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Pharmacy Benefit Jobs (NOW HIRING)

Pharmacy Benefit Rep I - Entry Level

Southfield, MI ยท On-site

$14.75 - $20/hr

Performs benefit authorizations and modification as required and approved by client * Maintain up ... Work experience as a pharmacy technician, DMEPOS provider, claims adjuster, or a similar service ...

Coordinate with Pharmacy Benefit Management (PBM) services to support accurate billing * Assist pharmacists and internal teams with audits and compliance reviews * Document all correspondence ...

Coordinate with Pharmacy Benefit Management (PBM) services to support accurate billing * Assist pharmacists and internal teams with audits and compliance reviews * Document all correspondence ...

Coordinate with Pharmacy Benefit Management (PBM) services to support accurate billing * Assist pharmacists and internal teams with audits and compliance reviews * Document all correspondence ...

Coordinate with Pharmacy Benefit Management (PBM) services to support accurate billing * Assist pharmacists and internal teams with audits and compliance reviews * Document all correspondence ...

Ensure adherence to CMS regulations and guidelines related to pharmacy benefits within the Medicare Advantage plan. * Collaborate with compliance teams to conduct audits and prepare necessary ...

Coordinate with Pharmacy Benefit Management (PBM) services to support accurate billing * Assist pharmacists and internal teams with audits and compliance reviews * Document all correspondence ...

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Pharmacy Benefit information

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$14

$19

$26

How much do pharmacy benefit jobs pay per hour?

As of Aug 18, 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:

Infographic showing various Pharmacy Benefit job openings in the United States as of August 2026, with employment types broken down into 1% As Needed, 84% Full Time, 13% Part Time, and 2% Contract. Highlights an 71% Physical, 1% Hybrid, and 28% Remote job distribution, with an average salary of $40,074 per year, or $19.3 per hour.

Pharmacy Benefit Rep I - Entry Level

ProCare Rx

Southfield, MI โ€ข On-site

$14.75 - $20/hr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

This job post hasย expired today.ย Applications are no longer accepted.


Job description

PRINCIPLE RESPONSIBILITIES include but are not limited to:

  • Support multiple client program offerings
  • Handling general client inquiries, service calls, and problem resolution, meeting EHIMโ€™s performance standards
  • Effectively communicate with multiple parties to complete tasks from beginning to end
  • Performs benefit authorizations and modification as required and approved by client
  • Maintain up to date documentation of communications and activities between EHIM and client and/or member through EHIM system and operations
  • Proactively keeps themselves and the department educated on industry trends and developments to accurately communicate to clients
  • Performs various related duties and special projects as assigned
  • Follows all policies and procedures related to job responsibilities

SKILLS AND REQUIREMENTS

  • High school diploma or equivalent required, post high school education preferred.
  • Minimum two yearsโ€™ experience in a customer service position.
  • Work experience as a pharmacy technician, DMEPOS provider, claims adjuster, or a similar service position in health care or injury claim industry is preferred.
  • Must have excellent communication skills and the ability to work effectively with clients, pharmacies, vendors, and plan members.ย ย ย 
  • Proficient PC skills in Windows-based applications.
  • Possess strong analytical skills and independent thinking/creativity.
  • Ability to be flexible and quickly adapt to changing needs within the department.
  • Must be highly organized with strong attention to detail.
  • Must be flexible with scheduled work hours.
  • Ability to work under general direction, on multiple tasks with demanding timelines.
  • Managed care background and knowledge of pharmacy terminology desired.

PHYSICAL DEMANDS

Requires sitting, standing, and occasional light lifting

The Perks of Joining Our Team:

We believe in taking care of our team.ย  You'll enjoy a comprehensive benefits package designed to support your well-being and financial future:

  • Comprehensive Health Benefits:ย Medical, Dental, Vision, Short-Term/Long-Term Disability Insurance, Life insurance.
  • Time to Recharge:ย Paid vacation and holiday pay.
  • Focus on Your Wellness:ย We offer a robust Employee Wellness Program.
  • Invest in Your Future:ย 401 k with a company match.
  • Support System:ย Employee Assistance Program provides confidential support and counseling.
  • Get Rewarded for Referring Great People:ย ย Employee referral program.

ProCare Rx will never ask for a financial commitment from an applicant, as part of our recruitment process.ย  All interviews are conducted in-person OR through video conference invitations from official company emails.ย  For inquiries, please contact our official recruitment team at HumanResources@procarerx.com.

ProCare Rx is an Equal Opportunity Employer