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Remote Blue Cross Pharmacist Jobs (NOW HIRING)

Capital Blue Cross offers a comprehensive benefits packaging including Medical, Dental & Vision ... Pharmaceutical utilization and trend management via pharmacy clinical initiatives * PBM vendor ...

Clinical Pharmacist

Harrisburg, PA · On-site +1

$116K - $139K/yr

Capital Blue Cross offers a comprehensive benefits packaging including Medical, Dental & Vision ... Pharmaceutical utilization and trend management via pharmacy clinical initiatives * PBM vendor ...

Health Plan Pharmacist

$59.50 - $71.75/hr

We are Blue Cross Blue Shield Wyoming: a not-for-profit health insurer with offices throughout the ... As a Health Plan Pharmacist with the BCBSWY Pharmacy Team, you will play an essential role in ...

Pharmacy Technician

$18 - $21.75/hr

To learn more about Arkansas Blue Cross and Blue Shield Hiring Policies, please click here. Job SummaryThe Pharmacy Technician works closely with Pharmacists under the Medicare area to ensure the ...

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Remote Blue Cross Pharmacist information

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$27

$60

$74

How much do remote blue cross pharmacist jobs pay per hour?

As of Aug 17, 2026, the average hourly pay for remote blue cross pharmacist in the United States is $60.91, according to ZipRecruiter salary data. Most workers in this role earn between $56.01 and $67.31 per hour, depending on experience, location, and employer.

What is a Remote Blue Cross Pharmacist?

A Remote Blue Cross Pharmacist is a licensed pharmacist who works offsite, often from home, to support Blue Cross health insurance members. They review prescriptions, provide medication counseling, ensure compliance with formulary guidelines, and help manage medication therapy. Their work is typically done via phone, email, or secure digital platforms, allowing them to assist patients and healthcare providers remotely. This role requires strong communication skills, up-to-date pharmacy knowledge, and familiarity with healthcare regulations and insurance processes.

How does a Remote Blue Cross Pharmacist typically collaborate with healthcare providers and patients in a virtual setting?

As a Remote Blue Cross Pharmacist, you will regularly interact with healthcare providers and patients via secure digital platforms, phone calls, and electronic messaging systems. Collaboration involves reviewing medication therapies, answering clinical inquiries, and providing counseling or education to patients regarding their prescriptions. You'll also work closely with physicians and nurses to resolve medication-related issues and ensure proper coordination of care, all while maintaining patient confidentiality and regulatory compliance. Adapting your communication skills to virtual interactions and using specialized pharmacy software are essential parts of the role.

What are the key skills and qualifications needed to thrive as a Remote Blue Cross Pharmacist, and why are they important?

To thrive as a Remote Blue Cross Pharmacist, you need a Doctor of Pharmacy (PharmD) degree, active pharmacist licensure, and solid knowledge of medication therapy management and insurance formularies. Familiarity with pharmacy benefit management (PBM) systems, electronic health records (EHRs), and telepharmacy platforms is essential. Strong communication, attention to detail, and problem-solving skills help you effectively support patients and collaborate with healthcare teams remotely. These skills and qualities are crucial for ensuring safe, accurate medication management and positive patient outcomes in a virtual healthcare environment.

What is the difference between Remote Blue Cross Pharmacist vs Remote CVS Pharmacist?

AspectRemote Blue Cross PharmacistRemote CVS Pharmacist
CredentialsLicensed Pharmacist, State LicenseLicensed Pharmacist, State License
Work EnvironmentHealth insurance company, administrative settingRetail pharmacy, customer service
Employer & IndustryBlue Cross/Blue Shield, insurance industryCVS Health, retail pharmacy industry
Job FocusClaims review, medication therapy managementPrescription processing, customer support

The main difference between a Remote Blue Cross Pharmacist and a Remote CVS Pharmacist lies in their work environment and focus. Blue Cross pharmacists primarily work in insurance settings, focusing on claims and medication management, while CVS pharmacists work in retail pharmacies, handling prescriptions and customer interactions. Both roles require licensure and share similar credentials, but their daily tasks and employer types differ significantly.

Are remote Blue Cross pharmacists in demand right now?

Remote Blue Cross pharmacists are currently in demand due to the increasing shift toward telepharmacy and digital healthcare services. Employers seek licensed pharmacists with strong communication skills and familiarity with pharmacy management systems to support remote patient care and medication management. The demand is expected to grow as healthcare organizations expand telehealth offerings.

What jobs can a remote Blue Cross pharmacist do?

A remote Blue Cross pharmacist typically performs medication review, patient counseling, and medication management services through telehealth platforms. They may also handle prior authorizations, medication therapy management, and support insurance benefit programs, often requiring licensure and familiarity with pharmacy software. These roles allow for flexible schedules and require strong communication skills and clinical knowledge.
More about Remote Blue Cross Pharmacist jobs

What cities are hiring for Remote Blue Cross Pharmacist jobs?

Cities with the most Remote Blue Cross Pharmacist job openings:

What are the most commonly searched types of Blue Cross Pharmacist jobs?

The most popular types of Blue Cross Pharmacist jobs are:

What states have the most Remote Blue Cross Pharmacist jobs?

