Pharmacy Contract Audit Analyst
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Job Summary
To support a growing team, the full-time remote Pharmacy Contract Audit Analyst will oversee the accuracy of pharmacy network reimbursements, analyze claims data, and communicate findings to ensure compliance with contractual obligations.
Key responsibilities
- Field, analyze, and resolve inquiries related to pricing errors from pharmacy providers and internal teams
- Interpret pharmacy contract language to ensure pricing aligns with adjudicated claims activity
- Develop and maintain oversight reporting and process controls for Retail, Specialty, and Mail Order contract pricing
Required qualifications
- Bachelor's degree or equivalent experience, preferably in business, finance, economics, or operations
- Minimum of two years of analytics experience
- Participation in and support of compliance program objectives
- Ability to interact cooperatively and respectfully with other employees
Complete Job Description
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