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Pharmacy Benefit Jobs (NOW HIRING)

Dana-Farber Cancer Institute

$22.25 - $28.75/hr

The Pharmacy Benefits Specialist II, OPD is responsible for completing all pharmacy prior authorizations for outpatient medications. Serves as a liaison between the multiple disease centers at Dana ...

Gallagher

Pharmacy Benefit Analyst

Torrance, CA · Remote

$90K - $100K/yr

The Pharmacy Benefit Analyst will support the Pharmacy Division with the data analytics and auditing needed to provide KPS clients with proactive consultation on their Pharmacy Benefit program.

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Pharmacy Benefit information

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How much do pharmacy benefit jobs pay per hour?

As of Jul 28, 2026, the average hourly pay for pharmacy benefit 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 as a Pharmacy Benefit Manager, and why are they important?

To thrive as a Pharmacy Benefit Manager, you need strong knowledge of pharmaceutical benefits, healthcare regulations, and claims processing, typically backed by a degree in pharmacy, healthcare administration, or a related field. Familiarity with pharmacy benefit management (PBM) software, formulary management tools, and regulatory compliance systems is essential. Excellent analytical skills, negotiation abilities, and effective communication are critical soft skills for collaborating with insurers, pharmacies, and clients. These skills ensure cost-effective medication management, regulatory adherence, and optimal healthcare outcomes for plan members.

What is the difference between Pharmacy Benefit vs Pharmacy Technician?

AspectPharmacy BenefitPharmacy Technician
CredentialsTypically requires knowledge of pharmacy benefits management, often with certifications in pharmacy or health insuranceRequires pharmacy technician certification or license
Work EnvironmentOffice-based, focusing on benefits administration and claims processingPharmacy settings, assisting pharmacists with dispensing medications
Employer & Industry UsageHealth insurance companies, pharmacy benefit managers, healthcare organizationsCommunity pharmacies, hospitals, retail chains

Pharmacy Benefit roles focus on managing and processing pharmacy benefits and insurance claims, often working in administrative or healthcare insurance settings. In contrast, Pharmacy Technicians work directly in pharmacies, assisting pharmacists with medication dispensing. While both roles require knowledge of pharmacy operations, their work environments and responsibilities differ significantly.

What are some common challenges faced by professionals working in Pharmacy Benefit roles, and how can they be addressed?

Professionals in Pharmacy Benefit roles often navigate complex regulations, evolving drug formularies, and the need to balance cost management with patient care. A common challenge is staying current with frequent changes in medication coverage and reimbursement policies. Collaboration with pharmacists, healthcare providers, and insurance companies is essential to ensure optimal outcomes and compliance. Developing strong analytical and communication skills, as well as participating in ongoing training, can help address these challenges and improve job performance.

What are pharmacy benefits and what does a pharmacy benefit manager (PBM) do?

Pharmacy benefits refer to the prescription drug coverage and services provided as part of a health insurance plan. Pharmacy Benefit Managers (PBMs) administer these benefits by processing prescription drug claims, negotiating discounts with drug manufacturers, and creating formularies (lists of covered medications). PBMs work to manage costs, ensure access to necessary medications, and improve health outcomes for patients. They also coordinate with pharmacies and insurance plans to streamline the prescription process and manage drug utilization.
More about Pharmacy Benefit jobs
What cities are hiring for Pharmacy Benefit jobs? Cities with the most Pharmacy Benefit job openings:
What are the most commonly searched types of Pharmacy Benefit jobs? The most popular types of Pharmacy Benefit jobs are:
What states have the most Pharmacy Benefit jobs? States with the most job openings for Pharmacy Benefit jobs include:
Pharmacy Benefit jobs near you
Infographic showing various Pharmacy Benefit job openings in the United States as of July 2026, with employment types broken down into 83% Full Time, 15% Part Time, and 2% Contract. Highlights an 92% Physical, 2% Hybrid, and 6% Remote job distribution, with an average salary of $40,074 per year, or $19.3 per hour.
Pharmacy Benefit Coordinator

