- Prime Therapeutics (San Diego, CA)
- …our passion and drives every decision we make. **Job Posting Title** Onsite Pharmacy Auditor (based in California) **Job Description** The Onsite Pharmacy ... travels to pharmacy locations and performs pharmacy audits and is responsible for the selection and...accordance to Prime's travel and expense policy + Analyze pharmacy claims to identify those at the highest risk… 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
- 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 (Springfield, IL)
- …day. **Position Summary** This candidate must reside in Illinois or Florida. As a Regional Pharmacy Onsite Auditor , you will be an essential part to the ... Pharmacy Audit Department at CVS/Caremark. In this role, you...via car or air, transport a laptop computer to pharmacy locations, and stand for extended periods of time… 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
- PeaceHealth (Vancouver, WA)
- **Description** PeaceHealth is seeking an Internal Auditor Senior - Organizational Integrity. This remote role requires the incumbent to work & reside in OR, WA or ... AK by date of hire. Our Internal Auditor Sr is an independent, objective assurance and consulting...third-party payers, skilled nursing facilities, home health, 340 B pharmacy , HIPAA, RACs, MACs, PEPPER, clinical research). + Experience… more
- Bon Secours Mercy Health (Cincinnati, OH)
- …and clinicians are recognized for clinical and operational excellence. **Summary** The 340B Auditor is responsible for the auditing and monitoring of the 340B Drug ... to verify adherence with the 340B Program regulations and/or guidelines. 340B Auditor will collaborate with other 340B staff to perform specialized audits/projects… more
- Conduent (Alexandria, VA)
- …individuality is noticed and valued every day. **Pharmacist - Claims Auditor /Reviewer (Part-Time)** **Conduent Payment Integrity Solutions** **Are you a licensed ... pharmacist ready to apply your skills beyond the pharmacy counter?** **Do you enjoy analytical work and want...of major healthcare payers. As a **Pharmacist - Claims Auditor /Reviewer** , you'll apply your clinical knowledge and regulatory… more
- Henry Ford Health System (Troy, MI)
- General Summary: The auditor is responsible for analyzing and auditing inpatient and professional claims to identify inappropriate coding and billing ... unbundling, upcoding, investigational services, and non-medically necessary services. The auditor is responsible for researching, interpreting, and applying HAP… more
- Henry Ford Health System (Troy, MI)
- …SUMMARY: Reporting to the Manager, Revenue Integrity, the Revenue Integrity Auditor must have a comprehensive understanding of medical terminology, coding, charge ... and healthcare revenue cycle processes. The Revenue Integrity (RI) Auditor provides support for timely, accurate and inclusive charge...a full suite of home health offerings, virtual care, pharmacy , eye care and other health care retail. With… more