Job Summary
A software company is in need of a Remote Medical Fraud Waste and Abuse Clinical Pharmacist.
Core Responsibilities Include:
- Identifying instances of potential abusive billing or inappropriate drug utilization
- Developing analyses of patterns of pharmacy and medical benefit Fraud, Waste and Abuse
- Directly communicating with customers
Applicants must meet the following qualifications:
- Travel 25%
- Doctor of Pharmacy
- Direct experience with Specialty Pharmacy claim administration and evaluation
- Direct experience with Medicaid claims, including 5 years of experience as a clinical Pharmacist
- Requires knowledge of medical and pharmacy terminology
- Requires knowledge of pharmacy records, claims processing and billing
