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Pharmacy Insurance Jobs (NOW HIRING)

Onco360

Pharmacy Prior Authorization Specialist

Louisville, KY · On-site

$19.75 - $25.50/hr

Company Paid Life Insurance; and Short/Long-Term Disability What You'll Do The Pharmacy Prior Authorization Specialist will ensure patients receive the medication that requires pre-authorizations ...

Onco360

Pharmacy Prior Authorization Specialist

Scottsdale, AZ · On-site +1

$20.75 - $26.75/hr

Company Paid Life Insurance; and Short/Long-Term Disability What You'll Do The Pharmacy Prior Authorization Specialist will ensure patients receive the medication that requires pre-authorizations ...

Onco360

Pharmacy Prior Authorization Specialist

Scottsdale, AZ · On-site

$20.75 - $26.75/hr

Company Paid Life Insurance; and Short/Long-Term Disability What You'll Do The Pharmacy Prior Authorization Specialist will ensure patients receive the medication that requires pre-authorizations ...

Onco360

Pharmacy Prior Authorization Specialist

Woodridge, IL · On-site +1

$20.25 - $26.25/hr

Company Paid Life Insurance; and Short/Long-Term Disability What You'll Do The Pharmacy Prior Authorization Specialist will ensure patients receive the medication that requires pre-authorizations ...

Onco360

Pharmacy Prior Authorization Specialist

Waltham, MA · On-site +1

$22.25 - $29/hr

Company Paid Life Insurance; and Short/Long-Term Disability What You'll Do The Pharmacy Prior Authorization Specialist will ensure patients receive the medication that requires pre-authorizations ...

Onco360

Pharmacy Prior Authorization Specialist

Woodridge, IL · On-site

$20.25 - $26.25/hr

Company Paid Life Insurance; and Short/Long-Term Disability What You'll Do The Pharmacy Prior Authorization Specialist will ensure patients receive the medication that requires pre-authorizations ...

Onco360

Pharmacy Prior Authorization Specialist

Scottsdale, AZ · On-site +1

$20.75 - $26.75/hr

Company Paid Life Insurance; and Short/Long-Term Disability What You'll Do The Pharmacy Prior Authorization Specialist will ensure patients receive the medication that requires pre-authorizations ...

Onco360

Pharmacy Prior Authorization Specialist

Woodridge, IL · On-site +1

$20.25 - $26.25/hr

Company Paid Life Insurance; and Short/Long-Term Disability What You'll Do The Pharmacy Prior Authorization Specialist will ensure patients receive the medication that requires pre-authorizations ...

Onco360

Pharmacy Prior Authorization Specialist

Buffalo, NY · On-site +1

$19.75 - $25.75/hr

Pharmacy Prior Authorization Specialist - Onco360 Pharmacy Buffalo, NY | Full-Time | Starting at ... Company Paid Life Insurance; and Short/Long-Term Disability Why Join Us? * A career with purpose:

Onco360

Pharmacy Prior Authorization Specialist

Houston, TX · On-site

$19.50 - $25.25/hr

Company Paid Life Insurance; and Short/Long-Term Disability What You'll Do The Pharmacy Prior Authorization Specialist will ensure patients receive the medication that requires pre-authorizations ...

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How much do pharmacy insurance jobs pay per hour?

As of Jun 13, 2026, the average hourly pay for pharmacy insurance 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 is a Pharmacy Insurance job?

A Pharmacy Insurance job involves assisting patients, pharmacies, and healthcare providers in navigating insurance coverage for medications. Responsibilities may include verifying insurance benefits, processing claims, resolving billing issues, and ensuring patients receive necessary medications at the lowest possible cost. Professionals in this role often work for pharmacies, insurance companies, or healthcare organizations. Strong communication skills, attention to detail, and knowledge of insurance policies are essential for success in this field.

What are the key skills and qualifications needed to thrive in the Pharmacy Insurance position, and why are they important?

To excel in Pharmacy Insurance roles, strong knowledge of pharmacy benefit management, insurance claims processing, and healthcare regulations—often supported by a background in pharmacy, healthcare administration, or similar fields—is required. Experience with pharmacy management systems, insurance billing software, and familiarity with coding (e.g., ICD-10, CPT) are highly beneficial. Attention to detail, problem-solving ability, and effective communication skills help professionals navigate complex insurance procedures and resolve issues with patients and providers. Mastery of these skills ensures accurate claims processing, minimizes denials, and enhances the customer experience within the healthcare system.

What are some common challenges faced by professionals working in Pharmacy Insurance roles?

