High Country Community Health logo
High Country Community Health
Elkin, North Carolina

Staff Pharmacist

PharmacistFull-Time

Listed compensation

$115k-$140k

The week · per this posting · weekdays assumed

Ask the employer about the work setting, call expectations, weekend coverage and time off.

Posted 1mo ago

Job Description

Nature of Pharmacist Position

Under the supervision of the CEO, the Pharmacist Staff ensures accuracy during the prescription filling process.

Staff Pharmacist duties include but are not limited to:

  • Work closely with the Pharmacy Manager to assist with overseeing daily pharmacy operations in alignment with FQHC policies, HRSA expectations, and applicable state/federal laws.
  • Maintain efficient workflows for prescription processing, clinical services, and 340B pharmacy inventory.
  • Ensure proper segregation of 340B, and non-340B transactions to prevent diversion and duplicate discounts.
  • Collaborate with FQHC medical, behavioral health, and dental providers to support integrated, team-based care.
  • Ensure proper documentation for UDS reporting, quality metrics, and value-based care programs.
  • Work closely with the Pharmacy Manager to ensure adherence to all HRSA, 340B, Board of Pharmacy, DEA, FDA, CMS, Medicaid, OSHA, and HIPAA requirements.
  • Maintain accurate and complete records for controlled substances, temperature logs, recalls, waste, and inventory documentation.
  • Oversee compliance with USP standards when applicable.
  • Stay current with changes to 340B regulations, and covered entity requirements.
  • Maintain adherence to approved company policies and procedures in compliance with state and federal guidelines.
  • Ensure accurate third-party billing, resolution of rejections, and compliance with Medicaid carve-in/carve-out policies.
  • Work closely with the Pharmacy manager to assist with purchasing, inventory returns, shrinkage control, and cost-effective procurement using 340B, and WAC accounts.
  • Ensure ethical and secure handling of controlled substances and 340B inventory.
  • Assist Pharmacy Manager with maintenance of the physical security of the pharmacy, including alarms, safes, cameras, and secure storage.
  • Assist other pharmacy staff regarding emergency procedures and hazardous drug handling.
  • Provide excellent patient service, resolve escalated concerns, and promote health equity aligned with FQHC mission.
  • Educate patients on affordable medication access programs, including 340B pricing options when appropriate.
  • Build strong relationships with pharmacy staff and provide guidance and mentorship as needed.

Education, Experience, and Licensing Requirements

  • College degree from an accredited college of pharmacy.
  • Must have and maintain a current license from the State Board of Pharmacy.
  • Previous pharmacy experience preferred but not required.

Knowledge

  • Thorough knowledge and application of the state and federal laws that govern the use of prescriptions and controlled substances.
  • Working knowledge of the 340B drug program and how it relates to patients who have financial difficulty in regards to medication.
  • Excellent customer service skills including a positive attitude, friendly demeanor, calm voice, and patience.
  • Organized and able to organize work areas so others can find necessary documents.
  • Respects the confidentiality of information obtained through the position.
  • Working knowledge of company safety procedures.
  • Willingly assists with special projects and other duties as assigned.

Physical Requirements

Lifting, carrying, pushing, and/or pulling; some stooping, kneeling, crouching, and/or crawling; and significant fine finger dexterity.

  • Specific vision abilities required by the job include close vision and the ability to adjust focus.
  • Generally, the job requires prolonged periods of standing or walking, some periods of being seated.

Key Responsibilities

The Staff Pharmacist oversees daily pharmacy operations, ensuring accurate prescription processing and compliance with 340B, HRSA, and federal regulations. They collaborate with medical providers to support integrated care and provide patient education on medication access.

Certifications

DEA License

Key Skills

Inventory managementRegulatory complianceControlled substance handling

Pharmacist Career Context

Of the 42 active Pharmacy listings this role was benchmarked against, 17% are remote, 57% have no call, 45% require no weekends.

The cost-of-living index for North Carolina is 94.3 (US average = 100; BEA Regional Price Parities (2024)), so the posted ~$128k midpoint carries the purchasing power of roughly $135k in an average-cost state. 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
Listed pay$115k–$140kPharmacy median $143k (middle half $141k–$149k)387 comparable listings, Nov 2026
Cost-of-living adjusted pay~$135k in purchasing powerNorth Carolina index 94.3 (US = 100)BEA Regional Price Parities (2024)
Pharmacy listings in North Carolina309 active10,159 nationallylive on WeekdayDoc, Nov 2026
Work settingon-sitepeers: 17% remote · 57% no call · 45% no weekends42 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 listings3,827 in the last 30 days3,131 the 30 days before (+22%)U.S., first seen on WeekdayDoc, Nov 2026
Pharmacy pay trend+3.3% vs prior quarter—through Oct 2026
Sources: WeekdayDoc live listing index, BEA Regional Price Parities (2024); as of Nov 2026. Same values as the Weekday Verdict and Market Insights on this page.

Top Pharmacist Jobs

16 matches · ranked by pay

Salary Distribution

16 jobs · 14 employers
3
<$150k
4
$150k-165k
7
$165k-180k
1
$190k
1
$196k

Annual compensation range

Benefits & Perks

15 jobs · 14 employers
401k / retirement match
87%
Sign-on bonus
53%
Relocation assistance
13%
Loan repayment
7%
CME allowance
7%

Share of similar jobs offering each benefit

#1

Clinical Pharmacist

Puyallup Tribal Health Authority · Tacoma, Washington

$157k-$196k
#2

Clinical Pharmacist

Blue Cross and Blue Shield of North Carolina · North Carolina

$119k-$190k
#3

Clinical Pharmacist, Advanced Therapeutics: Cardiometabolic and MWL (Ambulatory), 40hr, Day, (Remote)

$99k-$178k
#4

Pharmacist I w/ $25,000 sign on bonus - Animal Health International

$133k-$178k
+ 14 more · ranked by pay

Work-life snapshot

median 2.8this job 1.5
Better work-life than 10% of Pharmacy listings

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

High Country Community Health logo

About High Country Community Health

Medical Practices
Boone, North Carolina
51-200 employees

Living in Elkin

Typical 3-bedroom home value
$255k≈ 2.2× annual pay
Median resident rent
$807/mo≈ 8% of gross pay
Residents’ average commute
26 min
State income tax
Up to 4.8%
Sources & methodology

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

Ratios use this listing’s gross annual pay. Not a cost-of-living guarantee.