Pharmacy Benefit & Compliance Specialist
TeamCare Medical
C2Q Health Solutions in New York, NY is seeking a Pharmacy Specialist to ensure medication access and regulatory compliance within the CMS and NY Medicaid frameworks. You will oversee delegated monitoring functions for the CenterLight PACE program and coordinate care with pharmacy teams. The role requires 2–5 years in retail pharmacy or PBM, strong Excel/Office skills, and ability to generate reports. Work hours are 40 per week, 8:30 AM to 5:30 PM. #J-18808-Ljbffr TeamCare Medical
$67k - $80k
Benefits and Leave Compliance Specialist Remote Let Us Introduce Ourselves We're Patriot Software - a remote-first, product-led tech company on a mission to make accounting and payroll fast, simple, and affordable for millions of American businesses. With 175+ team members...SuggestedFull timeContract workWork at officeRemote work- Soleo Health is seeking an Acute Clearance Specialist to support our Specialty Infusion Pharmacy and operate remotely across the USA. The role focuses on eligibility verification, coordinating benefits, and securing prior authorizations for infusion therapies. Ideal candidates...SuggestedRemote job
$19 per hour
TEKsystems is seeking a Rx Benefits Associate for a fully remote, contract position. Pay rate is $19/hr and the anticipated start date is 11/30/2026. Training schedules run Monday to Friday 9am-5pm, with regular shifts Mon-Sat between 10am-10:30pm. In this role you will...SuggestedRemote jobContract workMonday to FridayShift work- Soleo Health is seeking a Clearance Specialist to support our Specialty Infusion Pharmacy from a remote location in the USA. The role requires at least 2 years... ...intake experience, including prior authorizations, benefit verifications, test claims, and HCPC calculations. Hours...SuggestedRemote job
- Zangmeister Cancer Center is seeking a Benefit Verification Technician for a remote role in the United States. You will verify insurance... ...EMR, and resolve coverage and claim issues while maintaining compliance with HIPAA and SOPs. Strong communication and problem-solving...SuggestedRemote job
- ...professional in the United States to triage and resolve member and pharmacy inquiries in a fast-paced health care environment.... ...escalating issues, supporting call center staff, and ensuring HIPAA compliance while delivering high-quality service. Bilingual Spanish is highly...Remote job
- C2Q Health Solutions seeks a Pharmacy Specialist to ensure medication access for participants in the CenterLight PACE program. The role requires strong knowledge of CMS and NY Medicaid regulations, oversight and monitoring functions, and coordination with the pharmacy team...
- Rightway is seeking a Pharmacy Technician on the Operations team. You will be the first point of contact for members, providers, and pharmacies, handling inquiries about benefits, prior authorization, claims, and clinical program enrollment across phone, chat, and email...Remote job
$115k - $125k
...culture. If you aspire to be the best, and work with the best, this is where you belong. About the Role The Well-Being & Benefits Senior Specialist is an integral part of Latham’s Well-Being & Benefits team and will be responsible for assisting the Well-Being &...Full timeWork at officeFlexible hours- ...Contact prospective clients and schedule virtual benefits reviews. Meet with clients to review existing coverage and understand their family’s needs, priorities, and budget. Explain available benefits, policy features, costs, and coverage limitations clearly. Recommend...Full time
- ...Remote General Summary As a Credentialing Specialist, you'll play a vital role in our... ...highest standards of qualification and compliance. Under general supervision, you'll manage... ...specialty and complex care, virtual care, pharmacy, home health, eye care, health...Remote work
- ...About the Role: We are seeking motivated individuals to join our growing remote team as an Employee Benefits Specialist. This is an entry-level opportunity designed for candidates who are eager to learn the fundamentals of protecting employees, work directly with members...Remote jobFull time
- Hone Health in the United States is hiring a Pharmacy Operations Specialist to join our remote-first team. You will report to the VP of Pharmacy and Lab Operations and serve as the subject matter expert across the medication fulfillment process. Responsibilities include...Remote job
- ...various specialties, we've built scalable pharmacy, telemedicine, and e-commerce platforms... ...-oriented and organized Credentialing Specialist to join our team! Reporting to the... ...licensing initiatives, ensure ongoing compliance with applicable requirements, and contribute...Work experience placementRemote workFlexible hours
$150.5k - $200k
