Pharmacy Network Coordinator

Rightway

. Maintains and audits pharmacy network directories, contracts, and credentialing records for accuracy and compliance .

Posted 9/17/2026full-timeRemote • Florida • United StatesJuniorMid-Level💰 $70,000 - $91,000 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in pharmacy network management, including contracting, credentialing, and claims adjudication, while effectively communicating with pharmacy partners and managing data across multiple systems.

Highest-signal resume keywords

Pharmacy Benefits ExperiencePBM Operations KnowledgeClaims AdjudicationPTCB CertificationNetwork Management

ATS Keywords

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Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills

Pharmacy Network ContractingCredentialingClaims AdjudicationData ManagementReport Development

Soft Skills

Attention to DetailExcellent Communication SkillsService-First ApproachInitiativePersistence

Tools & Technologies

NCPDP DatabasePBM PlatformsMicrosoft WordMicrosoft ExcelGoogle Sheets

Certifications & Qualifications

PTCB CertificationState License

Industry Keywords

Pharmacy NetworkHealthcare RoleRegulatory RequirementsNetwork AdequacyRetail Pharmacies

About the role

Key responsibilities & impact

Maintains and audits pharmacy network directories, contracts, and credentialing records for accuracy and compliance
Obtains applicable licenses and certificates of insurance from pharmacies
Verifies eligibility through the NCPDP database and federal and state sources, including OIG, GSA, and SAM
Coordinates onboarding, terminations, and status changes for retail, mail-order, and specialty pharmacies
Serves as a day-to-day point of contact for network pharmacies, resolving claims, enrollment, and access issues
Partners with claims and clinical teams to troubleshoot pharmacy-level adjudication and payment issues
Supports the benefit and navigation team with network-related issues
Develops and delivers ad hoc network reports for clients
Helps document and continuously improve network operations processes

Requirements

What you’ll need

2+ years of experience in pharmacy benefits, PBM operations, network management, or a related healthcare role
Working knowledge of pharmacy network contracting, credentialing, or claims adjudication
Ability to work independently, with strong attention to detail and comfort managing data across multiple systems
Excellent written and verbal communication skills, with a service-first approach to pharmacy partners
Proven track record in fast-paced environments, managing multiple priorities simultaneously and bringing the initiative and persistence needed to drive outreach to pharmacy providers and close out contracts and tasks
Intermediate Proficiency in Word, Excel or Google Sheets; experience with PBM or claims platforms is a plus
Familiarity with PBM regulatory and network adequacy requirements
Background working directly with retail, mail-order, or specialty pharmacies
PTCB certification (or state license)

Benefits

Comp & perks

Bonus
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