ZipRecruiter

Log In

1

Pharmacy Benefits Jobs (NOW HIRING)

Insight Global

Pharmacy Benefits Specialist

Pittsburgh, PA · On-site

$21 - $23/hr

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 ...

Onco360

Pharmacy Benefits Verification Supervisor

Waltham, MA · On-site

$70 - $82.50/hr

Pharmacy Benefits Verification Supervisor Needed in Waltham, MA! Onco360 Pharmacy is a unique oncology pharmacy model created to serve the needs of community, oncology and hematology physicians ...

next page

Showing results 1-20

All JobsPharmacy Benefits Jobs

Pharmacy Benefits information

See salary details

$14

$19

$26

How much do pharmacy benefits jobs pay per hour?

As of Aug 9, 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 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 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 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:
What job categories do people searching Pharmacy Benefits jobs look for? The top searched job categories for Pharmacy Benefits jobs are:
Pharmacy Benefits jobs near you
Infographic showing various Pharmacy Benefits job openings in the United States as of August 2026, with employment types broken down into 1% As Needed, 79% Full Time, 15% Part Time, and 5% Contract. Highlights an 92% Physical, 1% Hybrid, and 7% Remote job distribution, with an average salary of $40,074 per year, or $19.3 per hour.

Pharmacy Benefits Coordinator

Independent Living Systems

Miami, FL • On-site

Full-time

Re-posted 7 days ago

Independent Living Systems rating

6.5

Company rating: 6.5 out of 10

Based on 9 frontline employees who took The Breakroom Quiz

Job description

We are seeking a Pharmacy Benefits Coordinator to join our team at Independent Living Systems (ILS). ILS, along with its affiliated health plans known as Florida Community Care and Florida Complete Care, is committed to promoting a higher quality of life and maximizing independence for all vulnerable populations.

The Pharmacy Benefits Coordinator plays an essential role in managing and optimizing pharmacy benefit programs. This position is responsible for coordinating with prescribers and targeted beneficiaries to ensure appropriate payment determination, evidence-based drug selection, and resolve medication-related problems. By maintaining accurate records and facilitating communication among stakeholders, the role helps improve member outcomes and control pharmacy-related expenses.

Minimum Qualifications:

  • State of Florida Registered Pharmacy Technician License (RPT).
  • Experience in managed care pharmacy.
  • Strong understanding of pharmacy benefit management, insurance claims processing, and healthcare regulations.

Preferred Qualifications:

  • Bachelor’s degree in Health Administration, Pharmacy, Business, or a related field.
  • Knowledge of Medicare and Medicaid pharmacy benefit structures.
  • Familiarity with data analysis tools and reporting software.

Responsibilities:

  • Demonstrate commitment to Our Mission and model ILS Experience Standards of Excellence.
  • Identify and resolve basic pharmacy claim rejections (e.g., incorrect billing codes, missing prior authorizations, coordination of benefits issues) with guidance from the pharmacist and respond to inquiries related to formulary status, benefit coverage, and pharmacy processes, ensuring clinical questions are escalated appropriately.
  • Spot discrepancies in claims, documentation, or performance metrics and escalate concerns promptly.
  • Assist members and providers with benefit‑related questions and support pharmacists and physicians by providing formulary information, benefit details, and documentation needed for coverage determinations while ensuring all clinical inquiries are routed to a pharmacist.
  • Maintain accurate documentation in accordance with CMS Part D, Florida Medicaid, and internal health plan requirements.
  • Support compliance activities, including policy updates, letter reviews, formulary updates, coverage changes, and audit preparation.
  • Assist in preparing structured reports for CMS submissions, Medicaid reporting, quality initiatives, and internal reviews.
  • Maintain organized files, data sources, and supporting documentation for audits and presentations.
  • Collaborate with case management, utilization management, quality improvement, and other teams to support integrated care for members.
  • Participate in workflow improvements and process enhancement initiatives.
  • Conduct outreach to pharmacies, members and providers for DUR campaigns, MTM follow‑ups, adherence initiatives, and other quality programs.
  • Perform all other duties as assigned.


What Independent Living Systems employees say

Pay

Benefits

Hours and flexibility

Workplace

Get the full story on Breakroom