Overview Pharmacy Claims Manager What's your wish list for the perfect job? Maybe it's to make a ... Experience working with PBMs such as Express Scripts, CVS Caremark, OptumRx, Humana, Prime ...
Overview Pharmacy Claims Manager What's your wish list for the perfect job? Maybe it's to make a ... Experience working with PBMs such as Express Scripts, CVS Caremark, OptumRx, Humana, Prime ...
Pharmacy Technician Specialist - Ambulatory - Mercy San Diego
San Diego, CA · On-site
$18.50 - $22.50/hr
The Pharmacy Technician Specialist will provide essential support to both the Ambulatory and ... CoverMyMeds, Optum, CVS Caremark, Express Scripts), ICD-10/CPT/HCPCS coding, REMS programs, and ...
Pharmacy Technician Specialist - Ambulatory - Mercy San Diego
San Diego, CA · On-site
$18.50 - $22.50/hr
The Pharmacy Technician Specialist will provide essential support to both the Ambulatory and ... CoverMyMeds, Optum, CVS Caremark, Express Scripts), ICD-10/CPT/HCPCS coding, REMS programs, and ...
Clinical Pharmacist - Prior Authorization
$50.48 - $84.62/hr
... among CVS Caremark, health plan, and employer group staff. - Maintains professional and technical knowledge of drug and disease states for the Specialty and Non-Specialty Pharmacy programs ...
Clinical Pharmacist - Prior Authorization
$50.48 - $84.62/hr
... among CVS Caremark, health plan, and employer group staff. - Maintains professional and technical knowledge of drug and disease states for the Specialty and Non-Specialty Pharmacy programs ...
... within CVS\Caremark following agreed upon approval & denial management processes. *Generates ... Participate in implementation of new Specialty Pharmacy Programs with employers and health plans as ...
... within CVS\Caremark following agreed upon approval & denial management processes. *Generates ... Participate in implementation of new Specialty Pharmacy Programs with employers and health plans as ...
Senior Manager, Aetna Pharmacy Commercial Product
Woonsocket, SD · On-site
$82K - $182K/yr
At CVS Health, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose ... Markets, Caremark Integrated Business Unit, Caremark Sales, underwriting, reporting, digital ...
Senior Manager, Aetna Pharmacy Commercial Product
Woonsocket, SD · On-site
$82K - $182K/yr
At CVS Health, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose ... Markets, Caremark Integrated Business Unit, Caremark Sales, underwriting, reporting, digital ...
Senior Manager, Aetna Pharmacy Commercial Product
$82K - $182K/yr
At CVS Health, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose ... Markets, Caremark Integrated Business Unit, Caremark Sales, underwriting, reporting, digital ...
Senior Manager, Aetna Pharmacy Commercial Product
$82K - $182K/yr
At CVS Health, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose ... Markets, Caremark Integrated Business Unit, Caremark Sales, underwriting, reporting, digital ...
Senior Manager, Aetna Pharmacy Commercial Product
Farmington, CT · On-site
$82K - $182K/yr
At CVS Health, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose ... Markets, Caremark Integrated Business Unit, Caremark Sales, underwriting, reporting, digital ...
Senior Manager, Aetna Pharmacy Commercial Product
Farmington, CT · On-site
$82K - $182K/yr
At CVS Health, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose ... Markets, Caremark Integrated Business Unit, Caremark Sales, underwriting, reporting, digital ...
CVS Health - Aetna/CVS Caremark/Zinc * Elevance Health - Anthem/CarelonRx * Assigned national and ... Build and maintain compliant, professional relationships with pharmacy directors, medical directors ...
CVS Health - Aetna/CVS Caremark/Zinc * Elevance Health - Anthem/CarelonRx * Assigned national and ... Build and maintain compliant, professional relationships with pharmacy directors, medical directors ...
Senior Coordinator, Accounting - Pharmacy Returns
Cumberland, RI · On-site
$18.50 - $38.82/hr
At CVS Health, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose ... Caremark, Coram, and Oak Street Health . The ideal candidate possesses strong analytical skills ...
Senior Coordinator, Accounting - Pharmacy Returns
Cumberland, RI · On-site
$18.50 - $38.82/hr
At CVS Health, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose ... Caremark, Coram, and Oak Street Health . The ideal candidate possesses strong analytical skills ...
Customer Service Representative
Wendell, NC · On-site
$44K - $69K/yr
... pharmacy benefits to all eligible full-time employees at no cost to employees (employee-only coverage), administered by Meritain throughAetna and CVS Caremark. Additionally, the Town offers an HRA ...
Customer Service Representative
Wendell, NC · On-site
$44K - $69K/yr
... pharmacy benefits to all eligible full-time employees at no cost to employees (employee-only coverage), administered by Meritain throughAetna and CVS Caremark. Additionally, the Town offers an HRA ...
NC · On-site
$16.50 - $22.25/hr
Our Caremark Member Operations division of CVS Health's Pharmacy Benefit Manager business is onboarding Customer Care Representatives (CCRs) in your area! Are you interested and live in North ...
Quick apply
NC · On-site
$16.50 - $22.25/hr
Our Caremark Member Operations division of CVS Health's Pharmacy Benefit Manager business is onboarding Customer Care Representatives (CCRs) in your area! Are you interested and live in North ...
Lead Director, PBM Corporate Compliance
Woonsocket, RI · On-site
$100K - $231K/yr
At CVS Health, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose ... As a Pharmacy Benefit Manager (PBM) Corporate Compliance Lead Director, you will serve as a key ...
Lead Director, PBM Corporate Compliance
Woonsocket, RI · On-site
$100K - $231K/yr
At CVS Health, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose ... As a Pharmacy Benefit Manager (PBM) Corporate Compliance Lead Director, you will serve as a key ...
Lead Director, PBM Corporate Compliance
Minneapolis, MN · On-site
$100K - $231K/yr
At CVS Health, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose ... As a Pharmacy Benefit Manager (PBM) Corporate Compliance Lead Director, you will serve as a key ...
Lead Director, PBM Corporate Compliance
Minneapolis, MN · On-site
$100K - $231K/yr
At CVS Health, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose ... As a Pharmacy Benefit Manager (PBM) Corporate Compliance Lead Director, you will serve as a key ...
Lead Director, PBM Corporate Compliance
Scottsdale, AZ · On-site
$100K - $231K/yr
At CVS Health, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose ... As a Pharmacy Benefit Manager (PBM) Corporate Compliance Lead Director, you will serve as a key ...
Lead Director, PBM Corporate Compliance
Scottsdale, AZ · On-site
$100K - $231K/yr
At CVS Health, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose ... As a Pharmacy Benefit Manager (PBM) Corporate Compliance Lead Director, you will serve as a key ...
Senior Paralegal
$34.66 - $76.26/hr
At CVS Health, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose ... These contracts must accurately reflect Caremark's current business strategies and all current ...
Senior Paralegal
$34.66 - $76.26/hr
At CVS Health, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose ... These contracts must accurately reflect Caremark's current business strategies and all current ...
Own CVS's Customer Experience AEO strategy and operational roadmap, aligned to Enterprise CX priorities across pharmacy, retail, Healthcare Delivery, Caremark, and Aetna touchpoints and with evolving ...
Own CVS's Customer Experience AEO strategy and operational roadmap, aligned to Enterprise CX priorities across pharmacy, retail, Healthcare Delivery, Caremark, and Aetna touchpoints and with evolving ...
Senior Paralegal
Woonsocket, SD · On-site
$34.66 - $76.26/hr
At CVS Health, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose ... These contracts must accurately reflect Caremark's current business strategies and all current ...
Senior Paralegal
Woonsocket, SD · On-site
$34.66 - $76.26/hr
At CVS Health, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose ... These contracts must accurately reflect Caremark's current business strategies and all current ...
Senior Paralegal
Farmington, CT · On-site
$34.66 - $76.26/hr
At CVS Health, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose ... These contracts must accurately reflect Caremark's current business strategies and all current ...
Senior Paralegal
Farmington, CT · On-site
$34.66 - $76.26/hr
At CVS Health, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose ... These contracts must accurately reflect Caremark's current business strategies and all current ...
Senior Paralegal
Irving, TX · On-site
$34.66 - $76.26/hr
At CVS Health, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose ... These contracts must accurately reflect Caremark's current business strategies and all current ...
Senior Paralegal
Irving, TX · On-site
$34.66 - $76.26/hr
At CVS Health, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose ... These contracts must accurately reflect Caremark's current business strategies and all current ...
Senior Paralegal
Scottsdale, AZ · On-site
$34.66 - $76.26/hr
At CVS Health, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose ... These contracts must accurately reflect Caremark's current business strategies and all current ...
Senior Paralegal
Scottsdale, AZ · On-site
$34.66 - $76.26/hr
At CVS Health, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose ... These contracts must accurately reflect Caremark's current business strategies and all current ...
Cvs Caremark Pharmacy information
See salary details
$14.66 - $15.71
3% of jobs
$16.69 is the 25th percentile. Wages below this are outliers.
$15.71 - $16.76
23% of jobs
The median wage is $17.56 / hr.
$16.76 - $17.81
31% of jobs
$17.81 - $18.86
15% of jobs
$19 is the 75th percentile. Wages above this are outliers.
$18.86 - $19.91
19% of jobs
$19.91 - $20.96
9% of jobs
$20.96 - $22.01
0% of jobs
$22.01 - $23.06
0% of jobs
$23.06 - $24.10
0% of jobs
$24.10 - $25.15
0% of jobs
$25.15 - $26.20
0% of jobs
$14
$18
$26
How much do cvs caremark pharmacy jobs pay per hour?
What is CVS Caremark Pharmacy?
What are the most common challenges faced by pharmacy technicians at CVS Caremark Pharmacy, and how can they be managed?
What are the key skills and qualifications needed to thrive as a CVS Caremark Pharmacy technician, and why are they important?
What is the difference between Cvs Caremark Pharmacy vs Pharmacist?
| Aspect | Cvs Caremark Pharmacy | Pharmacist |
|---|---|---|
| Credentials | State licensure, pharmacy technician certification | Doctor of Pharmacy (Pharm.D.), state licensure |
| Work Environment | Retail pharmacy, mail-order, or specialty pharmacy settings | Community, hospital, or clinical pharmacy settings |
| Employer & Industry | Pharmacy benefit managers, retail chains, healthcare providers | Hospitals, retail chains, healthcare organizations |
While Cvs Caremark Pharmacy primarily involves managing prescription benefits and pharmacy operations, pharmacists are licensed healthcare professionals responsible for dispensing medications and patient counseling. Both roles are integral to pharmacy services but differ in scope and responsibilities.
What states have the most Cvs Caremark Pharmacy jobs?
States with the most job openings for Cvs Caremark Pharmacy jobs include:
What job categories do people searching Cvs Caremark Pharmacy jobs look for?
The top searched job categories for Cvs Caremark Pharmacy jobs are:

Full-time
Medical, Dental, Vision, Retirement, PTO
Re-posted 21 days ago
Job description
Pharmacy Claims Manager
What's your wish list for the perfect job? Maybe it's to make a positive impact in the world, or to grow your career in healthcare. Maybe working with a supportive team is top priority, or to feel respected and valued.
If your answer is "all of the above," consider joining our team at Consonus Pharmacy. It's a perfect opportunity for compassionate people dedicated to people's health and well-being.
Consonus Pharmacy is a closed-door long-term care pharmacy specializing in the needs of nursing facilities, assisted living residents, and their caregivers. We are currently hiring a Pharmacy Claims Manager to join our team!
As the Pharmacy Claims Manager your responsibilities will include (but are not limited to):
The Pharmacy Claims Manager is responsible for overseeing all pharmacy claims processing operations, including prescription adjudication, third-party billing, claim rejection management, and reimbursement optimization. This position leads a team responsible for ensuring accurate and timely claim submission, resolution of claim exceptions, compliance with PBM, Medicare Part D, Medicaid, and commercial payer requirements, and adherence to NCPDP standards.
The Pharmacy Claims Manager partners closely with Billing, Customer Accounts, and Pharmacy Operations to ensure accurate reimbursement and compliance, minimize claim write-offs, and ensure exceptional service to residents, facilities, and payers. In our Long-Term Care environment, there is focus on coordination with the Credentialing & Contracting team on payer enrollment issues, and management of LTC-specific reject queues related to transition fills, hospice billing, and facility census changes.
Some benefits may include:
- Paid training & career advancement opportunities
- $25,000 toward ongoing education benefit
- Generous Paid Time Off that pools vacation, sick & holiday pay in a single bucket for flexible use
- Medical/Dental/Vision insurance
- Free access to MDLIVE - allowing access to your health benefits from anywhere
- 401K With Employer Match
- Employee Assistance Program: with free access to counseling & support services
Qualifications
- Bachelor's degree in Healthcare Administration, Business, Finance, or related field; equivalent experience considered.
- Minimum 5 years of pharmacy claims, third-party billing, pharmacy revenue cycle, or PBM operations experience. Long - Term Care experience preferred.
- Minimum 2 years of supervisory or management experience.
- Strong understanding of: NCPDP claim standards, Medicare Part D, Medicaid pharmacy billing, Managed Care reimbursement, PBM claim adjudication processes, Pharmacy revenue cycle operations.
- Experience working with PBMs such as Express Scripts, CVS Caremark, OptumRx, Humana, Prime Therapeutics, MedImpact, and Navitus.
- Experience managing Medicare Part D, Medicaid, and dual-eligible populations
- Advanced analytical and problem-solving skills.
- Proficiency with pharmacy management systems and reporting tools
- Ability to work under pressure in fast-paced environment ensuring timely and accurate billing
- Ability to travel to other pharmacy locations as required
- Certified Pharmacy Technician (CPhT) preferred (can obtain after hire)
EEO Statement
"Be here. Be you."
For more than 30 years, Marquis Companies and Consonus Healthcare have been serving seniors and welcoming staff of all backgrounds, skills, and perspectives. The Marquis family of companies offer a rich heritage of embracing differences and honoring individuality. We've continued to grow in our appreciation of diversity in the workplace. We know it builds strength, drives innovation, and brings valuable new perspectives and energy.
We're committed to making our workforce an even greater reflection of the people and communities we serve, and we are honored our employees have chosen to work at Marquis and Consonus. Everything we do as a company is driven by our mission to help those we serve, and each other, live the best rest of our lives.
That means you being you - without apology or compromise. We value your every uniqueness and continue to curate, nurture, and sustain an inclusive culture. It's the foundation of who we are and the evolution of our collective future.
About Consonus Healthcare
Sourced by ZipRecruiter
Industry
Health care and social assistance
Company size
501 - 1,000 Employees
Headquarters location
Portland, OR, US