- Conduent (Dallas, TX)
- …and be part of a culture where individuality is noticed and valued every day. ** Pharmacy Claims Auditor CPhT** **Do you have a CPhT certification?** **Would ... in depth pharmacy audits on behalf of our healthcare payer clients. As a Pharmacy Claims Auditor CPhT, you will examine a wide variety of pharmacy … more
- Humana (Austin, TX)
- …cycle management (related to billing, coding, collections for Medicare and Medicaid claims ) + Experience with Auditing and monitoring of healthcare records + Must ... sets + Knowledge of healthcare compliance, mainly primary care and risk adjustment, pharmacy knowledge a plus + Certified Coder (CPC, CRC, and/or CMC) + Experience… more
- Elevance Health (Grand Prairie, TX)
- …preferred. + Travels to worksite and other locations as necessary. + Experience with pharmacy claims is preferred. Please be advised that Elevance Health only ... granted as required by law. The **PBM Compliance Manager ( Claims Audit)** is responsible for coordinating pharmacy ...and Client) audits and responds to findings. + Analyze auditor results and findings. + Responsible for client implementation… more