Pharmacy Contract Audit Analyst

Job Summary

A company is looking for an Analyst, Pharmacy Contract Audit.

Key Responsibilities

• Oversee and ensure accuracy of pharmacy network reimbursement in compliance with contractual obligations
• Analyze claims data and resolve inquiries related to pricing errors from various stakeholders
• Develop and maintain controls and reporting on contract pricing processes, including network rate testing and audits

Required Qualifications

• Bachelor's degree or equivalent experience, preferably in business, finance, economics, or operations
• Minimum of two years of analytics experience
• Ability to support compliance program objectives
• Experience in interpreting contract language and pricing structures
• Proficient in utilizing analytical tools and systems for reporting and data management