Pharmacy Benefit & Compliance Specialist

Sentara Health

Pharmacy Benefit & Compliance Specialist supporting the compliance and benefit configuration needs for Pharmacy Department operations. Collaborating closely with internal teams and providing subject matter expertise.

Posted 6/10/2026full-timeRemote • Virginia • 🇺🇸 United StatesJuniorWebsite

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Hard Skills

SQLMicrosoft Office SuiteExcelprocess improvementreport creationdata analysisstatistical toolsinformation systemsdatabase managementPharmacy Benefit Management (PBM)

Soft Skills

collaborationsubject matter expertisecommunicationorganizational skillsproblem-solving

Certifications & Qualifications

High School Graduate or Equivalent

Industry Keywords

Managed CarecompliancePharmacy Departmentbenefit configurationoperational processes

Tech Stack

Tools & technologies

SQL

About the role

Key responsibilities & impact

Responsible for supporting the Pharmacy Department's day-to-day operations for the benefits and compliance of all products and lines of business
Provides subject matter expertise related to analysis, implementation, and process improvement activities in support of the Pharmacy Department
Creates and maintains reports for business operations and special projects as it pertains to operational processes
Utilizes knowledge of numerous applications, databases, information systems, statistical tools and analytical principles to monitor and analyze information in support of the business
Assists in the implementation, maintenance and improvement of information systems
Collaborates with teams within Pharmacy Department, Senior Pharmacy Benefit & Compliance Specialists and internal Pharmacy teams to ensure compliance and benefit configuration needs

Requirements

What you’ll need

HS - High School Grad or Equivalent REQUIRED
Managed Care- 1 year REQUIRED
Compliance - 1 year highly preferred
Pharmacy or Pharmacy Benefit Management (PBM) system experience preferred
Strong proficiency in Microsoft Office Suite especially Excel preferred
Experience in SQL a plus

Benefits

Comp & perks

Medical, Dental, Vision plans
Adoption, Fertility and Surrogacy Reimbursement up to $10,000
Paid Time Off and Sick Leave
Paid Parental & Family Caregiver Leave
Emergency Backup Care
Long-Term, Short-Term Disability, and Critical Illness plans
Life Insurance
401k/403B with Employer Match
Tuition Assistance – $5,250/year and discounted educational opportunities through Guild Education
Student Debt Pay Down – $10,000
Reimbursement for certifications and free access to complete CEUs and professional development
Pet Insurance
Legal Resources Plan
Colleagues have the opportunity to earn an annual discretionary bonus if established system and employee eligibility criteria is met.