Pharmacist III
Job Summary
To support a contingent contract, the full-time remote Pharmacist III will review beneficiary and provider cases for potential overpayment and fraud, conduct audits, and provide clinical input as a Subject Matter Expert.
Key responsibilities
- Review beneficiary, provider, and pharmacy cases for potential overpayment, fraud, waste, and abuse
- Conduct desk reviews or field audits to meet contract requirements and identify evidence of fraud
- Provide clinical input and case summaries to support investigations and participate in training development
Required qualifications
- Doctor of Pharmacy (PharmD)
- 5+ years of experience in a Lead or Supervisor role
Complete Job Description
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