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Pharmacy Investigator Jobs (NOW HIRING)

Oscorp Industries

Investigator SrHybrid

Norfolk, VA · Hybrid

The Investigator Sr. position is responsible for the independent identification, investigation and ... Candidate will need a strong Medicare/Medicaid background with a focus on Pharmacy. How You Will ...

MUSC

Pharmacy Technician III

Charleston, SC · On-site

$16.50 - $20/hr

Summary Pharmacy Technician III Entity Medical University Hospital Authority (MUHA) Worker Type Employee Worker Sub-Type​ Regular Cost Center CC000628 CHS - Pharmacy Investigational Drug Service ...

Amerihealth Caritas

Special Investigator

Manchester, NH · On-site +1

We offer integrated managed care products, pharmaceutical benefit management and specialty pharmacy ... Role Overview: The Investigator is responsible for conducting comprehensive investigations of ...

Amerihealth Caritas

Special Investigator

Manchester, NH · On-site +1

We offer integrated managed care products, pharmaceutical benefit management and specialty pharmacy ... Role Overview: The Investigator is responsible for conducting comprehensive investigations of ...

OGDEN PHARMACY

Pharmacy Technician

Aurora, IL · On-site

$18 - $22/hr

Investigate and resolve customer complaints ​Qualifications: * Previous experience in a retail pharmacy setting. * Excellent written and verbal communication skills * Strong attention to detail

OGDEN PHARMACY

Pharmacy Technician

Aurora, IL · On-site

$18 - $22/hr

Investigate and resolve customer complaints ​Qualifications: * Previous experience in a retail pharmacy setting. * Excellent written and verbal communication skills * Strong attention to detail

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Pharmacy Investigator information

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$32K

$75.3K

$131K

How much do pharmacy investigator jobs pay per year?

As of Aug 7, 2026, the average yearly pay for pharmacy investigator in the United States is $75,325.00, according to ZipRecruiter salary data. Most workers in this role earn between $52,500.00 and $98,500.00 per year, depending on experience, location, and employer.

What are the key skills and qualifications needed to thrive as a pharmacy investigator?

To thrive as a Pharmacy Investigator, you need a solid background in pharmacy, pharmaceutical sciences, or healthcare, often supported by a relevant degree and experience in pharmacy operations or regulatory compliance. Familiarity with pharmacy claims systems, fraud detection software, and knowledge of regulations like HIPAA are typically required. Strong analytical thinking, attention to detail, and effective communication skills help in identifying irregularities and collaborating with stakeholders. These skills are crucial for ensuring compliance, preventing fraud, and maintaining the integrity of pharmacy practices.

What are some common challenges faced by pharmacy investigators when conducting audits or investigations?

Pharmacy Investigators often encounter challenges such as navigating complex regulatory requirements, gathering and analyzing large volumes of prescription data, and ensuring the confidentiality of sensitive information. They may also face resistance or limited cooperation from pharmacies or providers under investigation. Effective communication, attention to detail, and a strong understanding of both pharmacy operations and compliance standards are essential to overcoming these obstacles and ensuring thorough, unbiased investigations.

What is the difference between Pharmacy Investigator vs Pharmacist?

AspectPharmacy InvestigatorPharmacist
Required CredentialsPharmacy degree, research certificationsPharmacy degree, licensure
Work EnvironmentClinical research settings, regulatory agenciesCommunity or hospital pharmacies
Employer & IndustryPharmaceutical companies, research organizationsHealthcare facilities, retail pharmacies

While both roles require a pharmacy degree, Pharmacy Investigators focus on clinical research and regulatory compliance, often working in research settings. Pharmacists primarily dispense medications and provide patient care in retail or hospital environments. Understanding these differences helps clarify career paths and job expectations in the pharmacy industry.

What is a pharmacy investigator?

Pharmacy Investigators are professionals who examine and ensure compliance with laws and regulations related to pharmacy practices. They typically work for government agencies or regulatory bodies, investigating complaints, conducting inspections, and monitoring pharmacy operations to prevent fraud, diversion of controlled substances, and unsafe practices. Their role is crucial in ensuring the safety and integrity of pharmaceutical services provided to the public. Pharmacy Investigators may also provide education to pharmacy staff about regulatory requirements and help enforce disciplinary actions when necessary.
More about Pharmacy Investigator jobs
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Pharmacy Investigator jobs near you
Infographic showing various Pharmacy Investigator 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 $75,325 per year, or $36.2 per hour.

Investigator SrHybrid

Oscorp Industries

Norfolk, VA • Hybrid

Contractor

Re-posted 27 days ago

Job description

Apply Schedule: 1-2 days per week in the office (Hybrid 1) Job no: PF6MM Category: Healthcare Application Deadline is Friday 4th of March Nike offers a generous total rewards package, casual work environment, a diverse and inclusive culture About the job Location: This position will work a hybrid model (remote and office). The ideal candidate will live within 50 miles of one of our Elevance Health PulsePoint locations. The Investigator Sr.

position is responsible for the independent identification, investigation and development of complex cases against perpetrators of healthcare fraud in order to recover corporate and client funds paid on fraudulent claims. Candidate will need a strong Medicare/Medicaid background with a focus on Pharmacy. How You Will Make An Impact Claim reviews for appropriate coding, data mining, entity review, law enforcement referral, and use of proprietary data and claim systems for review of facility, professional and pharmacy claims.

Responsible for independently identifying and developing enterprise-wide specific healthcare investigations and initiatives that may impact more than one company health plan, line of business and/or state. May interface internally with Senior level management and legal department throughout investigative process. May assist in training of internal and external entities.

Assists in the development of policy and/or procedures to prevent loss of company assets. May be called upon to represent the Company in court proceedings regarding research findings. Health insurance experience required with understanding of health insurance policies, health insurance claims handling and provider network contracting.

Develops and maintains a high degree of rapport and cooperation with the Federal, State and local law enforcement and regulatory agencies which can assist in investigative efforts. Minimum Requirements Requires a BA/BS and minimum of 5 years related experience in healthcare insurance and healthcare insurance investigation, law enforcement; or any combination of education and experience, which would provide an equivalent background. Preferred Skills, Capabilities And Experiences Pharmacy investigation experience is highly preferred.

Professional certification of CFE, AHFI, CPC, Paralegal, RN, JD or other job-related designation preferred. Knowledge of Plan policies and procedures in all facets of benefit programs management with heavy emphasis in negotiation preferred. Published on 18 Dec 2024, 7:01 PM.

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