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Remote Pharmacy Insurance Jobs in Tennessee (NOW HIRING)

Legion Health

$50K - $150K/yr

... we'll handle scheduling, insurance verification, billing, prior authorizations, pharmacy ... Fully remote within the United States. * Schedule: Part-time * Compensation: $50K-150K per year ...

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Remote Pharmacy Insurance information

What is a remote pharmacy insurance job?

Remote Pharmacy Insurance jobs involve working with pharmacy benefit management, insurance claims, and patient medication coverage from a remote location. Professionals in these roles often process insurance claims, verify prescription benefits, communicate with healthcare providers and patients, and handle billing issues. These positions may be filled by pharmacy technicians, pharmacists, or insurance specialists and require strong attention to detail, knowledge of pharmacy operations, and excellent communication skills. Remote Pharmacy Insurance jobs allow individuals to perform their duties from home or any location with internet access, making them ideal for those seeking flexible work arrangements.

What are some common challenges faced when working in a remote pharmacy insurance role, and how can they be managed?

One common challenge in a remote pharmacy insurance role is effectively communicating with both patients and healthcare providers to resolve insurance claims and coverage issues, as much of the work is handled via phone or digital platforms. Additionally, staying updated on frequently changing insurance policies and formularies can be demanding. To manage these challenges, it's helpful to maintain organized digital records, participate in ongoing training sessions, and leverage collaboration tools to stay connected with team members and supervisors. Regular check-ins and open communication channels can ensure that workflow remains smooth and patient needs are promptly addressed.

What are the key skills and qualifications needed to thrive as a remote pharmacy insurance specialist, and why are they important?

To thrive as a Remote Pharmacy Insurance Specialist, you need a strong understanding of pharmacy operations, insurance verification, claims processing, and typically a background in pharmacy tech or healthcare administration. Proficiency with pharmacy management software, insurance portals, and knowledge of HIPAA regulations are crucial, and certification such as CPhT is often preferred. Exceptional attention to detail, problem-solving abilities, and clear communication skills make someone stand out in this position. These skills ensure accurate processing of insurance claims, minimize delays in patient care, and maintain compliance in a remote setting.

What is the difference between Remote Pharmacy Insurance vs Remote Pharmacist?

AspectRemote Pharmacy InsuranceRemote Pharmacist
Required CredentialsInsurance licenses, knowledge of pharmacy policiesPharmacy degree, state licensure
Work EnvironmentInsurance companies, customer service, claims processingTelepharmacy, medication review, patient counseling
Industry UsageInsurance and healthcare sectorsHealthcare and pharmacy sectors

Remote Pharmacy Insurance involves managing insurance policies related to pharmacy benefits, focusing on claims and coverage. Remote Pharmacists dispense medications and provide clinical support remotely. While both roles require pharmacy knowledge, one centers on insurance administration, and the other on direct patient care.

What are the most commonly searched types of Pharmacy Insurance jobs in Tennessee?

The most popular types of Pharmacy Insurance jobs in Tennessee are:

What are popular job titles related to Remote Pharmacy Insurance jobs in Tennessee?

For Remote Pharmacy Insurance jobs in Tennessee, the most frequently searched job titles are:

What job categories do people searching Remote Pharmacy Insurance jobs in Tennessee look for?

The top searched job categories for Remote Pharmacy Insurance jobs in Tennessee are:

What cities in Tennessee are hiring for Remote Pharmacy Insurance jobs?

Cities in Tennessee with the most Remote Pharmacy Insurance job openings:

Remote Pharmacy Insurance jobs near you
Infographic showing various Remote Pharmacy Insurance job openings in Tennessee as of August 2026, with employment types broken down into 100% Full Time. Highlights an 100% Remote job distribution.

Govt Progs Compliance Consultant (Medicare Part D) - Remote

Health Care Service Corporation

Nashville, TN • Remote

$61K - $136K/yr

Full-time

Medical, Life, Retirement, PTO

Posted 3 days ago

New

Job description

At HCSC, our employees are the cornerstone of our business and the foundation to our success. We empower employees with curated development plans that foster growth and promote rewarding, fulfilling careers.

Join HCSC and be part of a purpose-driven company that will invest in your professional development.

Job SummaryThis position is responsible for supporting the evaluation of Government Programs (Medicare) regulatory requirements and CMS guidance to assess compliance risks associated with HCSC government contracts. Will serve as a subject matter expert (SME) to assist in evaluation of Medicare regulations and ensure regulatory requirements are implemented accurately and timely across internal operations and assigned First Tier, Downstream, and Related Entities (FDRs).
Assists in overseeing operational compliance through activities such as universe and report reviews, attendance at operational meetings, and targeted monitoring of high-risk areas of concern. Responsibilities include identifying, assessing, and escalating compliance risks and issues, partnering with stakeholders to develop, implement, and monitor effective mitigation and remediation strategies. This role collaborates closely with other compliance colleagues, business partners, leadership, governmental agencies, and FDRs. Additional responsibilities include supporting Part D and FDR compliance activities as needed, fostering strong cross-functional relationships, liaising between Compliance and business teams, and performing other duties as assigned.

Required Job Qualifications:

  • Bachelor's degree and 3 years' experience in health plans, regulatory compliance or risk management OR 6 years' experience in health plans, regulatory compliance, or risk management
  • Ability to communicate with and build relationships with internal business units and/or various external government.
  • agencies.
  • Critical thinking, risk assessment, and mitigation.
  • Verbal and written communication skills.
  • Ability to work with minimal supervision.
  • Organizational, analytical, and decision-making skills.
  • PC proficiency to include Word, PowerPoint, and Excel.

Preferred Job Qualifications:

  • Government Programs Healthcare Compliance experience and equivalent experience.
  • Knowledge of Medicare Part D regulatory and operational requirements.
  • Government programs operational experience.
  • Certified Pharmacy Technician or Pharmacy related experience.
  • Experience with communicating regulatory requirements and compliance risk to senior leadership and business partners.
  • Experience working with PBMs or other delegated entities.

#LI-Remote

#LI-AS1

Are you being referred to one of our roles? If so, ask your connection at HCSC about our Employee Referral process!

Pay Transparency Statement:

At Health Care Service Corporation, you will be part of an organization committed to offering meaningful benefits to our employees to support their life outside of work. From health and wellness benefits, 401(k) savings plan, pension plan, paid time off, paid parental leave, disability insurance, supplemental life insurance, employee assistance program, paid holidays, tuition reimbursement, plus other incentives, we offer a robust total rewards package for employees. Learn more about our benefit offerings by visiting https://careers.hcsc.com/totalrewards.

The compensation offered will vary depending on your job-related skills, education, knowledge, and experience. This role aligns with an annual incentive bonus plansubject to the terms and the conditions of the plan.

HCSC Employment Statement:

We are an Equal Opportunity Employment employer dedicated to providing a welcoming environment where the unique differences of our employees are respected and valued. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, protected veteran status, or any other legally protected characteristics.

Base Pay Range$61,500.00 - $136,100.00

Exact compensation may vary based on skills, experience, and location.

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