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House Rx
Asheville, North Carolina

Pharmacist In Charge (Specialty) - Asheville, NC

PharmacistFull-Time

Compensation

Pay not listed

The week · per this posting · weekdays assumed

Ask the employer about call expectations, weekend coverage, nights and shift pattern and time off.

Posted 52m ago · Verified live

Job Description

House Rx is on a mission to make specialty medications more accessible and affordable for patients. We're looking for a Clinical Pharmacist with specialty experience to serve as the Pharmacist in Charge (PIC) supporting our customer site in Asheville, NC. Join our team and help make specialty medications more accessible and affordable for patients!

About the Role

As a pivotal member of the House Rx team, you will work closely with specialty care clinics to optimize outcomes for specialty patients and improve the specialty pharmacy experience for patients and their caregivers. This is an onsite role in Asheville, NC.

What You'll Do

Ensure compliance with all territory, state and federal pharmacy laws, Board of Pharmacy regulations, DEA, and all other standards, as applicable

Serve as the designated Pharmacist-in-Charge with accountability for licensure, controlled substance oversight, and regulatory inspections

Oversee daily pharmacy operations to ensure accurate dispensing, patient safety, and adherence to clinical protocols

  • Maintain and enforce policies and procedures for prescription processing, drug storage, and security
  • Lead audits, maintain records, and coordinate responses for regulatory bodies and accrediting organizations

Supervise and train pharmacists, technicians, and support staff to ensure quality standards and continuing education compliance

Collaborate with providers and clinic staff to support coordinated patient care, including formulary optimization and medication access

Investigate and resolve medication incidents, ensuring proper documentation and continuous quality improvement

Ensure proper inventory management, including procurement, temperature-sensitive drug handling, and recall processes

Participate in strategic planning to support pharmacy growth, service line expansion, and value-based care initiatives

Act as the pharmacy’s clinical expert, supporting patient counseling, therapeutic substitution, and prior authorization reviews

Be the workflow expert is all aspects of the pharmacy from prescription received to dispensed

About You

You must have leadership experience in a pharmacy, PIC experience preferred

You are excited about working as part of the care team, collaborating with providers, to improve specialty medication outcomes

You are comfortable engaging with patients, providers, and all members of the care team both in-person and over the phone

You have experience navigating specialty medication benefits investigation, prior authorization, and financial assistance and will go above and beyond to help patients gain access, including composing appeal letters and seeking any available financial assistance

You are excited about working in a start-up environment and helping to build workflows and processes from the ground up

You enjoy learning new technologies and are proficient in some common pharmacy software systems (QS1, ComputerRx, PioneerRx, WAM, etc). Bonus points if you have worked in EMR systems (EPIC, Cerner, NextGen, etc) or specialty pharmacy systems (Therigy, Asembia1, ScriptMed, etc)

  • You are knowledgeable about specialty medications
  • Willingness to learn therapeutic areas you are not familiar with
  • You are a creative problem solver interested in positively impacting each patient’s pharmacy experience

You are an initiative taking individual contributor who can also promote teamwork and collaboration amongst colleagues

You are highly organized, with excellent attention to detail, focused on delivering quality patient care, comprehensive documentation, and exceptional execution every day

You must hold a Doctor of Pharmacy (PharmD) or equivalent advanced degree and be licensed as a pharmacist in State of Employment

Your active, unrestricted pharmacist license must be eligible to become PIC in North Carolina

Why You Should Join Our Team

A career at House Rx offers the chance to work with a talented group of entrepreneurs, healthcare professionals, and technology builders who are passionate about improving specialty care and making it easier for patients to access the medication that they need.

At House Rx, we strive to build and maintain an environment where employees from all backgrounds are valued, respected and have the opportunity to succeed. You'll find a culture that supports open communication, embracing failure as a learning opportunity, and always being open to new ideas—no matter how radical.

We are a remote-first company, however some pharmacy operations roles require onsite clinic presence. We’re committed to creating a positive and collaborative culture to achieve our mission, all while supporting our team members in all aspects of their lives—at home, at work and everywhere in between.

In Particular, We Offer

  • Unlimited PTO
  • Generous parental leave
  • Comprehensive healthcare, vision and dental benefits
  • 401k match
  • Competitive salary and equity stake
  • Expected Full-Time Base Salary: $135,000+

This range represents the low and high end of the anticipated base salary/wage. The actual base salary/wage will depend on several factors, including experience, knowledge, and skills. Actual compensation packages may include other elements, equity, paid time off and benefits.

We’re backed by forward-thinking investors committed to transforming healthcare, including Bessemer Venture Partners, LRV Health, NEA, Town Hall Ventures, First Round Capital, Khosla Ventures, Maverick Ventures, 1984. vc, and Character.

Key Responsibilities

The Pharmacist in Charge will oversee daily pharmacy operations, ensure regulatory compliance, and manage clinical protocols to optimize patient outcomes. They will also lead staff training, manage inventory, and collaborate with clinic providers to facilitate specialty medication access.

Requirements

Candidates must hold a Doctor of Pharmacy (PharmD) degree and possess an active, unrestricted pharmacist license eligible for PIC status in North Carolina. Previous leadership experience in a pharmacy setting is required, with a preference for those with specialty pharmacy expertise.

Qualifications

Education
Doctoral or professional degree (postgraduate degree)
Experience
5+ years of experience

Certifications

DEA License

Key Skills

Clinical pharmacyMedication therapy managementStaff supervisionPharmacy law

Pharmacist Career Context

Of the 41 active Pharmacy listings this role was benchmarked against, 41% are remote, 39% have no call, 76% 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).

House Rx holds silver-tier status on WeekdayDoc's Top Employers work-life index, composite score 78/100, 5 active listings.

Top Pharmacist Jobs

18 matches · ranked by pay

Salary Distribution18 jobs · 16 employers

4
<$145k
4
$145k-165k
6
$165k-185k
4
$185k-205k

Annual compensation range

Benefits & Perks14 jobs

401k / retirement match
86% this job
Sign-on bonus
29%
Loan repayment
7%
CME allowance
7% this job
PSLF eligible
7%

Share of similar jobs offering each benefit

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$154k-$204k
#2

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#3

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#4

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+ 16 more · ranked by pay

Work-life snapshot

median 2.8this job 1.5
Below most Pharmacy listings for work-life

Listing-based score, 0–10, across 10,275 comparable listings. Shaded area = the share scoring below this one.

  • On-site

Living in Asheville

Typical 3-bedroom home value
$455k≈ 3.4× annual pay
Typical market rent
$1,704/mo≈ 15% of gross pay
Residents’ average commute
18 min
Metro price indexU.S. average = 100
96.5
State income tax
Up to 4.8%
Sources & methodology

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

BEA 2024 · Asheville, NC metro prices. Housing figures are city-level.

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

House Rx logo

About House Rx

Hospitals and Health Care
201-500 employees

Benefits & Perks

Unlimited PTO
Generous parental leave
Comprehensive healthcare, vision and dental benefits
401k match
Competitive salary and equity stake