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Remote Pharmacy Insurance Jobs in Baltimore, MD (NOW HIRING)

System One

Client Relationship Manager

Baltimore, MD · Remote

Hybrid - onsite and remote We're looking for a Client Relationship Manager who thrives in a fast ... Resolve escalated issues related to medical claims, billing, benefits, and pharmacy (Rx) * Research ...

System One

Client Relationship Manager

Baltimore, MD · Remote

Hybrid - onsite and remote We're looking for a Client Relationship Manager who thrives in a fast ... Resolve escalated issues related to medical claims, billing, benefits, and pharmacy (Rx) * Research ...

System One

Client Relationship Manager

Baltimore, MD · Remote

Hybrid - onsite and remote We're looking for a Client Relationship Manager who thrives in a fast ... Resolve escalated issues related to medical claims, billing, benefits, and pharmacy (Rx) * Research ...

Corvel

Telephonic Case Manager I

Nottingham, MD · Remote

$63K - $95K/yr

This is a remote role. This position requires a California RN Nursing License. ESSENTIAL FUNCTIONS ... Pharmacy, Dental, Vision, Long Term Disability, Health Savings Account, Flexible Spending Account ...

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Remote Pharmacy Insurance information

See Baltimore, MD salary details

$14

$19

$26

How much do remote pharmacy insurance jobs pay per hour?

As of Aug 29, 2026, the average hourly pay for remote pharmacy insurance in Baltimore, MD is $19.14, according to ZipRecruiter salary data. Most workers in this role earn between $16.73 and $20.29 per hour, depending on experience, location, and employer.

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 popular job titles related to Remote Pharmacy Insurance jobs in Baltimore, MD?

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

What job categories do people searching Remote Pharmacy Insurance jobs in Baltimore, MD look for?

The top searched job categories for Remote Pharmacy Insurance jobs in Baltimore, MD are:

What cities near Baltimore, MD are hiring for Remote Pharmacy Insurance jobs?

Cities near Baltimore, MD with the most Remote Pharmacy Insurance job openings:

Remote Pharmacy Insurance jobs near you

Principal Solutions Architect - Pharmacy Benefits Integration (Facets G6, EDI)

Baltimore, MD • Remote

System One
Business Consulting Services • 5 - 10K employees
Learn more about System Oneexternal

$97.25/hr

Contractor

Medical, Dental, Vision, Life, Retirement

Posted 2 days ago

New

Job description

Job Title: Principal Solutions Architect, Pharma/PBM Location: Owings Mills, Maryland Type: Contract-to-Hire Compensation: $97.25 Work Model: Hybrid – remote Hours: 40.0

Principal Solutions Architect – Pharmacy Benefits Integration (Facets G6, EDI) Responsibilities

  • Establish strategic technology direction and create solution architecture for large complex initiatives/projects.
  • Design technical solutions for complex business problems aligning with industry and enterprise standards.
  • Provide technical oversight and strategic guidance to IT project teams during planning and implementation phases.
  • Translate business strategies into cohesive solution architectures, ensuring alignment with enterprise architecture.
  • Lead solutions design and analysis for complex projects, defining components, integrations, and deployment strategies.
  • Coordinate solution delivery, ensuring architecture compliance and supporting implementation governance.
  • Partner with project managers, product owners, and business leaders to support solution architecture and future business needs.
  • Maintain industry and technology expertise, evaluate emerging technologies, and develop strategies for architecture migration.

Requirements

  • Bachelor's Degree in Computer Science or IT related field
  • 10 years experience as an infrastructure architect
  • Experience with large-scale systems development, implementation, and maintenance
  • Deep knowledge of healthcare payer and PBM operations, including pharmacy benefit management and end-to-end pharmacy benefit lifecycle
  • Comprehensive understanding of healthcare interoperability standards and regulations (HIPAA, CMS, NCPDP, HL7, FHIR, X12)
  • Strong API, event-driven, batch, EDI, and real-time integration skills
  • Excellent communication and leadership skills to influence and coordinate across multiple teams
  • Solution and integration architecture design experience, with expertise in emerging technologies like cloud, AI/ML, big data, and robotics

System One, and its subsidiaries including Joulé and Mountain Ltd., are leaders in delivering outsourced services and workforce solutions across North America. We help clients get work done more efficiently and economically, without compromising quality. System One not only serves as a valued partner for our clients, but we offer eligible employees health and welfare benefits coverage options including medical, dental, vision, spending accounts, life insurance, voluntary plans, as well as participation in a 401(k) plan.

System One is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity, age, national origin, disability, family care or medical leave status, genetic information, veteran status, marital status, or any other characteristic protected by applicable federal, state, or local law.

#M-PJ1 #LI-PJ1 Ref: #851-Rockville-S1

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About System One

Sourced by ZipRecruiter

System One helps employers get work done more efficiently and economically without compromising quality. Over our 35+ year history, we've helped connect thousands of talented people with innovative companies. The excitement of a perfect fit motivates us every single day.

Industry

Business consulting services and recruiting and staffing services

Company size

5,001 - 10,000 Employees

Headquarters location

Pittsburgh, PA, US

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