Pharmacy Audit Analyst - MN Licensed

Job Summary

To support pharmacy audit operations, the full-time Pharmacy Audit Analyst - MN Licensed will work remotely to identify fraudulent activities, prepare audit reports, and collaborate with Claims Administration to address overpayments.

Key responsibilities

• Identify and document fraudulent or erroneous activities resulting from audits
• Prepare and amend audit reports while determining overpayments
• Review and analyze claims data to monitor compliance with regulatory requirements

Required qualifications

• Active and unrestricted Pharmacy Technician license in the state of residence
• Active National Certification by the PTCB (Pharmacy Technician Certification Board)
• 2+ years of experience in pharmacy audit, PBM, healthcare investigations, or health insurance
• 2+ years of experience processing or auditing pharmacy claims
• Intermediate proficiency with Microsoft Excel