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Pharmacy Claims Remote Jobs (NOW HIRING)

Pharmacy - Pharmacist Inpatient

$59.50 - $71.75/hr

Non-Billable Orientation (NBO) Job - Remote Managed Care Pharmacist Pharmacist License Required for ... The CPS is skilled at reviewing pharmacy and medical claims; interacting with, assessing and ...

Seeking a Business Analyst with Healthcare/PBM experience to support pharmacy claims implementations through requirements gathering, data analysis, system integration, and testing. Responsibilities

Job Location Burlington, MA (Boston) Work Arrangement Hybrid (3 days in office, 2 remote) Roles & Responsibilities * Lead data quality validation efforts across medical claims, pharmacy claims ...

Job Location Burlington, MA (Boston) Work Arrangement Hybrid (3 days in office, 2 remote) Roles & Responsibilities * Lead data quality validation efforts across medical claims, pharmacy claims ...

Pharmacy claims adjudication experience * Pharmacy billing experience * Healthcare or pharmacy operations exposure * QA testing within transactional systems This is a remote/WFH position currently ...

Showing results 41-60

Pharmacy Claims Remote information

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$15

$29

$45

How much do pharmacy claims remote jobs pay per hour?

As of Aug 7, 2026, the average hourly pay for pharmacy claims remote in the United States is $29.40, according to ZipRecruiter salary data. Most workers in this role earn between $22.36 and $35.10 per hour, depending on experience, location, and employer.

How does a pharmacy claims remote professional typically collaborate with other team members when working from home?

Pharmacy Claims Remote professionals frequently interact with pharmacists, insurance representatives, and other claims specialists using virtual communication tools like email, chat, and video conferencing. While most tasks are individually completed, such as reviewing and processing claims, there are regular team meetings to discuss complex cases or policy updates. Clear communication and timely responses are essential to ensure claims are handled efficiently and in compliance with regulations. The remote setting requires proactive engagement with team members to address any issues and maintain workflow continuity.

What skills and qualifications are needed to thrive as a pharmacy claims remote specialist?

To thrive as a Pharmacy Claims Remote Specialist, you need strong attention to detail, knowledge of pharmacy operations, and familiarity with insurance claim processes, often supported by a pharmacy technician certification or relevant experience. Proficiency with pharmacy benefit management (PBM) systems, claims processing software, and electronic health record (EHR) platforms is typically required. Excellent communication, problem-solving, and organizational skills help you efficiently resolve claim issues and support customers remotely. These skills ensure accurate claims processing, regulatory compliance, and high-quality service for patients and providers.

What is a pharmacy claims remote job?

Pharmacy claims remote jobs involve processing and reviewing prescription drug claims for insurance companies, pharmacy benefit managers, or healthcare organizations from a remote location. These roles typically require knowledge of pharmacy billing, insurance procedures, and healthcare regulations. Employees in these positions may verify coverage, resolve claim discrepancies, and communicate with pharmacies, patients, or insurance providers. Strong attention to detail and computer skills are important, and some positions may require pharmacy technician certification or prior experience in claims processing.
More about Pharmacy Claims Remote jobs
What cities are hiring for Pharmacy Claims Remote jobs? Cities with the most Pharmacy Claims Remote job openings:
What are the most commonly searched types of Pharmacy Claims jobs? The most popular types of Pharmacy Claims jobs are:
What states have the most Pharmacy Claims Remote jobs? States with the most job openings for Pharmacy Claims Remote jobs include:
Infographic showing various Pharmacy Claims Remote job openings in the United States as of August 2026, with employment types broken down into 1% As Needed, 69% Full Time, 27% Part Time, and 3% Contract. Highlights an 96% Physical, 1% Hybrid, and 3% Remote job distribution, with an average salary of $61,156 per year, or $29.4 per hour.

Associate Consultant, Pharmacy Benefits Financial Analytics

Segal Group

New York, NY โ€ข Remote

$84K - $105K/yr

Full-time

Re-posted 10 days ago


Job description

Are you passionate about pharmacy benefits financial analytics and data? Does providing trusted advice that improves people's lives resonate with you?

We are recruiting for an Associate Consultant, Pharmacy Benefits Financial Analytics for our Pharmacy Benefits Consulting Practice. This position affords an immediate opportunity to apply your financial acumen, analytical, and problem-solving skills and your expertise with pharmacy benefits to contribute to the development of solutions to challenging client issues. The Associate Consultant will work under the guidance and mentoring of talented senior level experts and will work independently and on teams to deliver pharmacy benefits financial analytics consulting services to a broad and diverse range of clients.

The Roleย 

ย ย ย ย ย ย ย  Provide technical review and analysis of PBM data, contracts, RFPs, financial arrangements and PBM program effectiveness

ย ย ย ย ย ย ย  Technical analysis of RFP responses from pharmacy benefits managers including written proposals, pricing information, contract analyses and defining project scope recommendations.

ย ย ย ย ย ย ย  Technical analysis of rebates and contracting pricing strategies.

ย ย ย ย ย ย ย  May lead or assist with managing pharmacy benefits Requests For Proposals ("RFP's) for our clients within scope, profitability and productivity targets.

ย ย ย ย ย ย ย  Analyze and manage multiple projects simultaneously to develop, enhance and maintain pharmacy benefits-related financial tools

ย ย ย ย ย ย ย  Support business growth strategies and marketing initiatives to assist Leaders in business development and cross-selling efforts. Contribute to the continual development of resources, efficiencies and quality.

ย ย ย ย ย ย ย  Gather, utilize and share market intelligence to develop and introduce unique and/or new approaches to servicing clients.

ย ย ย ย ย ย ย  4 years ofย medical or pharmacy benefits financial administration and/or audit experience to include significant exposure to tools relevant to analysis of large data sets and complex financial analysis. Previous actuarial expertise is a plus.

ย ย ย ย ย ย ย  Undergraduate degree in business, actuarial science, or related discipline. Advanced degree preferred.

ย ย ย ย ย ย ย  Previous Medical or Pharmacy Claims Auditing,ย Benefits Contracting, and/or Claims Processing experience preferred.

ย ย ย ย ย ย ย  Strong demonstrated knowledge and familiarity with SQL. Experience with Python a plus.

ย ย ย ย ย ย ย  Demonstrated project management and client servicing/relationship management skills.

ย ย ย ย ย ย ย  Demonstrated experience setting and leading efforts to achieve revenue and/or profitability- oriented objectives with desired results.

ย ย ย ย ย ย ย  Effective interpersonal and relationship building skills with ability to build rapport with diverse audiences.

ย ย ย ย ย ย ย  Passionate attention to detail and quality.

Join Segal:

If your qualifications align closely with what we have described, we encourage you to apply. Your unique background and skills matter because at Segal, we believe that different experiences and perspectives drive innovation and excellence. We are committed to creating a fair and transparent hiring process and all hiring decisions will be merit driven. If you require accommodation during the interview, please let us know. Thank you for considering Segal. We are excited to learn more about you!

About Segal and its Total Rewards Program:

Segal is a privately owned, leading North American employee benefit, human resources and investment management consulting firm withย over 80 years of historyย providing trusted advice that improves lives. Clients include public and private corporations, multiemployer trust funds, public sector entities, higher education institutions, institutional advisors, among many others.

Segal's total rewards are part of what makes Segalย a special place to work. The current salary range for this position is $84,000 - $105,000.

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