Duke Health logo
Duke Health
Durham, North Carolina

Duke Specialty Clinical Pharmacist

PharmacistNo weekendsFull-Time

Compensation

Pay not listed

The week · per this posting · Monday – Friday

Ask the employer about the pay range, call expectations, nights and shift pattern and time off.

Posted 1h ago · Verified live

Job Description

At Duke Health, we're driven by a commitment to compassionate care that changes the lives of patients, their loved ones, and the greater community. No matter where your talents lie, join us and discover how we can advance health together.

About Duke University Hospital

Pursue your passion for caring with Duke University Hospital in Durham, North Carolina, which is consistently ranked among the best in the United States. The largest of the four Duke Healthhospitals with 1062 patient beds, it features comprehensive diagnostic and therapeutic facilities, including a regional emergency/trauma center, an endo-surgery center, and more.

Work Location

Duke Specialty Pharmacy - Duke University Hospital - Durham, NC

Working Hours

40 hours/week

Monday-Friday

  • 8.5 hours/shift (operating hours between 8:00 am - 6:00 pm)
  • Opportunity for weekend coverage

Position Summary

The Clinical Pharmacist position at the Duke Specialty Pharmacy is responsible for the safe, accurate, and efficient preparation and dispensing of medications within the Duke Specialty Pharmacy Network. This role ensures compliance with all regulatory, accreditation, and organizational standards while supporting high-quality patient care through operational excellence and interdisciplinary collaboration.

Key Responsibilities

Medication Preparation & Dispensing

Accurately review, verify, and dispense specialty and non-specialty prescriptions in accordance with state and federal regulations

Ensure medications are prepared, labeled, and dispensed following manufacturer requirements (including REMS and limited distribution drugs)

Maintain compliance with payer and manufacturer requirements related to dispensing (e. g., original container requirements, documentation standards, metric requirements)

  • Perform final verification of prescriptions and oversee pharmacy technicians involved in dispensing processes
  • Operational Excellence
  • Support daily pharmacy workflow to ensure timely medication access and delivery
  • Identify and resolve operational issues impacting dispensing efficiency, turnaround time, or patient access

Maintain and assist with controlled and non-controlled inventory, including specialty medications with high cost and limited availability

Ensure compliance with accreditation standards (e. g., URAC, ACHC) and participate in audit readiness and response

  • Clinical Oversight
  • Evaluate prescriptions for appropriateness, safety, and potential drug interactions
  • Provide drug information and counseling to patients and providers as needed
  • Collaborate with clinical pharmacists, providers, residents and care teams to optimize therapy outcomes
  • Regulatory & Compliance
  • Adhere to all applicable pharmacy laws, regulations, and organizational policies
  • Ensure compliance with REMS programs and manufacturer distribution requirements
  • Participate in internal and external audits, including payer and manufacturer reviews

Collaboration & Communication

  • Work closely with pharmacy technicians, pharmacists and the leadership team to ensure seamless operations
  • Communicate effectively with prescribers, nurses, and other healthcare professionals
  • Support training and onboarding of pharmacy staff as needed
  • Support training and teaching of pharmacy students and residents as appropriate
  • Skills & Competencies
  • Strong attention to detail and accuracy in dispensing
  • Knowledge of specialty pharmacy operations, workflow management, and regulatory requirements
  • Ability to work in a fast-paced, high-volume environment
  • Excellent communication and teamwork skills
  • Proficiency with pharmacy management systems and electronic health records

Work Environment

  • Fast-paced specialty pharmacy setting within an integrated health system
  • Collaborative, team-based environment focused on patient-centered care
  • Primarily onsite role with standard weekday hours (may vary based on operational needs)

Minimum Qualifications

  • Education
  • Doctor of Pharmacy Degree OR BS Pharmacy Degree

Experience

With a BS Pharmacy degree, two years of pharmacy practice experience, or acceptable board certification, or completion of an accredited residency program and demonstrated ability to achieve positive patient outcomes in a similar environment is required

  • With a Doctor of Pharmacy degree, no experience is required
  • 3+ years of experience in a retail or specialty pharmacy environment preferred
  • Experience in specialty pharmacy is preferred
  • Experience with specialty pharmacy accreditation standards (URAC, ACHC) preferred
  • Knowledge of payer requirements, prior authorizations, and reimbursement processes preferred
  • Degrees, Licensures, Certifications
  • Licensed Pharmacist or eligible to practice pharmacy in North Carolina

Duke is an Equal Opportunity Employer committed to providing employment opportunity without regard to an individual's age, color, disability, gender, gender expression, gender identity, genetic information, national origin, race, religion, sex (including pregnancy and pregnancy related conditions), sexual orientation or military status.

