- Conduent, Inc. (Los Angeles, CA)
- Job Description Pharmacy Claims Auditor CPhT Do you have a CPhT certification? Would you like to audit pharmacy claims for accuracy? About the Role ... 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
- UnitedHealth Group (Minneapolis, MN)
- …our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data, and resources they need to feel their best. Here, you ... . In this position as a DRG CVA RN Auditor , you will apply your expert knowledge of...AHA Coding Clinic Guidelines in the auditing of inpatient claims . Employing both industry and Optum proprietary tools, you… more
- Optum (San Juan, PR)
- …our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will ... . Positions in this function investigates Optum Waste and Error stopped claims by gathering information, researching state and federal guidelines, and following… 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 ... 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
- CVS Health (Scottsdale, AZ)
- … claims submitted through the CVS Health claims processing systems. The Pharmacy Claims Auditor will identify and rectify claim inaccuracies that ... to not only help people get well, but help them stay well in body, mind and spirit. The Pharmacy Claims Reviewer is responsible for reviewing pharmacy … more
- Conduent (Alexandria, VA)
- …where individuality is noticed and valued every day. **Pharmacist - Claims Auditor /Reviewer (Part-Time)** **Conduent Payment Integrity Solutions** **Are you ... the Role** Conduent's Payment Integrity Solutions team performs detailed pharmacy claims audits on behalf of major...behalf of major healthcare payers. As a **Pharmacist - Claims Auditor /Reviewer** , you'll apply your clinical… more
- 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 ... schedule trips in accordance to Prime's travel and expense policy + Analyze pharmacy claims to identify those at the highest risk for error; leverage audit… 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 ... manner - Knowledge of CVS Health (or other PBM) claims processing - Knowledge of retail pharmacy ...PBM) claims processing - Knowledge of retail pharmacy operations including reading prescriptions and drug knowledge -… more
- Walgreens (Deerfield, IL)
- …solutions. **Job Responsibilities** + Prepares tax filings and/or responses to tax auditor inquiries and analyzes various tax laws, regulations and procedures. + ... in compliance with government regulations and contract terms. Addresses issues / claims and corrects error root-causes. + Maintains active communication of tax… more
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