...delivering results that delight and inspire your clients?This opportunity may be for you!The Opportunity: Our Vice President, Senior Pharmacy Benefits Consultant performs in a primary client relationship role providing influential pharmacy benefits consulting for clients with...Contract work- -No prior industry experience required -Meet with clients on Zoom to help them enroll in benefit programs -Explain options in a clear, simple, and relatable way -Help clients complete online enrollment forms accurately -Schedule and manage virtual appointments -...Full time
$62.2k - $103.6k
...protect the integrity of Express Scripts’ pharmacy networks and the experience we deliver... ...members. In this role, you will solve complex compliance and operational challenges, strengthen... ...3 years of experience in pharmacy benefit management, pharmacy networks, healthcare...Remote jobLocal areaWork from home$90k - $118k
...or an alternative application process. Compliance Analyst Full-Time Professional Remote, US... ...HelloWellness (men's telehealth), Southend Pharmacy (a state-licensed 503A compounding... ...ongoing monitoring. What We Offer: Full benefits package including medical, vision, dental...Full timeContract workImmediate startRemote workFlexible hours$58.7k - $70.4k
...Health Facility Licensure & Regulatory Compliance Analyst, you will report directly to the... ...,700 - $70,400 per year Description Of Benefits Humana, Inc. and its affiliated subsidiaries... ...delivery, specialty, hospice and retail pharmacy, CenterWell is focused on whole health...Temporary workApprenticeshipWork at officeLocal areaRemote workWork from homeRelocationHome office- The Employee Relations Specialist at Solaris Health Holdings plays a crucial role in fostering positive relationships across the organization... ...issues, promotes a positive work environment, and ensures compliance with labor laws and regulations. The specialist will work...
- NYU Langone Health is seeking an Employee & Labor Relations Specialist to support positive employee relations and ensure compliance with policies, contracts, and laws. The role coordinates accommodations, policy interpretation, and grievance processes while partnering with...
$21 - $22.5 per hour
...Benefits Verification Specialist – Remote Location: Remote – United States (excluding California) Pay Rate: $21.00–$22.50/hour Employment... ...reproductive medicine, or women's healthcare. Specialty pharmacy benefits verification or prior authorization. Previous...Hourly payContract workRemote workMonday to Friday$75k - $90k
...Title: Senior Benefits Specialist Location: New York City (hybrid) Role level: Experienced individual contributor with no direct reports... ...and compliant benefits operations. Support regulatory compliance (ACA, COBRA, HIPAA, ERISA) and drive process improvements...Temporary work- ...AIL, a long-established insurance organization, seeks a remote Benefits Enrollment Representative to assist members with enrollment information, verify eligibility, and answer questions about coverage. You will conduct follow-up calls, schedule virtual consultations,...Remote work
$60k - $75k
...closely with HR, Finance, brokers, insurance carriers, payroll providers, and Employer of Record (EOR) partners to keep payroll and benefits accurate, compliant, and focused on the team member experience. We value accuracy, collaboration, continuous improvement, and...Work at officeLocal areaRemote workWork from homeHome office- ...Our client is a premier law firm. They seek a Senior Benefits Specialist to join their Manhattan, NY office. Responsibilities Manage... ...the firm's employee benefits programs, ensuring accuracy, compliance, and an excellent employee experience Act as the primary...Full timeWork at office
- Get notified about new Business Operations Coordinator jobs in United States . 11,000+ Business Operations Coordinator Jobs in United States Operations Coordinator, Medicare & Individual Health Business Operations Coordinator, UMKC's Innovation Center - KC SourceLink Coordinator...Work at office
$90k - $100k
...Louis Vuitton Americas is seeking a Compensation & Benefits Specialist to join our Corporate HR team. Reporting to the Payroll & Benefits... ...programs are administered accurately, efficiently, and in compliance with legal and regulatory requirements. The ideal candidate...Temporary workWork at office- ...HR Leave Management Specialist 3+ months, potential for temp to perm On site New York... ...~2+ years of relevant experience in benefits administration with hands on experience... ...accommodation programs while ensuring compliance with federal, state, local, and University...Permanent employmentTemporary workWork at officeLocal area
- ...upholding company policies. This role offers fully remote work arrangements with on-site or hybrid options at our Harrisburg, PA office for in-person collaboration. You will ensure accurate record keeping, HIPAA compliance, and reliable client support. #J-18808-LjbffrWork at officeRemote work
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