Regulatory Program Manager (PBM)

At Rightway we are committed to creating a diverse environment and are proud to be an equal opportunity employer. We hire for the best talent and actively seek diversity of thought processes, beliefs, background and education. Rightway fosters an inclusive culture where differences are celebrated to drive the best business decisions possible.
We are committed to equal opportunity and fairness regardless of race, color, religion, sex, gender identity, sexual orientation, nation of origin, ancestry, age, physical or mental disability, country of citizenship, medical condition, marital or domestic partner status, family status, family care status, military or veteran status or any other basis protected by local, state or federal laws.
Rightway Healthcare was founded in early 2017 by a team of dedicated healthcare, business and technology leaders. Rightway is a technology platform that provides employees and their families with the support, information and advocacy they need to be better... healthcare consumers. We combine a high-tech consumer portal with a high-touch dedicated concierge environment to provide consumers with the same level of support and guidance they would receive if they had a doctor in the family. We are focused on personalization, implementation, advocacy and results.
Rightway works with employers from 100 – 25,000 employees to provide an ecosystem of healthcare navigation for employees. We are committed to generating high member satisfaction scores, industry leading engagement and a quantifiable ROI for every employer. Our approach is rooted in analytics and guided by a bottom-up understanding of a population.
Rightway is privately financed, having raised over $100mm to date from investors such as Thrive Capital
It is headquartered out of New York City, with new offices in Hudson Yards. We also have remote offices in Miami, FL and San Francisco, CA.
ABOUT THE ROLE
Role Description: The Regulatory Program Manager is a member of the Rightway Legal team reporting to the General Counsel. This role forms key relationships with internal and external stakeholders to ensure Rightway remains up-to-date on all regulatory and licensing requirements in accordance with company, state and federal guidelines.
RESPONSIBILITIES
Coordinate, process and monitor license obligations with state and federal agencies on behalf of Rightway as an organization and for individuals requiring direct licensure.
Monitor ongoing state and federal regulations to understand any impact to Rightway operations for PBM and telemedicine operations.
Research state and federal regulations and work with the business area to translate guidance to business requirements.
Perform an ongoing operational assessment to ensure compliance with state and federal guidelines (i.e. ERISA, ACA).
Assist with completing state licensing applications for clinicians (medical directors, nurses, pharmacists).
Monitor and maintain all current licensing documents and assist with renewal applications as applicable.
Support the strategic planning, implementation, and renewal of all PBM and telemedicine accreditations, certifications, licenses, and compliance projects.
All other duties as assigned.
REQUIREMENTS
Education level: Bachelor’s Degree Required. Preferred: Master’s Degree
Work experience: 3-5 years of relevant work experience
Location information: NYC or Denver. Highly qualified remote candidates will be considered (occasional travel may be required)
Important characteristics of ideal candidate: Detail-oriented, analytical, intellectually curious, good listener, empathetic, ability to challenge status quo, values exemplar
Specific skills needed for job: Solid communication and organizational skills, ability to lead projects and influence others even without direct reporting line ownership
BENEFITS
Competitive Compensation
Full Benefits (Medical, Dental, Vision, Commuter)
401K plan
Company sponsored social events
Rightway is proud to be an Equal Employment Opportunity employer
We do not discriminate based upon race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity, gender expression, age, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics