ZipRecruiter

Log In

1

Pharmacy Adjudication Jobs (NOW HIRING)

Onco360

Supervisor - Pharmacy Adjudication

Woodridge, IL · On-site

$64.50 - $75.75/hr

Onco360 Pharmac y has a need for qualified candidates to fill our role of Pharmacy Adjudication Supervisor . This is an excellent opportunity to join our company and help with our expanding Specialty ...

Onco360

Supervisor - Pharmacy Adjudication

Indianapolis, IN

$62.25 - $73/hr

Onco360 Pharmac y has a need for qualified candidates to fill our role of Pharmacy Adjudication Supervisor . This is an excellent opportunity to join our company and help with our expanding Specialty ...

Onco360

Supervisor - Pharmacy Adjudication

New Hyde Park, NY · On-site

$69 - $81.25/hr

Onco360 Pharmac y has a need for qualified candidates to fill our role of Pharmacy Adjudication Supervisor . This is an excellent opportunity to join our company and help with our expanding Specialty ...

Onco360

Supervisor - Pharmacy Adjudication

Louisville, KY

$59.50 - $70/hr

Onco360 Pharmac y has a need for qualified candidates to fill our role of Pharmacy Adjudication Supervisor . This is an excellent opportunity to join our company and help with our expanding Specialty ...

Onco360

Supervisor - Pharmacy Adjudication

Houston, TX · On-site

$62 - $73/hr

Onco360 Pharmac y has a need for qualified candidates to fill our role of Pharmacy Adjudication Supervisor . This is an excellent opportunity to join our company and help with our expanding Specialty ...

Onco360

Supervisor - Pharmacy Adjudication

Woodridge, IL · On-site

$64.50 - $75.75/hr

Onco360 Pharmac y has a need for qualified candidates to fill our role of Pharmacy Adjudication Supervisor . This is an excellent opportunity to join our company and help with our expanding Specialty ...

Onco360

Supervisor - Pharmacy Adjudication

Houston, TX

$62 - $73/hr

Onco360 Pharmac y has a need for qualified candidates to fill our role of Pharmacy Adjudication Supervisor . This is an excellent opportunity to join our company and help with our expanding Specialty ...

Onco360

Supervisor - Pharmacy Adjudication

Louisville, KY · On-site

$62.50 - $73.50/hr

Onco360 Pharmac y has a need for qualified candidates to fill our role of Pharmacy Adjudication Supervisor . This is an excellent opportunity to join our company and help with our expanding Specialty ...

next page

Showing results 1-20

All JobsPharmacy Adjudication Jobs

Pharmacy Adjudication information

See salary details

$14

$19

$26

How much do pharmacy adjudication jobs pay per hour?

As of Aug 14, 2026, the average hourly pay for pharmacy adjudication in the United States is $19.27, according to ZipRecruiter salary data. Most workers in this role earn between $16.83 and $20.43 per hour, depending on experience, location, and employer.

What are the key skills and qualifications needed to thrive in pharmacy adjudication, and why are they important?

To thrive in pharmacy adjudication, you need keen attention to detail, strong analytical abilities, and knowledge of pharmacy benefit management, insurance claims, and healthcare billing, often supported by a relevant associate degree or experience in the field. Familiarity with pharmacy claims processing systems, pharmacy management software, and common coding standards like NCPDP is highly valued. Excellent problem-solving skills, effective communication, and the ability to handle sensitive information professionally are important soft skills in this role. These competencies ensure accurate claims review, efficient coordination with pharmacies and insurers, and high-quality customer service.

What are the primary responsibilities of someone working in pharmacy adjudication?

Professionals in pharmacy adjudication are responsible for reviewing, processing, and resolving pharmacy claims to ensure accuracy and compliance with insurance and regulatory guidelines. Their daily tasks typically involve verifying patient and prescription information, checking for eligibility and coverage, and investigating any claim discrepancies or rejections. They frequently collaborate with pharmacists, insurance representatives, and patients to resolve issues and facilitate the reimbursement process. This role requires balancing technical expertise with strong communication skills to provide efficient, reliable service in a detail-oriented environment.

What is pharmacy adjudication?

A Pharmacy Adjudication job involves processing and verifying prescription claims for insurance coverage. Professionals in this role ensure that prescriptions meet plan requirements, confirm patient eligibility, and determine costs based on the policy. They work closely with pharmacies, insurance companies, and healthcare providers to resolve billing issues and denials. Strong attention to detail and knowledge of insurance policies are essential for success in this role.

More about Pharmacy Adjudication jobs

What cities are hiring for Pharmacy Adjudication jobs?

Cities with the most Pharmacy Adjudication job openings:

What states have the most Pharmacy Adjudication jobs?

States with the most job openings for Pharmacy Adjudication jobs include:

What job categories do people searching Pharmacy Adjudication jobs look for?

The top searched job categories for Pharmacy Adjudication jobs are:

Pharmacy Adjudication jobs near you
Infographic showing various Pharmacy Adjudication job openings in the United States as of August 2026, with employment types broken down into 1% Internship, 1% As Needed, 74% Full Time, 22% Part Time, and 2% Contract. Highlights an 95% Physical, 1% Hybrid, and 4% Remote job distribution, with an average salary of $40,074 per year, or $19.3 per hour.

Supervisor - Pharmacy Adjudication

Onco360

Woodridge, IL • On-site

$64.50 - $75.75/hr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 23 days ago

Onco360 rating

7.7

Company rating: 7.7 out of 10

Based on 5 frontline employees who took The Breakroom Quiz

20th of 112 rated pharmacies

Job description

Onco360 Pharmacy has a need for qualified candidates to fill our role of Pharmacy Adjudication Supervisor. This is an excellent opportunity to join our company and help with our expanding Specialty Pharmacy program! This is a full-time position, Monday to Friday 9:30 am to 6:00 pm CST.
Onco360 Pharmacy is a unique oncology pharmacy model created to serve the needs of community, oncology and hematology physicians, patients, payers, and manufacturers.
A career with us is more than just a job. It's an opportunity to connect and care for our patients, providers, communities and each other. We attract extraordinary people who have a strong desire to live our mission - to better the lives of those battling cancer and rare diseases. Compassion is more important than numbers. We value teamwork, respect, integrity, and passion.
We succeed when you do, and our company and management team work hard to foster an environment that provides you with opportunities for both professional and personal growth.
Salary range starting at $49k and up depending on experience
Sign-On Bonus: $5,000 for employees starting before September 30, 2026.
We offer a variety of benefits including:
  • Medical; Dental; Vision
  • 401k with a match
  • Paid Time Off and Paid Holidays
  • Quarterly Incentive Bonuses
  • Tuition Reimbursement
  • Company paid benefits – life insurance; and short and long-term disability
The Pharmacy Adjudication Supervisor is responsible for all aspects of pharmacy claims adjudication, accuracy of pharmacy claims, resolution of third-party rejections, coordination of benefits, and patient outreach regarding any delay in medication delivery due to insurance claim rejections. This role requires advanced program knowledge and will provide quality control by routinely examining cases completed by team members.
Adjudication Supervisor Essential Functions:
  • Supervises adjudication staff in a leadership role to maintain a positive working environment by creating synergy and teamwork to minimize employee relations issues and reduce turnover. Communicates effectively across pharmacy and/or corporate teams and with patients, and successfully resolves issues.
  • Assists Director of Pharmacy Operations in day-to-day pharmacy operations and in implementing new procedures to ensure that the accurate and timely dispensing of quality pharmacy services is consistently delivered to all patients using effective service leadership and customer skills.
  • Works with pharmacy management to recruit, select, hire, orientate, develop, and train new associates. On an ongoing basis, evaluates, coaches, and utilizes performance management practices to motivate and set expectations for PA staff. In collaboration with management, drafts and delivers effective corrective action plans and disciplinary action to technicians performing at substandard levels.
  • Manages and reports on daily activity of vertical team members, including monitoring of daily workflow and Pulse reporting.
  • Handles escalations for difficult claim rejection resolution cases/questions to ensure accurate and timely completion of adjudication.
  • Adjudicates pharmacy claims for prescriptions in active workflow for primary, secondary, and tertiary pharmacy plans and reviews claim responses for accuracy before accepting the claim.
  • Contacts insurance companies to resolve third-party rejections and ensures pharmacy claim rejections are resolved to allow for timely shipping of medications. Performs outreach calls to patients or providers to reschedule their medication deliveries if claim resolution cannot be completed by ship date and causes shipment delays.
  • Contacts insurance companies to follow up on prior authorization requests, including determining if any additional information is needed, or whether the claim is in review, approved, or denied. Document all prior authorization information in patient profile.
  • Works with Pharmacy Technician Manager and/or Director of Pharmacy Operations on other responsibilities, projects, implementations, and initiatives as needed.
  • Maintains a safe and clean pharmacy by complying with procedures, rules, and regulations and compliance with professional practice and patient confidentiality laws.
  • Contributes to team effort by accomplishing related tasks as needed and other duties as assigned.
  • Conducts job responsibilities in accordance with the standards set out in the Company’s Code of Business Conduct and Ethics, its policies and procedures, the Corporate Compliance Agreement, applicable federal and state laws, and applicable professional standards.
Adjudication Supervisor Qualifications:
Education/Learning Experience
  • Required: High School Diploma or GED. Previous Experience in Pharmacy, Medical Billing, or Benefits Verification, Knowledge of insurance and applicable regulations
  • Desired: Associates or Bachelor’s Degree, Certified Pharmacy Technician, Specialty pharmacy experience
Work Experience
  • Required: 4+ years pharmacy or pharmacy adjudication or equivalent experience, previous leadership experience
  • Desired: 5+ years pharmacy or pharmacy adjudication or equivalent experience, 1+ years supervisor experience, Specialty pharmacy experience
Skills/Knowledge
  • Required: NDC medication billing, PBM and medical contracts, healthcare audit experience, knowledge of Medicare, Medicaid, and commercial insurance, pharmacy test claim and NCPDP claim rejection resolution, coordination of benefits, excellent interpersonal skills, able to work with all levels of management and staff, vast knowledge of pharmacy terminology and process including sig codes, and roman numerals, brand/generic names of medication, advanced typing, math and analytical skills.
  • Desired: Specialty pharmacy operations, leadership skills, independent decision-making abilities, able to conduct research, be resourceful, and self-reliant, excellent communication skills
Licenses/Certifications
  • Required: Registration with Board of Pharmacy as required by state law
  • Desired: Certified Pharmacy Technician (PTCB), Advanced Certified Pharmacy Technician with completion of Billing and Reimbursement certification
Behavior Competencies
  • Required: Independent worker, good interpersonal skills, excellent verbal and written communications skills, ability to work independently, work efficiently to meet deadlines and be flexible, detail-oriented, great time-management skills, leadership

What Onco360 employees say

Pay

Hours and flexibility

Workplace

Get the full story on Breakroom

Apply