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Rightway

Verified Job Source

Healthcare benefits without compromise. The first truly neutral PBM. Personalized proactive care navigation.

New York, NY

Hospitals and Health Care
501–1,000 people

About

With Rightway as your healthcare benefits partner, you don't have to compromise on employee health, happiness, or your company's results. We bring together the power of trusted clinicians and smart technology to help members make better decisions, get care faster, and spend less. By reimagining pharmacy benefits and care navigation, we give employers and their people a simpler, more transparent healthcare experience. One that lowers costs, improves outcomes, and restores trust.

Open positions

Claims & Billing Specialist

On-site · Quinte West

The specialist determines coverage for medical, dental, and vision procedures by analyzing health policy provisions and investigating questionable claims. They also resolve billing inquiries, maintain accurate claim status updates in the CRM, and ensure compliance with HIPAA guidelines.

Health Guide

On-site · Quinte West

The Health Guide provides concierge-level healthcare navigation services to members via phone, chat, text, and email. They assist with provider sourcing, benefit explanations, billing inquiries, and care coordination.

Population Health RN

Hybrid · Quinte West

The Clinical Guide Population Health RN performs clinical triage, high-risk outreach, and care coordination to help members navigate their healthcare needs. They serve as a trusted advisor to improve clinical outcomes and reduce costs by directing members to appropriate care settings.

Navigation Trainer

On-site

ABOUT THE ROLE: We are looking for an engaging and enthusiastic Trainer who will be responsible for training new hires within the Navigation Team as well as helping existing employees improve their knowledge and overall performance. The ideal candidate will bring experience in developing and delivering training content, identifying and addressing skill gaps in trainees, and strong facilitation skills. The healthcare environment is constantly changing and the ideal candidate will understand that materials need to remain dynamic and that constant upskilling is necessary to support the Navigati…