Pharmacy Benefit Coordinator

Maryland Physicians Care

Linthicum, MD • On-site, Remote

$67K - $72K/yr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 13 days ago

Job description

Job Type
Full-time
Description
Summary:
The Pharmacy Benefit Coordinator is responsible for supporting clinical outreach services to our members, their pharmacies, and their healthcare providers to ensure member safety, minimize gaps in care, identify cost-effective medication strategies, and coordinate care to improve healthcare outcomes for our members. The position will support HEDIS adherence initiatives and work to support longitudinal improvement goals.
In addition, the Pharmacy Benefit Coordinator performs a variety of routine to moderately complex administrative and pharmacy-related tasks that support the Pharmacy Management team within the department. The Pharmacy Management team is responsible for managing the pharmacy benefits for Maryland Physicians Care in collaboration with the pharmacy benefit management (PBM) vendor and the organization's utilization review, quality improvement, provider relations, and population health initiatives.
About Maryland Care Management, Inc. (MCMI)
Maryland Care Management, Inc. (MCMI) manages Maryland Physician Care's (MPC) statewide provider network of hospitals and physicians. Maryland Physicians Care has been providing services to the HealthChoice Medicaid populations since 1996, and we are proud of our footprint in the community. With over 230,000 members, MPC consistently has been one of MD's largest Medicaid-managed care organizations.
Why join us?
MCMI recognizes the importance of flexibility and offers multiple work arrangements. Along with competitive pay, we offer excellent benefits (medical, dental, and vision plans, 100% employer Term Life Insurance, Short and Long-Term Disability, 401k Employer Match up to 4%) as well as 20 days of PTO, and tuition assistance/professional development plans.
Your future colleagues at MCMI are welcoming, friendly, and eager to help each other succeed. We are committed to Diversity, Equity, and Inclusion, providing organizational-wide social opportunities, and constantly improving our ongoing efforts to impact our members' lives positively.
What You'll Do:
  • Work collaboratively with quality management to support HEDIS adherence projects.
  • Support the accurate implementation and coding of pharmacy benefits, formulary, and program changes, including review of PBM testing scenarios.
  • Review pharmacy services recommended for denial. Of those recommendations, investigate and review data and information retrieved from plan providers.
  • Assist in the management of members by collecting pertinent information from plan providers and other pharmacy data systems.
  • Assist in various pharmacy, utilization review/management, quality improvement, provider relations, and population health initiatives.
  • Serve as a pharmacy liaison and resource person to plan pharmacies and members.
  • Assist the Pharmacist with monitoring and evaluation of pharmacy utilization.

Requirements
Knowledge and Skills:
  • Thorough understanding of prescription benefit management (PBM) programs and practices.
  • Ability to identify, communicate findings, and resolve member, provider, process, and system issues, communicating recommendations verbally and in writing.
  • Business writing and presentation skills, including writing reports.
  • Excellent attention to detail, including but not limited to interpretation and understanding of benefits/codes.
  • Familiarity with government relations and the ability to operationalize and understand how various aspects of regulation are interdependent and related.
Education and Work Experience:
  • High School diploma/ GED, or equivalent.
  • Current Maryland State Pharmacy Technician licensure, including certification from a nationally recognized Pharmacy Technician Certification Board.
  • Minimum two (2) years of experience as a pharmacy technician.
  • Experience working in a managed care, insurance, PBM, or equivalent environment is strongly preferred.
  • Experience supporting utilization management/prior authorization processes.

EEOC Statement: Following applicable federal, state, and local laws, MCMI prohibits discrimination in employment based on race, color, religion, sex (including pregnancy, gender identity, and sexual orientation), national origin, age, disability, genetic information, or any other characteristic protected by law. This commitment extends to all aspects of employment, including hiring, promotion, compensation, benefits, training, social and recreational programs, and all other conditions and privileges of employment. As a healthcare organization, we recognize the vital importance of inclusivity in delivering quality care to our patients. We strive to foster an environment where individuals of all backgrounds feel respected, valued, and supported. We aim to better comprehend the unique needs of our patients and provide healthcare services that are culturally competent and sensitive. We encourage candidates from all backgrounds to apply and join us in our mission to provide compassionate and inclusive healthcare. We believe that a diverse workforce enriches our organization and allows us to better understand, connect with, and serve our diverse patient population.
Salary Description
$67-72k

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