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Pharmacy Credentialing Analyst Jobs (NOW HIRING)

Pharmacy Technician

Birmingham, AL ยท On-site

$18 - $25/hr

Proactively identify and analyze problems and provide effective solutions * *Pharmacy operating ... Pay range: $18- $25 per hour, based on credentials and geographic location. Avita Care Solutions ...

Pharmacy Technician

Austin, TX ยท On-site

$18 - $25/hr

Proactively identify and analyze problems and provide effective solutions * Embrace and perform in ... Pay range: $18 to $25 per hour, based on credentials and geographic location. Avita Care Solutions ...

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Pharmacy Credentialing Analyst information

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$15

$25

$43

How much do pharmacy credentialing analyst jobs pay per hour?

As of Aug 8, 2026, the average hourly pay for pharmacy credentialing analyst in the United States is $25.42, according to ZipRecruiter salary data. Most workers in this role earn between $18.75 and $27.40 per hour, depending on experience, location, and employer.

What does a pharmacy credentialing analyst do?

A Pharmacy Credentialing Analyst is responsible for verifying and maintaining the credentials of pharmacists and pharmacy providers to ensure they meet regulatory and organizational standards. They review applications, check licenses, certifications, and background information, and ensure compliance with healthcare regulations. Their role supports patient safety and legal requirements by ensuring only qualified individuals are authorized to provide pharmacy services. Additionally, they often communicate with pharmacies, regulatory bodies, and insurance companies to resolve any credentialing issues.

What is the difference between Pharmacy Credentialing Analyst vs Pharmacy Compliance Coordinator?

AspectPharmacy Credentialing AnalystPharmacy Compliance Coordinator
Required CredentialsCertification in pharmacy or healthcare, knowledge of credentialing processesCompliance certifications, understanding of pharmacy regulations
Work EnvironmentHealthcare organizations, insurance companies, pharmacy networksPharmacy settings, regulatory agencies, healthcare compliance departments
Employer & Industry UsageUsed in pharmacy chains, insurance providers, healthcare systemsFound in pharmacy operations, regulatory bodies, healthcare compliance firms

The Pharmacy Credentialing Analyst primarily focuses on verifying and maintaining provider credentials within pharmacy networks, ensuring compliance with industry standards. The Pharmacy Compliance Coordinator handles broader regulatory adherence and policy implementation. While both roles require knowledge of pharmacy regulations, the Credentialing Analyst emphasizes credential verification, whereas the Compliance Coordinator oversees overall compliance programs.

What are the key skills and qualifications needed to thrive as a pharmacy credentialing analyst, and why are they important?

To thrive as a Pharmacy Credentialing Analyst, you need strong attention to detail, knowledge of pharmacy regulations, and a background in healthcare administration, often supported by a relevant degree or certification. Familiarity with credentialing software, healthcare databases, and compliance management systems is typically required. Excellent organizational skills, effective communication, and problem-solving abilities help distinguish top performers in this role. These skills ensure accurate credentialing processes, regulatory compliance, and efficient collaboration with pharmacies and healthcare providers.

How does a pharmacy credentialing analyst typically collaborate with pharmacists and healthcare providers during the credentialing process?

A Pharmacy Credentialing Analyst works closely with pharmacists, pharmacy managers, and healthcare providers to collect and verify credentials, ensure compliance with regulatory standards, and resolve any discrepancies in documentation. This often involves regular communication via email and phone, coordinating the submission of required forms, and clarifying credentialing requirements. Building strong relationships and maintaining clear, timely communication are essential, as the analyst serves as a liaison between the credentialing department and pharmacy staff to facilitate a smooth and accurate credentialing process.
More about Pharmacy Credentialing Analyst jobs
What states have the most Pharmacy Credentialing Analyst jobs? States with the most job openings for Pharmacy Credentialing Analyst jobs include:
What job categories do people searching Pharmacy Credentialing Analyst jobs look for? The top searched job categories for Pharmacy Credentialing Analyst jobs are:
Infographic showing various Pharmacy Credentialing Analyst 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 $52,870 per year, or $25.4 per hour.

Population Health Clinical Pharmacy Specialist

JobRx, Inc.

