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Remote Pharmacy Insurance Jobs in Raleigh, NC (NOW HIRING)

Valeris

Executive Case Manager (Remote)

Raleigh, NC · Remote

This role requires a strong understanding of pharmacy and medical billing and coding, excellent ... The Executive Case Manager provides expertise on insurance coverage and common access and ...

UnitedHealth Group

Lead AI/ML Engineer - Remote

Raleigh, NC · On-site +1

$99K - $131K/yr

... care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a ... insurance, a number which puts UHC at the top of the pack as the largest managed care provider in ...

UnitedHealth Group

Lead AI/ML Engineer - Remote

Raleigh, NC · On-site +1

$99K - $131K/yr

... care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a ... insurance, a number which puts UHC at the top of the pack as the largest managed care provider in ...

All JobsRemote Pharmacy Insurance JobsRemote Pharmacy Insurance Jobs in Raleigh, NC

Remote Pharmacy Insurance information

See Raleigh, NC salary details

$14

$18

$25

How much do remote pharmacy insurance jobs pay per hour?

As of Jun 30, 2026, the average hourly pay for remote pharmacy insurance in Raleigh, NC is $18.73, according to ZipRecruiter salary data. Most workers in this role earn between $16.35 and $19.86 per hour, depending on experience, location, and employer.

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 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 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 Remote Pharmacy Insurance jobs?

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 popular job titles related to Remote Pharmacy Insurance jobs in Raleigh, NC? For Remote Pharmacy Insurance jobs in Raleigh, NC, the most frequently searched job titles are:
What job categories do people searching Remote Pharmacy Insurance jobs in Raleigh, NC look for? The top searched job categories for Remote Pharmacy Insurance jobs in Raleigh, NC are:
What cities near Raleigh, NC are hiring for Remote Pharmacy Insurance jobs? Cities near Raleigh, NC with the most Remote Pharmacy Insurance job openings:
Remote Pharmacy Insurance jobs near you
Outreach Specialist, Pharmacy Outreach

Outreach Specialist, Pharmacy Outreach

Aledade

Raleigh, NC • Remote

Full-time

Posted 4 days ago

Aledade rating

8.5

Company rating: 8.5 out of 10

Based on 5 frontline employees who took The Breakroom Quiz

48th of 437 rated business services

Job description

The Pharmacy Outreach Specialist is responsible for patient outreach, coordinating with practices and pharmacies to promote medication adherence and improve patient health outcomes and pharmacy quality measures.
 
We are flexible with respect to geographic location, and the ideal candidate will be comfortable working remotely/work from home across US time zones. 
Primary Duties

Patient Outreach

  • Conduct & handle high-volume outbound and inbound calls with patients, providers, and pharmacies using established scripts and protocols while meeting and sustaining performance goals (i.e. calls/hour, call quality, etc.)

  • Collaborate with patients to actively problem-solve, identify and remove barriers to medication adherence (i.e. cost, forgetfulness, or lack of perceived need) and/or escalate clinical barriers to a pharmacist

  • Overcome patient objectives and reluctance through influence, empathy, and  education to secure patient commitment to medication adherence.

  • Proactively coordinate with medical providers or pharmacies as needed to ensure prescription refills occur as scheduled.

  • Accurately document all interactions, outcomes, and identified barriers in appropriate systems.

Process Improvement, Learning & Collaboration

  • Identify opportunities to enhance pharmacy workflows and processes

  • Participate in training and peer-to-peer learning opportunities to build subject matter expertise in pharmacy quality metrics (e.g., STARs)

  • Provide feedback, share best practices, and assist employees to support achievement of program, departmental, and organizational goals

Other duties as assigned 

Minimum Qualifications

  • High School Diploma

  • Minimum 1 year of experience in a call center environment providing patient outreach

  • Regular and predictable attendance; Ability to work any shift between 8 AM - 7 PM EST with the potential for evening and Saturday coverage as dictated by business needs

