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Pharmacy Benefits Jobs (NOW HIRING)

A closed door pharmacy is looking to hire a Pharmacy Benefits Specialist. This role will include processing pharmacy claims, triaging rejected claims, and verifying benefits. Prior Pharmacy benefits ...

Pharmacy Benefits SME

Millersville, MD ยท On-site +1

$90 - $110/hr

Pharmacy Benefits SME Part-time, Remote About J29 At J29, we believe in empowering our employees to do great things for the benefit of others. Our culture is built on purpose, service, and impact ...

Prior Pharmacy benefits experience is required as well as the ability to multitask. Responsibilities: * Process pharmacy claims accurately and timely to meet client expectations * Triage rejected ...

Pharmacy Benefits Specalist

Robinson, PA ยท On-site

$20 - $22/hr

Prior Pharmacy benefits experience is required as well as the ability to multitask. Responsibilities: * Process pharmacy claims accurately and timely to meet client expectations * Triage rejected ...

NFP Rx Solutions - the pharmacy benefit consulting arm of NFP - is one of the largest full-service pharmacy benefit consulting practices in the U.S. We deliver customized Rx solutions to self-funded ...

Manager, Pharmacy Benefits

Richmond, VA ยท On-site +1

$64.25 - $75.75/hr

The Manager of Pharmacy Benefits is responsible for monitoring the implementation and testing of the pharmacy benefit designs, pharmacy networks, formularies and pricing suites. In addition, the ...

Pharmacy Benefits Specalist

Boise, ID ยท On-site

$20 - $22/hr

Prior Pharmacy benefits experience is required as well as the ability to multitask. Responsibilities: * Process pharmacy claims accurately and timely to meet client expectations * Triage rejected ...

NFP Rx Solutions -- the pharmacy benefit consulting arm of NFP -- is one of the largest full-service pharmacy benefit consulting practices in the U.S. We deliver customized Rx solutions to self ...

Pharmacy Benefits Specialist

Boise, ID ยท On-site

$19.50 - $25.25/hr

Pharmacy Benefits Specialist 6 months contract to hire | Pittsburgh, PA | Boise, ID Oxford Solutions has an opening for a Pharmacy Benefits Specialist to join our client's growing team. In this role ...

New

NFP Rx Solutions - the pharmacy benefit consulting arm of NFP - is one of the largest full-service pharmacy benefit consulting practices in the U.S. We deliver customized Rx solutions to self-funded ...

NFP Rx Solutions - the pharmacy benefit consulting arm of NFP - is one of the largest full-service pharmacy benefit consulting practices in the U.S. We deliver customized Rx solutions to self-funded ...

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Pharmacy Benefits information

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How much do pharmacy benefits jobs pay per hour?

As of Sep 6, 2026, the average hourly pay for pharmacy benefits 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?

Pharmacy benefits are health insurance features that help cover the cost of prescription medications. These benefits determine which drugs are covered, how much you pay for prescriptions, and which pharmacies you can use. Pharmacy benefit plans are often managed by pharmacy benefit managers (PBMs), who work with insurers, employers, and pharmacies to negotiate prices and manage drug formularies. Understanding your pharmacy benefits is important for making informed decisions about your prescription needs and minimizing out-of-pocket costs.

What are some common challenges faced by professionals working in pharmacy benefits roles?

Professionals in Pharmacy Benefits often navigate complex drug formularies, insurance policies, and regulatory requirements, which can be challenging due to frequent updates and changes in healthcare laws. Balancing cost management with patient access to necessary medications requires strong analytical and communication skills. Additionally, collaborating with pharmacists, prescribers, insurance providers, and patients is essential to ensure optimal outcomes while addressing concerns and resolving issues efficiently. Staying current with industry trends and maintaining high attention to detail are also important aspects of the role.

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

To succeed in Pharmacy Benefits, you need a solid understanding of pharmaceutical practices, health insurance, and benefit plan design, often supported by a degree in pharmacy, healthcare administration, or a related field. Familiarity with pharmacy benefit management (PBM) software, claims processing systems, and regulatory compliance tools is typically required. Strong analytical skills, attention to detail, and effective communication help professionals collaborate with stakeholders and resolve complex benefit issues. These competencies ensure accurate benefit administration, cost management, and positive health outcomes for plan members.

What is the difference between Pharmacy Benefits vs Pharmacy Benefits Coordinator?

AspectPharmacy BenefitsPharmacy Benefits Coordinator
CredentialsKnowledge of pharmacy plans, insurance, and benefits managementSame as Pharmacy Benefits, often requiring certifications in health insurance or pharmacy benefits
Work EnvironmentInsurance companies, pharmacy benefit managers, healthcare organizationsHealthcare providers, insurance companies, pharmacy benefit management firms
Job FocusDesigning, managing, and analyzing pharmacy benefit plansCoordinating benefits, assisting clients, and ensuring plan compliance

Pharmacy Benefits professionals focus on creating and managing pharmacy benefit plans, while Pharmacy Benefits Coordinators handle the day-to-day coordination and customer support related to these plans. Both roles require similar knowledge of pharmacy benefits and often overlap in the healthcare industry, but their primary responsibilities differ.

More about Pharmacy Benefits jobs

What cities are hiring for Pharmacy Benefits jobs?

Cities with the most Pharmacy Benefits job openings:

What are the most commonly searched types of Pharmacy Benefits jobs?

The most popular types of Pharmacy Benefits jobs are:

What states have the most Pharmacy Benefits jobs?

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

Infographic showing various Pharmacy Benefits job openings in the United States as of August 2026, with employment types broken down into 1% As Needed, 78% Full Time, 16% Part Time, and 5% 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 Benefits Coordinator

Insight Global

Town And Country, MO โ€ข On-site

$19/hr

Full-time

Medical, Dental, Vision, PTO

Posted 4 days ago


Job description

A closed-door pharmacy is looking to hire a Pharmacy Benefits Specialist. This role will include processing pharmacy claims, triaging rejected claims, and verifying benefits. Prior Pharmacy benefits experience is required as well as the ability to multitask.
Responsibilities:
• Process pharmacy claims accurately and timely to meet client expectations
• Triage rejected pharmacy insurance claims to ascertain patient pharmacy benefits coverage
• Maintain compliance with patient assistance program guidelines
• Document all information and data discovery according to operating procedures
• Research required information using available resources
• Maintain confidentiality of patient and proprietary information
• Perform all tasks in a safe and compliant manner that is consistent with corporate policies as well as State and Federal laws
• Work collaboratively and cross-functionally between management, the Missouri-based pharmacy, compliance and engineering


REQUIRED SKILLS AND EXPERIENCE

• High school diploma or GED required, Bachelor’s degree strongly preferred
• One year of Pharmacy Experience, having resolved third party claims
• Healthcare industry experience with claims background
• Strong technical aptitude and ability to learn complex new software