Pharmacy Claims Auditor - State Licensed

Job Summary

To enhance pharmacy audit processes, the full-time remote Pharmacy Claims Auditor - State Licensed will provide education and guidance, develop audit tools, analyze claims data, and support audit-related initiatives.

Key responsibilities

• Collaborate with cross-functional teams to develop and deliver training on audit processes and technology enhancements
• Provide operational support to the Pharmacy Audit Operations team, promoting best practices and resolving issues
• Analyze claim and audit data to identify trends and support ongoing audit analytic efforts

Required qualifications

• Bachelor's degree in Health Science or related field, or equivalent combination of education and experience; HS diploma or GED required
• 5 years of experience in pharmacy settings, including 3 years in audit or quality assurance
• National Pharmacy Technician Certification through PTCB or ExCPT (CPhT)
• Must be eligible to work in the United States without sponsorship
• Current Registration with State Board of Pharmacy in the state where position is located preferred