About the Role

We're looking for a Pricing Operations Manager to join our PBM team—a unique role that bridges technical expertise with business acumen, building solutions from the ground up. In this position, you'll oversee various reporting and analysis functions including client impact analysis, regulatory reporting, and MAC management, while remaining hands-on with technical work and driving automation and data quality initiatives. 

WHAT YOU’LL DO: 

• Oversee and review client impact analysis, regulatory reporting, MAC Management, as well as other financial analysis to support PBM pricing strategies and operational decisions
• Write complex SQL queries and Python scripts independently to extract, transform, and analyze pricing data, as well as to automate existing manual processes - documenting and utilizing version control as appropriate
• Design and maintain database structures following best practices for table design, permissions, and data integrity.  This includes drug lists, pharmacy network lists, rebate data ingestion, and contractual term management, ensuring data integrity through systematic validation processes
• Build specialized reports and analytical frameworks from first principles, moving beyond pre-configured templates to deliver custom solutions
• Identify and implement automation opportunities to streamline pricing operations and reporting processes
• Collaborate with business stakeholders to translate business needs into technical solutions and models to add scalability and value to our operations
• Organize, document, and create structure around data processes, establishing frameworks where none exist
• Other duties as assigned.

WHO YOU ARE: 

• Bachelor's degree in Mathematics, Computer Science, or related field
• 3+ years of relevant healthcare experience in financial data analysis and reporting as an individual contributor, with demonstrated ability to lead other analysts.
• Strong skills in Excel, Databases, and SQL, with the ability to write code independently and solve problems creatively
• Python programming knowledge and experience
• Management experience with small teams
• Strong written and verbal communication skills

EXTRA CREDIT:

• • Advanced Degree in Mathematics, Computer Science, or related field
  • Appropriate industry experience in the healthcare, insurance or PBM industry, preferably with PBM pricing models and strategies
  • Python programming experience managing simple database-backed applications (Beeware, tkinter, etc)

BASE SALARY: $100,000-$130,000

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.