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Senior Pharmacy Resolution Specialist Jobs (NOW HIRING)

The Kuskokwim Corp.

$80 - $100/hr

Issue Resolution Specialist / Account Coordinator Regular Full-Time Denver, CO, US 7 days ago ... Work closely with the Regional Project Managers and Senior Managers to ensure team success.

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How much do senior pharmacy resolution specialist jobs pay per hour?

As of Sep 8, 2026, the average hourly pay for senior pharmacy resolution specialist in the United States is $28.72, according to ZipRecruiter salary data. Most workers in this role earn between $18.99 and $36.06 per hour, depending on experience, location, and employer.

What is a senior pharmacy resolution specialist?

Senior Pharmacy Resolution Specialists are experienced professionals who handle complex issues related to pharmacy benefits, insurance claims, and prescription coverage. They work with pharmacies, healthcare providers, insurance companies, and patients to resolve escalated or complicated cases, such as claim denials, prior authorization requests, and billing discrepancies. Their expertise ensures that patients receive timely access to their medications and that all parties follow the proper procedures and policies. These specialists often provide guidance to junior staff and help streamline pharmacy operations.

How does a senior pharmacy resolution specialist typically collaborate with other departments to resolve prescription issues?

As a Senior Pharmacy Resolution Specialist, you will frequently work cross-functionally with pharmacy technicians, pharmacists, insurance representatives, and sometimes healthcare providers to address and resolve prescription-related challenges. Your role often involves investigating claim denials, verifying insurance coverage, and ensuring compliance with regulatory requirements. Effective communication and problem-solving skills are crucial, as you may need to coordinate information between departments to expedite resolutions and maintain high-quality patient care. This collaborative environment not only helps resolve issues efficiently but also provides valuable exposure to various aspects of pharmacy operations, supporting professional growth.

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

To thrive as a Senior Pharmacy Resolution Specialist, you need in-depth knowledge of pharmacy operations, claims processing, and health insurance, often backed by experience in pharmacy benefit management or a related field. Familiarity with pharmacy claims software, adjudication systems, and understanding of regulatory compliance requirements like HIPAA are typically required. Strong problem-solving skills, attention to detail, and excellent communication help you efficiently resolve complex pharmacy issues and support both members and providers. These skills ensure accurate claim resolutions, regulatory adherence, and high levels of customer satisfaction in a fast-paced environment.

What is the difference between Senior Pharmacy Resolution Specialist vs Pharmacy Claims Analyst?

AspectSenior Pharmacy Resolution SpecialistPharmacy Claims Analyst
CredentialsCertification in pharmacy or healthcare, relevant experienceHealthcare or pharmacy-related degree, data analysis skills
Work EnvironmentPharmacy benefit management companies, healthcare providersInsurance companies, healthcare organizations, pharmacy benefit managers
Employer & Industry UsageUsed in pharmacy benefit management and healthcare settingsCommon in insurance and healthcare claims processing
Primary FocusResolving pharmacy benefit issues, patient claims, and coverage disputesAnalyzing pharmacy claims data, identifying errors, and processing claims

The Senior Pharmacy Resolution Specialist primarily focuses on resolving pharmacy benefit issues and claims disputes, requiring specialized knowledge of pharmacy benefits and certifications. In contrast, a Pharmacy Claims Analyst concentrates on analyzing claims data and identifying errors in pharmacy claims processing. Both roles are vital in healthcare and pharmacy settings but differ in their core responsibilities and skill sets.

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Senior Pharmacy Resolution Specialist jobs near you
Infographic showing various Senior Pharmacy Resolution Specialist job openings in the United States as of August 2026, with employment types broken down into 1% As Needed, 83% Full Time, 14% Part Time, and 2% Contract. Highlights an 85% Physical, 2% Hybrid, and 13% Remote job distribution, with an average salary of $59,736 per year, or $28.7 per hour.

Pharmacy Resolution Center Staff Pharmacist

Franciscan Health

Indianapolis, IN • On-site

$56.75 - $67/hr

Part-time

PTO

Re-posted 8 days ago

Franciscan Health rating

6.9

Company rating: 6.9 out of 10

Based on 273 frontline employees who took The Breakroom Quiz

453rd of 898 rated healthcare providers

Job description

Indianapolis Education and Support Srvcs Center
421 N Emerson Ave Greenwood, Indiana 46143
Within Franciscan Health, our Pharmacy Resolution Center Staff Pharmacists shall report directly to the Pharmacy Resolution Center Manager. The Staff Pharmacist primarily performs the duties of reviewing medication refill requests, signing passed protocol orders under provider cosign, collecting patient data from the electronic medical, and contacting patients to schedule clinic visits or communicate medication refill information. Staff pharmacists will, also, assist in training new team members as needed, act as a resource for the Pharmacy Resolution Center Specialists, and act as interim Manager upon request of the Pharmacy Resolution Center Manager.
WHO WE ARE
Franciscan Health is a leading healthcare organization dedicated to providing exceptional patient care and promoting health and wellness in our community. Our mission is to ensure that every patient receives the highest quality of care through innovation, compassion, and excellence. With 11 ministries and access points across Indiana, Franciscan Health is one of the largest Catholic health care systems in the Midwest. Franciscan Health takes pride in hiring coworkers who provide compassionate, comprehensive care for our patients and the communities we serve.
This is a PRN position, so hours will vary depending on staffing and coverage needs. Coverage needs also need to increase around holidays, spring and fall breaks, and during the summer months when full-time staff are taking PTO.
WHAT YOU CAN EXPECT
  • Assist in the training of other Pharmacy Resolution Center personnel as requested by the Pharmacy Resolution Center Manager.
  • Review prescriptions and medication refill orders, checking for appropriateness, and providing the information needed to order the medication refill properly and safely.
  • Participate in scheduled services, educational presentations, computer-based training, and staff meetings.
  • Ensure that any document containing PHI are stored and disposed of confidentially and securely.
  • Utilizes EPIC to access patient medication orders and profiles, process refill requests with documentation in the medical record, provide needed information, and resolves problems

QUALIFICATIONS
  • Required Bachelor's Degree Pharmacy
  • Preferred Doctorate Pharmacy
  • 3 years Retail Pharmacy Preferred
  • 3 years Mail Order or Specialty pharmacy Preferred
  • 3 years Pharmacy Benefit Company Preferred
  • 3 years Long Term Care Pharmacy Preferred
  • 3 years Inpatient Hospital, Clinical or Ambulatory Pharmacy Preferred
  • Registered Pharmacist (RPh) - State Licensing Board

TRAVEL IS REQUIRED:
Never or Rarely
EQUAL OPPORTUNITY EMPLOYER
It is the policy of Franciscan Alliance to provide equal employment to its employees and qualified applicants for employment as otherwise required by an applicable local, state or Federal law.
Franciscan Alliance reserves a Right of Conscience objection in the event local, state or Federal ordinances that violate its values and the free exercise of its religious rights.
Franciscan Alliance is committed to equal employment opportunity.
Franciscan provides eligible employees with comprehensive benefit offerings. Find an overview on the benefit section of our career site, jobs.franciscanhealth.org.

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