Professionals in Pharmacy Insurance frequently encounter challenges such as handling complex insurance policies, resolving claim denials, and staying current with constantly changing healthcare regulations. Coordinating with pharmacies, patients, insurance companies, and healthcare providers requires strong communication and negotiation skills as discrepancies or billing issues often arise. Many also face high volumes of documentation and must manage sensitive patient information with strict attention to confidentiality and accuracy. Overcoming these challenges is crucial for ensuring timely medication access and overall patient satisfaction.

More about Pharmacy Insurance jobs
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What are the most commonly searched types of Pharmacy Insurance jobs? The most popular types of Pharmacy Insurance jobs are:
What states have the most Pharmacy Insurance jobs? States with the most job openings for Pharmacy Insurance jobs include:
What job categories do people searching Pharmacy Insurance jobs look for? The top searched job categories for Pharmacy Insurance jobs are:
Pharmacy Insurance jobs near you
Bilingual Pharmacy Technician - Specialty Pharmacy

Bilingual Pharmacy Technician - Specialty Pharmacy

Optime Care

Earth City, MO • Hybrid

$16.50 - $20.25/hr

Full-time

Posted 19 hours ago

Job description

What we are looking for

Optime Care is seeking a Pharmacy Technician, or Care Coordinator, as we call them internally, for our Earth City, MO location. We are looking for someone passionate about helping people get the specialized therapies they need. This critical role serves as a patient's first or ongoing point of contact. They will act as patient advocates and champions, guiding patients in obtaining medications unavailable at chain pharmacies, in English or Spanish.

This position will be required to be in the office for the first 120 days for training purposes. It can then evolve into a hybrid role, depending on business needs.

What the position will be doing

  • Act as a patient advocate to gain insurance coverage for prescribed therapies.
  • Welcome new patients and create profiles with all the critical information.
  • Conduct periodic insurance verification and/or authorizations for patient coverage.
  • File claims for patient prescriptions and orders.
  • Complete collection activities per client program specifications.
  • Provide an initial and ongoing investigation and benefit explanation to the patient.
  • Obtain and maintain Prior Authorizations.
  • Create patient orders and associated prescription entries for new and refilled prescriptions.
  • Communicate with prescribers, including requesting new prescriptions.
  • Bill appropriate entities for RX drugs and administration supplies.
  • Assist patients with possible financial assistance.
  • Arrange all necessary documents and materials for initial and ongoing shipments.
  • Coordinate all deliveries and process any patient returns.
  • Obtain necessary consent forms for manufacturers or patient support organizations.
  • Assist pharmacists with day-to-day tasks such as filling prescriptions and entering prescription information into the patient management system for pharmacist verification.
  • Assist in preparing any ad hoc report requests from clients.
  • Perform other related duties as assigned or as necessary; remains flexible and adaptable in work schedules and work assignments as defined by departmental and organization needs.

Necessary Skills, Education & Abilities

  • A high school diploma or equivalent is required.
  • 2 or more years of experience with medical/pharmacy insurance verification, including benefit investigation.
  • Experience using both English and Spanish languages in a professional capacity is required.
  • Current Missouri BOP Pharmacy Technician license, or Nurse license in good standing.
  • Knowledge of medical terminology required.
  • Knowledge of medical/pharmacy insurance benefit language- ie. EOBs, deductibles, out-of-pocket, co-insurance, co-pays, etc.
  • Ability to define CMS 1500s, provider numbers, CPT, HCPC's, ICD9, NCPDP and NDC codes/numbers
  • Knowledge of Medicare and Medicaid billing.
  • Patient Assistance Program knowledge is a plus.
  • Experience with prior authorization and SMN preparation.
  • Knowledge of insurance claim appeals.
  • Relentless attention to detail, and the ability to be a creative self-starter and team player.
  • Computer literate and proficient with Microsoft Office.
  • Ability to participate in and facilitate group meetings.
  • Ability to thrive in a fast-paced environment with constantly changing and competing priorities.
  • Excellent analytical skills and the ability to provide solutions to complex problems.
  • Ability to be highly transparent, ethical, and driven.
  • Excellent written and verbal communication skills and interpersonal skills are required.
  • Willingness to work a flexible schedule.

Ready to make an impact? Join us on our mission to transform specialty pharmaceutical services and improve patient lives. We're looking for passionate professionals who share our commitment to excellence and innovation. Apply today and become part of a team that's shaping the future of healthcare.

About Us

Optime Care is a Specialty Pharmacy dedicated to providing services to smaller patient communities. We focus on securing insurance coverage, coordinating care, and complying with therapy regimens are only a few examples. Our mission is to minimize the daily impact of living with unique disorders. After just one call, our experts begin to address everything from medication delivery and insurance reimbursement to compliance and education. Every patient receives a proactive service experience tailored to their specific needs.

Optime Care provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state, or local laws.