Dover, DE โ€ข On-site

$136.41 - $211.41/hr

Other

Medical, Dental, Vision, Life, Retirement, PTO

Posted 3 days ago

New


Job description

If you care about the opportunity to grow, to make a difference, to build a future and a life, then we just might have the career for you. Care to talk?

Bayhealth Medical Center is Central and Southern Delaware's healthcare leader with hospitals in Dover and Milford, as well as standโ€‘alone Emergency Department in Smyrna and a hybrid Emergency Department and Urgent Care in Milton. We offer various practice settings throughout Kent and Sussex Counties. Bayhealth Medical Center Kent Campus is 90 minutes from Philadelphia, Washington, DC and Baltimore. Our Sussex Campus is 30 minutes to the Delaware beaches and relaxation in the sand!

Bayhealth Medical Center offers a competitive salary and comprehensive benefits package (for eligible positions) including:

  • Generous Paid Time Off and Paid Holidays
  • Matching 401(k)/403(b) Plans
  • Excellent Health, Dental, and Vision
  • Disability and Life Insurance options
  • On Site Child Care
  • Educational Reimbursement
  • Health Care and Dependent Care Flex Spending Accounts
  • Plus, an array of Voluntary Benefits to include Critical Care Coverage and more!
Location

Kent Campus Hospital

Status

Full Time 80 Hours

Shift

Days

SALARY RANGE

136,406.40 - 211,411.20 YEARLY

General Summary

The Population Health Pharmacist is a licensed pharmacist that will provide support for clinical pharmacy services to participating health plans. Responsibilities will be focused on improving the health of Delaware residents by improving quality of pharmacy-related care (STAR measures) and cost containment strategies through provider collaboration with providers engaged in valueโ€‘based arrangements at Bayhealth. The Population Health Pharmacist is responsible for providing clinical pharmacy support to Medicare and Commercial providers.

Responsibilities
  1. Support Bayhealth providers by analyzing reports and EMR data extraction to identify opportunities that will improve outcomes based on medication usage (utilizing STAR and HEDIS) and reduce pharmacy costs to health plan members.
  2. Assess health plan members with pre-determined medical conditions to identify barriers to care, perform self-management education, recommend screening, perform MTM services, and develop and implement personalized health improvement plans and goals as well as provide support for the members to achieve and maintain these goals. The Pharmacist will use evidence-based guidelines and health strategies in collaboration with the health care team to achieve overall health goals of members
  3. Collaborate with Bayhealth providers to implement clinical quality data initiatives as determined by Bayhealth and participating health plans. Must maintain a 5โ€‘STAR rating of 90 % or greater for members on an annual basis
  4. Participate in various committees, meetings, and audits as determined by Bayhealth and the health plan. Develop and maintain policies and procedures that supports Bayhealth's initiatives and meets State and Federal legal requirements and standards.
  5. Inform providers and health plan members of the health plan's formulary changes on an annual basis through educational programs.
  6. Assists in the identification of health plan members needs and intervene as appropriate to prevent avoidable hospital admissions or readmissions. Document these interventions to assess success of program.
  7. Act as a subject matter expert in pharmacyโ€‘related clinical measure for valueโ€‘based care agreements.
  8. All other duties as assigned, within the scope and range of job responsibilities.
Required Education, Credential(s) and Experience
  • Education: Bachelor Degree Pharmacy
  • Credential(s): Licensed Pharmacist, Board of Pharmacy Specialties (BPS) Certified in a specialty, Board of Pharmacy Specialties (BPS) Certified in Pharmacotherapy, Ambulatory Care, Cardiology, Geriatrics, or related area.
  • Experience: Required: One year of hospital pharmacist experience as a clinical pharmacist or completion of ASHP accredited PGY-1 residency program. Successful completion of Bayhealth credentialing process if applicable.
Preferred Education, Credential(s) and Experience
  • Education: Doctorate Degree Pharmacy
  • Credential(s): Board Certification with one year of clinical pharmacy experience or PharmD with Board Certification in Pharmacotherapy or advanced degree (ex. MPH or MBA)
  • Experience: Preferred: Two years of hospital pharmacist experience as a clinical pharmacist or completion of ASHP accredited PGY-2 residency ambulatory program.
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