States with the most job openings for Remote Blue Cross Pharmacist jobs include:

Infographic showing various Remote Blue Cross Pharmacist job openings in the United States as of August 2026, with employment types broken down into 95% Full Time, and 5% Contract. Highlights an 100% Remote job distribution, with an average salary of $126,701 per year, or $60.9 per hour.

Clinical Pharmacist

Capital Blue Cross

Harrisburg, PA • On-site, Remote

$98K/yr

Full-time

Medical, Dental, Vision, Retirement, PTO

Re-posted 11 days ago


Capital Blue Cross rating

7.7

Company rating: 7.7 out of 10

Based on 13 frontline employees who took The Breakroom Quiz

204th of 309 rated insurance


Job description

Position Description
Base pay is influenced by several factors including a candidate's qualifications, relevant experience, and anticipated contributions to meet the needs of the business, along with internal pay equity and external market driven rates. The salary range displayed has not been adjusted for geographical location. This range has been created in good faith based on information known to Capital Blue Cross at the time of posting and may be modified in the future. Capital Blue Cross offers a comprehensive benefits packaging including Medical, Dental & Vision coverage, a Retirement Plan, generous time off including Paid Time Off, Holidays, and Volunteer time off, an Incentive Plan, Tuition Reimbursement, and more.
At Capital Blue Cross, we promise to go the extra mile for our team and our community. This promise is at the heart of our culture, and it's why our employees consistently vote us one of the "Best Places to Work in PA."
This position is responsible for the development, maintenance, and evaluation of pharmacy clinical initiatives and utilization management programs to assure a consistently cost-effective and quality pharmaceutical services and benefits for plan members. The incumbent manages the drug formulary program as well as clinical activities and oversees the clinical program administration by the pharmacy benefit management (PBM) company. The incumbent also serves as a resource to providing clinical support to committees and workgroups such as Pharmacy and Therapeutics Committee, Medical Policy Committee, Quality Management Committee, Delegation Oversight, and HEDIS/NCQA. The incumbent possesses good clinical/analytical skills and sound decision-making capabilities to identify opportunities/risks and propose benefit program quality/utilization management strategies accordingly. Strong interpersonal and excellent communication skills are essential due to interaction with various members of the medical profession, managed care clients, and external organizations.
Responsibilities and Qualifications
  • Formulary management including drug evaluation, P&T Committee, and related physician and member collaterals
  • Pharmaceutical utilization and trend management via pharmacy clinical initiatives
  • PBM vendor clinical services and programs oversight
  • Specialty pharmaceutical management
  • Pharmacy clinical and utilization management criteria, protocol, policies, and procedure development
  • Provide clinical and drug information support
  • Maintain regulatory including Medicare Part D, and accreditation compliance
  • Develop member and provider educational programs
  • Conduct presentation and training
  • Maintain provider and pharmaceutical industry/drug manufacturer relations.
  • Staff supervision

Skills:
  • Strong interpersonal and team skills with ability to work and interact externally and internally. Ability to communicate effectively with varied audiences, including ability to lead meetings, develop teamwork, and deliver verbal presentations. Ability to take direction from various levels of staff and perform project work with minimal supervision.
  • Strong clinical/analytical skills and decision-making capabilities required. Strong interpersonal and excellent communication skills required. Ability to assess utilization data to identity new opportunities.

Knowledge:
  • Managed care knowledge and experience preferred. In-depth knowledge of drug formulary systems and drug evaluation process. Broad knowledge of outpatient drug benefit and utilization management programs.
  • Knowledge of pharmacy claims processing along with applicable state/federal laws.
  • Knowledge and experience with Medicare Part D and NCQA accreditation preferred. Knowledge and experience with therapy medication and disease state management.
  • Possess working knowledge of medical and pharmacy data integration to close gap in care and facilitate greater care coordination.

Experience:
  • Experience in developing pharmacy clinical protocol, policies, and procedures. Experience in design/deployment of programs to increase quality of care and decrease costs.

Education and Certifications:
  • Pharmacy degree and current Pennsylvania pharmacy license required. Advanced pharmacy degree (Masters or Pharm.D.) preferred.

Location:
  • This position is classified hybrid, which requires onsite work on Tuesdays and Wednesdays.

Work Environment:
  • Working environment includes typical office conditions.

Physical Demands:
  • While performing the duties of the job, the employee is frequently required to sit, use hands and fingers, talk, hear, and see.
  • The employee must be able to work over 40 hours per week.
  • The employee must occasionally lift and/or move up to 5 pounds.
  • Sedentary work involving significant periods of sitting, talking, hearing, keying and performing repetitive motions. Work requires visual acuity to perform close inspection of written and computer generated documents as well as a PC monitor.

Other:
  • Performs other related duties and assignments as directed.
  • Travel less than 1%. Occasional overnight travel and travel between CBC locations.

About Us
We recognize that work is a part of life, not separate from it, and foster a flexible environment where your health and wellbeing are prioritized. At Capital you will work alongside a caring team of supportive colleagues, and be encouraged to volunteer in your community. We value your professional and personal growth by investing heavily in training and continuing education, so you have the tools to do your best as you develop your career. And by doing your best, you'll help us live our mission of improving the health and well-being of our members and the communities in which they live.

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