Duke aspires to create a community built on collaboration, innovation, creativity, and belonging. Our collective success depends on the robust exchange of ideas—an exchange that is best when the rich diversity of our perspectives, backgrounds, and experiences flourishes.

To achieve this exchange, it is essential that all members of the community feel secure and welcome, that the contributions of all individuals are respected, and that all voices are heard. All members of our community have a responsibility to uphold these values.

Essential Physical Job Functions

Certain jobs at Duke University and Duke University Health System may include essential job functions that require specific physical and/or mental abilities. Additional information and provision for requests for reasonable accommodation will be provided by each hiring department.

Requirements

Candidates must hold a Doctor of Pharmacy or BS Pharmacy degree and be licensed or eligible to practice in North Carolina. Experience in a retail or specialty pharmacy environment is preferred, along with knowledge of accreditation standards and payer requirements.

Qualifications

Education
Professional certificate or licensure

Key Skills

Medication dispensingPatient counselingInventory managementREMS program complianceCommunication skills

Pharmacist Career Context

Of the 50 active Pharmacy listings this role was benchmarked against, 16% are remote, 48% have no call, 60% require no weekends.

The cost-of-living index for North Carolina is 94.3 (US average = 100; BEA Regional Price Parities (2024)). 59.2% of North Carolina clinicians report burnout symptoms in WeekdayDoc's Burnout Index (2026-01 data).

What does the Pharmacy market look like in North Carolina?
MeasureThis jobMarket
Work-life score6.0 / 10 · top 25% in pharmacyranked against 9,956 Pharmacy listingslisting-based score, 0–10
Listed paynot listedPharmacy median $140k (middle half $135k–$150k)123 comparable listings, Nov 2026
Cost of livingNorth Carolina index 94.3US average = 100BEA Regional Price Parities (2024)
Pharmacy listings in North Carolina309 active10,156 nationallylive on WeekdayDoc, Nov 2026
Work settingon-sitepeers: 16% remote · 48% no call · 60% no weekends50 benchmarked listings
Sign-on & loan repaymentnot statedNorth Carolina Pharmacist listings: 23% state a sign-on bonus (median $30k) · 22% offer loan repayment320 active listings, Nov 2026
New Pharmacy listings3,666 in the last 30 days3,150 the 30 days before (+16%)U.S., first seen on WeekdayDoc, Nov 2026
Pharmacy pay trend+3.3% vs prior quarter—through Oct 2026
Sources: WeekdayDoc live listing index (9,956 Pharmacy listings), BEA Regional Price Parities (2024); as of Nov 2026. Same values as the Weekday Verdict and Market Insights on this page.

Work-Life Balance Analysis

WeekdayDoc's proprietary algorithm rates Duke Specialty Clinical Pharmacist at Duke Health a 6.0 out of 10 for work-life balance — classified as good. This places the position in the top 25% in Pharmacy — ranked against 9,956 active Pharmacy listings on WeekdayDoc. Contributing factors include no weekend requirements.

Top Pharmacist Jobs

34 matches · ranked by pay

Salary Distribution

25 jobs
6
<$155k
11
$155k-175k
5
$175k-195k
3
$195k-215k

Annual compensation range

Benefits & Perks

25 jobs
401k / retirement match
96% this job
Sign-on bonus
24%
Loan repayment
4%
CME allowance
4%
Relocation assistance
4%

Share of similar jobs offering each benefit

#1

Pharmacist - Cancer Center (Full-Time, Days)

Enloe Health · Chico, California

$74.97-$101.21/hr
#2

Pharmacist

NewYork-Presbyterian Hospital · White Plains, New York

$83.85-$101.02/hr
#3

Clinical Pharmacist

$157k-$196k
#4

Dispensing Pharmacist - Long Term Care - Full Time

$55.53-$93.08/hr
+ 32 more · ranked by pay

Work-life snapshot

median 2.8this job 6.0
Better work-life than 90% of Pharmacy listings

Listing-based score, 0–10, across 9,956 comparable listings. Shaded area = the share scoring below this one.

  • No weekends
  • On-site
Duke Health logo

About Duke Health

Hospitals and Health Care
Durham, North Carolina
1,001-5,000 employees

Benefits & Perks

Health Insurance
Dental
Vision
401k
PTO

Living in Durham

Typical 3-bedroom home value
$358k
Typical market rent
$1,626/mo
Residents’ average commute
22 min
Metro price indexU.S. average = 100
97.6
State income tax
Up to 4.8%
Sources & methodology

Sources: Zillow home values (Sep 2026), Zillow market rents (Sep 2026), U.S. Census ACS 2024 five-year.

BEA 2024 · Durham-Chapel Hill, NC metro prices. Housing figures are city-level.

City-level figures. Not a cost-of-living guarantee.