  • Excellent verbal communication, active listening, and negotiation skills

  • Ability to overcome objections and build rapport with patients or customers

  • Proficient with call center platforms and electronic health records (EHR) platforms

  • Proficient in Microsoft Excel and Google Sheets

  • Ability to work in a fast paced environment and adapt quickly to change

  • Strong organizational skills with an attention to detail and accuracy

  • Must have access to reliable high speed internet connection

Preferred Qualifications

  • Associate’s Degree

  • Pharmacy Technician Certification (CPhT or ExCPT) or Active Pharmacy Technician License in any state

Physical Requirements

  • Prolonged periods of sitting at a desk and working on a computer

Who We Are:
Aledade, a public benefit corporation, exists to empower the most transformational part of our health care landscape - independent primary care. We were founded in 2014, and since then, we've become the largest network of independent primary care in the country - helping practices, health centers and clinics deliver better care to their patients and thrive in value-based care. Additionally, by creating value-based contracts across a wide variety of health plans, we aim to flip the script on the traditional fee-for-service model. Our work strengthens continuity of care, aligns incentives and ensures primary care physicians are paid for what they do best - keeping patients healthy. If you want to help create a health care system that is good for patients, good for practices and good for society - and if you're eager to join a collaborative, inclusive and remote-first culture - you've come to the right place.

What Does This Mean for You?
At Aledade, you will be part of a creative culture that is driven by a passion for tackling complex issues with respect, open-mindedness and a desire to learn. You will collaborate with team members who bring a wide range of experiences, interests, backgrounds, beliefs and achievements to their work - and who are all united by a shared passion for public health and a commitment to the Aledade mission.

In addition to time off to support work-life balance and enjoyment, we offer the following comprehensive benefits package designed for the overall well-being of our team members:

Flexible work schedules and the ability to work remotely are available for many roles
Health, dental and vision insurance paid up to 80% for employees, dependents and domestic partners
Robust time-off plan (21 days of PTO in your first year)
Two paid volunteer days and 11 paid holidays
12 weeks paid parental leave for all new parents
Six weeks paid sabbatical after six years of service
Educational Assistant Program and Clinical Employee Reimbursement Program
401(k) with up to 4% match
Stock options
And much more!

At Aledade, we don’t just accept differences, we celebrate them! We strive to attract, develop and retain highly qualified individuals representing the diverse communities where we live and work. Aledade is committed to creating a diverse environment and is proud to be an equal opportunity employer. Employment policies and decisions at Aledade are based on merit, qualifications, performance and business needs. All qualified candidates will receive consideration for employment without regard to age, race, color, national origin, gender (including pregnancy, childbirth or medical conditions related to pregnancy or childbirth), gender identity or expression, religion, physical or mental disability, medical condition, legally protected genetic information, marital status, veteran status, or sexual orientation.

Privacy Policy: By applying for this job, you agree to Aledade's Applicant Privacy Policy available at  https://www.aledade.com/privacy-policy-applicants

We may use automated tools, including artificial intelligence (AI), to help organize and evaluate application materials. These tools support our recruiters and hiring managers by helping manage large applicant pools. Human judgment plays an essential role in our hiring process, including in the oversight and use of any automated tools. If you would like more information about our screening and hiring process, please contact us.

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About Aledade

Sourced by ZipRecruiter

Aledade is a leader in population health that is using innovative, value based solutions to transform the way physicians interact with their patients. We are on a mission to change healthcare for the better and solve complex problems within the healthcare system. We follow the simple but radical idea that Aledade only succeeds when our partner practices succeed. From our cutting-edge technology platform to practice transformation services, we provide physicians with everything they need to create and run an accountable care organization (ACO), revamping the way they practice and getting them back to where they should be: quarterbacking their patients' health care! Our customized solutions help clinicians in communities across America preserve their autonomy, deliver better care to their patients, reduce overall costs, and keep independent physician practices flourishing.

Industry

Health care and social assistance

Company size

501 - 1,000 Employees

Headquarters location

Bethesda, MD, US

Year founded

2014

View All Aledade Jobs