Remote Medical Fraud Waste and Abuse Clinical Pharmacist

Job ID: Available for Members

Location: Nationwide

Compensation: To Be Discussed

Staff Reviewed: Tue, Feb 25, 2020

Job Category: Healthcare, Sales

Telecommute Level: Occasionally

Travel Requirements: Some Travel

Employer Type: Employer

Career Level: Experienced

Education Level: Doctorate

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