- Prime Therapeutics (San Diego, CA)
- …fuels our passion and drives every decision we make. **Job Posting Title** Onsite Pharmacy Auditor (based in Southern California) **Job Description** The Onsite ... Pharmacy Auditor travels to pharmacy locations and performs pharmacy audits and is responsible for the selection and auditing of claims, educating Prime's… more
- Conduent (Los Angeles, CA)
- …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 you ... pharmacy audits on behalf of our healthcare payer clients. As a Pharmacy Claims Auditor CPhT, you will examine a wide variety of pharmacy records against… more
- CVS Health (Scottsdale, AZ)
- …pharmacy claims submitted through the CVS Health claims processing systems. The Pharmacy Claims Auditor will identify and rectify claim inaccuracies that ... stay well in body, mind and spirit. The Pharmacy Claims Reviewer is responsible for reviewing ...offer paid holidays **Required Qualifications** - 1 year professional pharmacy experience - Previous experience with Microsoft Office Suite… more
- Albany Medical Center (Albany, NY)
- …of America) Salary Range: $65,102.17 - $100,908.37 Under the direction of the Director of Pharmacy the Pharmacy Revenue Integrity Auditor will serve as a ... processes. They are responsible for ensuring the accuracy and compliance of pharmacy billing practices by reviewing patient records, medication orders, and insurance… more
- Hackensack Meridian Health (Edison, NJ)
- …programs. + A minimum of 3 or more years of experience as a Pharmacy Technician, Buyer, Analyst or Auditor . + Excellent written and verbal communication ... and serve as a leader of positive change. The ** Pharmacy Analyst, 340B** will be responsible for ensuring 340B...will cover HMH's 340B mixed-use setting, retail, and contract pharmacy arrangements. The person in this role will work… more
- CVS Health (Harrisburg, PA)
- …And we do it all with heart, each and every day. **Position Summary** As a Regional Pharmacy Onsite Auditor , you will be an essential part to the Pharmacy ... via car or air, transport a laptop computer to pharmacy locations, and stand for extended periods of time...3+ years of professional experience, preferably in a retail pharmacy setting, or in fields of pharmaceutical and/or … more
- CVS Health (Phoenix, AZ)
- …part of CVS Caremark's extensive Pharmacy Audit division. The Medicare Pharmacy Claims Auditor will administer assigned Medicare Part-D Compliance Audit ... Programs, review pharmacy submitted Medicare claims, make independent decisions, and call...Qualifications** -1+ year(s) combined experience in a PBM or pharmacy . **Preferred Qualifications** -5+ years combined experience in PBM… more
- HUB International (Chicago, IL)
- …PBM Auditor is responsible for conducting comprehensive audits of Pharmacy Benefit Managers (PBMs) to ensure contractual compliance, accurate claims processing, ... and the preparation of detailed reports and findings. The PBM Auditor works to identify discrepancies, recoup overpayments, and provide recommendations to… more
- Integra LifeSciences (Plainsboro, NJ)
- …advance patient outcomes and set new standards of care. The **Internal Auditor , Regulatory Compliance** will have an in-depth understanding and knowledge of ... and processes, which allows for planning and conducting of internal audits. Internal Auditor must be detail oriented, able to maintain a 'big picture' / overview… more
- The Cigna Group (St. Louis, MO)
- …and memberships for ongoing professional growth. **Key Responsibilities:** The Senior Internal Auditor will be: * Empowered to lead the execution of audit and ... industry and/or public accounting experience including 1+ years of in-charge/senior auditor experience. * Knowledge of healthcare industry and audit experience… more