and compliance initiatives. This role requires a dynamic professional who can manage complex relationships with pharmacy partners while ensuring operational excellence and regulatory compliance across all network activities.

WHAT YOU’LL DO:

• Oversee networks, adjudication, and pharmacy network configuration while monitoring performance metrics and implementing improvement strategies
• Oversee and manage pharmacy audits, develop audit protocols, and ensure adherence to regulatory requirements and industry standards
• Negotiate contracts for the entire pharmacy network and lead strategic relationship management with key pharmacy partners
• Develop pricing strategies and guardrails for contracting, lead pharmacy rate negotiations, and serve as final contract approver
• Partner with Finance and Accounting teams on pharmacy remittances, payments, and other financial reporting
• Coordinate specialty negotiation strategy with specialty pharmacy teams while collaborating closely with internal Rightway specialty operations team
• Oversee pharmacy analytics and compliance reporting, generating performance reports and providing data-driven insights for strategic decision-making
• Collaborate cross-functionally with internal teams to drive operational excellence and ensure contract terms align with Rightway's business objectives
• Other duties as assigned to support Rightway's mission and objectives

WHO YOU ARE:

• Bachelor's degree in Business Administration, Healthcare Management, Pharmacy, or related field; Master's degree preferred
• 7+ years of experience in pharmacy benefit management, healthcare contracting, or provider relations
• 3+ years of leadership/management experience with demonstrated ability to oversee cross-functional teams
• Proven experience in contract negotiation and vendor relationship management
• Strong background in pharmacy operations, network management, and adjudication processes
• Experience with pharmacy audits, compliance reporting, and regulatory requirements
• Proficiency in data analytics and reporting tools with ability to translate data into actionable insights
• Knowledge of healthcare regulations, pharmacy benefit laws, and industry compliance standards
• Excellent communication, negotiation, and stakeholder management skills
• Strong analytical and problem-solving abilities with attention to detail
• Ability to work in a fast-paced environment and manage multiple priorities effectively

EXTRA CREDIT:

• PharmD, MBA, or relevant advanced degree
• Experience with pharmacy benefit management (PBM) operations
• Previous experience in a healthcare technology or digital health company
• Professional certifications in healthcare management or contract negotiation

SALARY: $160,000-180,000

Offer amounts for both remote and in office roles are influenced by geographic location.

CYBERSECURITY AWARENESS NOTICE

In response to ongoing and industry-wide fraudulent recruitment activities (i.e., job scams), Rightway wants to inform potential candidates that we will only contact them from the @rightwayhealthcare.com email domain. We will never ask for bank details or deposits of any kind as a condition of employment. 

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:

1) 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.

2) 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.

3) 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.

4) 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.

5) 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.

Rightway is Proudly an Equal Opportunity Employer that believes in strength in the diversity of thought processes, beliefs, background and education and fosters an inclusive culture where differences are celebrated to drive the best business decisions possible. We do not discriminate on any basis covered by appropriate law. All employment is decided on the consideration of merit, qualifications, need and performance.