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How much do pharmacy benefit jobs pay per hour?

As of Sep 12, 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 pharmacy benefits and what does a pharmacy benefit manager 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.

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 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 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.

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:

What are popular job titles for Pharmacy Benefit?

Popular job titles for Pharmacy Benefit:

Pharmacy Benefit jobs near you
Infographic showing various Pharmacy Benefit job openings in the United States as of August 2026, with employment types broken down into 85% Full Time, 13% Part Time, and 2% Contract. Highlights an 70% Physical, 1% Hybrid, and 29% Remote job distribution, with an average salary of $40,074 per year, or $19.3 per hour.

Pharmacy Benefit Verification Specialist

Woodridge, IL

Onco360
Health Care and Social Assistance • 501 - 1,000 employees
Learn more about Onco360external

$24/hr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 15 days ago

Onco360 rating

7.7

Company rating: 7.7 out of 10

Based on 5 frontline employees who took The Breakroom Quiz

Job description

Are you someone looking for professional career growth? Onco360 Pharmacy is looking for Pharmacy Benefit Verification Specialists for our Pharmacy located in Woodridge, IL.
Shift times between 8am and 8pm.
**Starting salary at $24HR and up**
Sign-On Bonus: $5,000 for employees starting before October 31, 2026.
We also offer quarterly incentive bonuses.
We offer a variety of benefits including:
  • Medical, Dental amp; Vision insurance
  • 401k with a match
  • Paid Time Off and Paid Holidays
  • Tuition Reimbursement
  • Paid Volunteer Day
  • Floating Holiday
  • Referral Incentive
  • Paid Life, and short amp; long-term disability insurance
Pharmacy Benefit Verification Summary
The Benefit Verification Specialist will investigate, review, and load accurate patient insurances, including medical and pharmacy coverage, assign coordination of benefits, run test claims to obtain a valid insurance response on patient medications, investigate/identify authorization requirements needed to obtain medication coverage, and enroll eligible patients in copay card assistance programs. They will ensure accurate benefit documentation is made for all prescription orders.
Pharmacy Benefit Verification Specialist Major Responsibilities:
  • Practices first call resolution to help health care providers and patients with their pharmacy needs, answering questions and requests.
  • Provides thorough, accurate and timely responses to requests from pharmacy operations, providers and/or patients regarding benefit information.
  • Ensures complete and accurate patient setup in CPR+ system including patient demographic and insurance information.
  • Performs full benefits verification on patients for pharmacy benefits and/or medical benefit utilizing electronic resources and E1 check to load primary, secondary, tertiary, etc. insurances and medical insurances to patient profile.
  • Run test claims at each licensed pharmacy site to obtain a valid claim response and determine optimal reimbursement, then document outcome of benefits review in CPR+ system to be used by operations and ensure the order is assigned to the appropriate dispensing pharmacy.
  • Facilitate process for requesting medical authorizations, LOAs, and TOAs for applicable commercial, Medicaid, and Medicare, or facility medication claims.
  • Maintain 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.
Pharmacy Benefit Verification Specialist Qualifications:
  • Education/Learning Experience
    • Required: High School Diploma or GED. Previous Experience in Pharmacy, Medical Billing, or Benefits Verification
    • Desired: Associate degree or equivalent program from a 2 year program or technical school, Certified Pharmacy Technician (PTCB), Specialty pharmacy experience
  • Work Experience
    • Required: 1+ years pharmacy or benefit verification experience
    • Desired: 3+ years pharmacy or benefit verification experience
  • Skills/Knowledge:
    • Required: Pharmacy insurance and benefit verification, PBM and Medical contracts, knowledge/understanding of Medicare, Medicaid, and commercial insurance, pharmacy test claim and NCPDP claim rejection resolution, coordination of benefits, NDC medication billing, pharmacy or healthcare-related knowledge, knowledge of pharmacy terminology including sig codes, and Roman numerals, brand/generic names of medication, basic math and analytical skills, Intermediate typing/keyboarding skills.
  • 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 skill
Onco360 is a Closed door specialty pharmacy that focuses on patients who are currently undergoing cancer treatment. Our patients are important to us, so we always strive to meet and exceed their needs. We are seeking Pharmacy Benefit Verification Specialists who go above and beyond for our patients, and also passionate about helping others.

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