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Senior Pharmacy Resolution Specialist Jobs (NOW HIRING)

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Senior Pharmacy Resolution Specialist information

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

As of Sep 2, 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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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.

Issue Resolution Specialist (Rota, Spain)

Hui Huliau

Fpo, AE โ€ข Hybrid

Full-time

Re-posted yesterday


Job description

Hui Huliau Technology Services, a subsidiary of Hui Huliau, a Global Federal Government Contracting Firm, is seeking an Onsite Senior Issue Resolution Specialist/Account Coordinator (Hybrid). Summary :The Senior Issue Resolution Specialist/Account Coordinator is a Hybrid role that performs all duties of the Issue Resolution Specialist and Account Coordinator. Principle Duties and Responsibilities include: The Issue Resolution Specialist manages the Defense Health Agencys (DHA) Issue Resolution Process at assigned Military Treatment Facilities (MTF) in support of the Department of Defense (DoD) Electronic Health Record (EHR), to include system content and configuration changes, scheduled and unscheduled service interruptions, and updates impacting end users.

Assists end users with following enterprise system configuration change request and service interruption reporting standard operating procedures. Assesses, monitors, and reports status of EHR helpdesk tickets, taking appropriate actions when necessary. Co-facilitates, records, and publishes periodic MTF Informatics Steering Committee (ISC) meeting minutes.

Coordinates local resolution efforts with Account Coordinators, EHR Trainers, Information Technology staff etc., when appropriate. Maintains MTF EHR Communications email distribution list. Analyzes, organizes, and disseminates information associated with periodic EHR system upgrades and application changes

Ensures end users are kept informed on status of service interruptions impacting the EHR. Collaborates with DHA and Defense Health Network (DHN) Health Informatics (HI) staff on high priority issues impacting the MTF. The Account Coordinator (AC) is responsible for Managing the MHS GENESIS Account Provisioning process at assigned Military Treatment Facilities.

This includes assignment and coordination of end user MHS GENESIS required training. Attend informational meetings, conference calls and briefings regarding MHS Genesis roles and account related topics. Assigns and coordinates required MHS GENESIS end user training.

Requests training domain access. Coordinates with Issue Resolution Specialist to support resolving issues related to end user MHS GENESIS accounts. Submits tickets to initiate MHS Genesis account creation and provisioning for end users.

Troubleshoots issues with end users who are experiencing functionality problems related to their MHS GENESIS account. Identify, evaluate, , and provide feedback to contract managers on issues or improvements. Conducts presentations during meetings to address MHS GENESIS account provisioning updates and/or MHS GENESIS training coordination trends.

As a Senior Issue Resolution Specialist/Account Coordinator additional responsibilities include: Assist in both Account Coordinator and Issue Resolution Specialist capacity when a site needs surge support. Assist with training and onboarding of new staff. Be accessible and available for all staff when they have technical or process-related questions.

Work closely with the Regional Project Managers and Senior Managers to ensure team success. Requirements Skills/Abilities: US Citizen DoD Public Trust be able to obtain through our company (Pass background check) Able to interact and communicate at all levels Excellent interpersonal skills-verbal, written and spoken. Proficient in Microsoft Office Suite (Word, Excel and, Outlook) Overseas Locations may have additional requirements to meet SOFA status Agreement conditions.

Education and Experience: High School Diploma Required. Associates degree Bachelors preferred. 3 years experience as an Issue Resolution Specialist/Account Coordinator or similar Prior experience with analyzing business processes and information management needs of medical organizations.

Knowledge of marketing research and BPR methodologies, analysis, theory, and application and strong interpersonal skills. Knowledge of activity-based costing principles and knowledge of functional economic analysis to assess several alternatives. Knowledge of various specialized areas of health care management.

Preferred experience in supporting Clinical Information Systems (CIS) training, tools, software installs and upgrades, preparing classrooms, facilities, and necessary equipment for classes or supporting EHR efforts. Knowledge of workings of a hospital technical system. Must maintain an appropriate degree of knowledge, skill, and ability to provide functional support and perform system status checks as needed during trouble ticket resolution.

Personnel must be fluent in verbal and written English and English medical terminology. Physical Requirements: Predominantly Sedentary work. Work is performed in an office environment and requires the ability to operate standard office equipment, keyboards, Web Based Applications such as Procore, electronic spreadsheets and database analysis, outputs, and reporting, virtual data sharing platforms (e.g., SharePoint, Teams, etc.) and other forms of remote work-sharing tools

Exerting up to 25 pounds of force occasionally and/or negligible amount of force frequently or constantly to lift, carry, push, pull or otherwise move objects. May also include climbing stairs and walking. Repetitive motion.

Substantial movements (motions) of the wrists, hands, and/or fingers. Hui Huliau and its subsidiaries are participants of E-Verify.Hui Huliau and its subsidiaries are drug free workplaces.