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Pharmacy Insurance Jobs (NOW HIRING)

$24/hr

Vision insurance * 401k with a match * Paid Time Off and Paid Holidays * Tuition Reimbursement ... Pharmacy Benefit Verification Specialist Major Responsibilities: * Practices first call resolution ...

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 ...

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 ...

Pharmacy Prior Authorization Specialist

Waltham, MA · On-site

$22 - $28.50/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 ...

Pharmacy Prior Authorization Specialist

Louisville, KY · On-site +1

$18.75 - $24.25/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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Pharmacy Insurance information

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How much do pharmacy insurance jobs pay per hour?

As of Jul 22, 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.

How much do insurance pharmacists make?

Insurance pharmacists, often working in pharmacy benefit management or insurance companies, typically earn between $100,000 and $130,000 annually. Salaries vary based on experience, location, and certifications such as a pharmacy license or specialized training in healthcare reimbursement systems.

What is the highest paid pharmacy career?

The highest paid pharmacy careers typically include pharmacy directors, pharmacy managers, and clinical pharmacy specialists, with salaries often exceeding $150,000 annually. These roles usually require advanced certifications, extensive experience, and leadership skills within healthcare or pharmaceutical organizations.

Can pharmacy techs work for insurance companies?

Pharmacy technicians can work for insurance companies in roles such as claims processing, customer service, or pharmacy benefit management. These positions often require knowledge of pharmacy operations, insurance policies, and relevant certifications, and may involve tasks like reviewing prescriptions and verifying coverage details.

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.

Can a pharmacist make $200,000 a year?

Pharmacists can earn $200,000 or more annually, especially with advanced experience, specialized roles, or working in high-paying regions. Factors such as additional certifications, management positions, and overtime can also contribute to higher earnings in the pharmacy profession.
More about Pharmacy Insurance jobs
What cities are hiring for Pharmacy Insurance jobs? Cities with the most Pharmacy Insurance job openings:
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:
Infographic showing various Pharmacy Insurance job openings in the United States as of July 2026, with employment types broken down into 1% As Needed, 70% Full Time, 23% Part Time, and 6% Contract. Highlights an 96% Physical, 1% Hybrid, and 3% Remote job distribution, with an average salary of $40,074 per year, or $19.3 per hour.
Pharmacy Benefit Verification Specialist

Pharmacy Benefit Verification Specialist

CareMed Specialty Pharmacy

New Hyde Park, NY • On-site, Remote

$25/hr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

This job post has expired 1 day ago. Applications are no longer accepted.


Job description

Are you someone looking for professional career growth? CareMed Pharmacy is looking for Pharmacy Benefit Verification Specialists for our growing Pharmacy!
Work Hours: Monday-Friday shifts available; some weekends as needed. This is a full-time position ideal for candidates local to the area. Remote work possible after initial on-site training.
**Starting salary at $25.00/hr and up** We also offer quarterly incentive bonuses.
Sign-On Bonus: $5,000 for employees starting before August 31, 2026.
We offer a variety of benefits including:
  • Medical, Dental amp; Vision insurance
  • 401k with a match
  • Paid Time Off and Paid Holidays
  • Tuition Reimbursement
  • Paid Volunteer Day
  • Floating Holiday
  • Referral Incentive
  • Paid Life, and short amp; long-term disability insurance
Pharmacy Benefit Verification Specialist Summary:
The Benefit Verification Specialist will investigate, review, and load accurate patient insurances, including medical and pharmacy coverage, assign coordination of benefits, run test claims to obtain a valid insurance response on patient medications, investigate/identify authorization requirements needed to obtain medication coverage, and enroll eligible patients in copay card assistance programs. They will ensure accurate benefit documentation is made for all prescription orders.
Pharmacy Benefit Verification Specialist Major Responsibilities:
  • Practices first call resolution to help health care providers and patients with their pharmacy needs, answering questions and requests.
  • Provides thorough, accurate and timely responses to requests from pharmacy operations, providers and/or patients regarding benefit information.
  • Ensures complete and accurate patient setup in CPR+ system including patient demographic and insurance information.
  • Performs full benefits verification on patients for pharmacy benefits and/or medical benefit utilizing electronic resources and E1 check to load primary, secondary, tertiary, etc. insurances and medical insurances to patient profile.
  • Run test claims at each licensed pharmacy site to obtain a valid claim response and determine optimal reimbursement, then document outcome of benefits review in CPR+ system to be used by operations and ensure the order is assigned to the appropriate dispensing pharmacy.
  • Facilitate process for requesting medical authorizations, LOAs, and TOAs for applicable commercial, Medicaid, and Medicare, or facility medication claims.
  • Maintain a safe and clean pharmacy by complying with procedures, rules, and regulations and compliance with professional practice and patient confidentiality laws
  • Contributes to team effort by accomplishing related tasks as needed and other duties as assigned.
  • Conducts job responsibilities in accordance with the standards set out in the Company’s Code of Business Conduct and Ethics, its policies and procedures, the Corporate Compliance Agreement, applicable federal and state laws, and applicable professional standards.
Pharmacy Benefit Verification Specialist Qualifications:
  • Education/Learning Experience
    • Required: High School Diploma or GED. Previous Experience in Pharmacy, Medical Billing, or Benefits Verification
    • Desired: Associate degree or equivalent program from a 2 year program or technical school, Certified Pharmacy Technician (PTCB), Specialty pharmacy experience
  • Work Experience
    • Required: 1+ years pharmacy or benefit verification experience
    • Desired: 3+ years pharmacy or benefit verification experience
  • Skills/Knowledge:
    • Required: Pharmacy insurance and benefit verification, PBM and Medical contracts, knowledge/understanding of Medicare, Medicaid, and commercial insurance, pharmacy test claim and NCPDP claim rejection resolution, coordination of benefits, NDC medication billing, pharmacy or healthcare-related knowledge, knowledge of pharmacy terminology including sig codes, and Roman numerals, brand/generic names of medication, basic math and analytical skills, Intermediate typing/keyboarding skills.
  • Behavior Competencies
    • Required: Independent worker, good interpersonal skills, excellent verbal and written communications skills, ability to work independently, work efficiently to meet deadlines and be flexible, detail-oriented, great time-management skill
Here at CareMed, our patients are important to us, so we always strive to meet and exceed their needs. We are seeking Pharmacy Benefit Verification Specialists who go above and beyond for our patients, and also passionate about helping others.