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Remote Pharmacy Audit Investigator

Job is Expired
Location: Florida, Pennsylvania, Texas
Compensation: To Be Discussed
Staff Reviewed: Mon, Dec 17, 2018
Job Category: Healthcare, Investigations
Weekly Hours: Full Time
Employment Status: Permanent
Employer Type: Employer
Career Level: Experienced

Job Summary

A healthcare company is seeking a Remote Pharmacy Audit Investigator.

Must be able to:

  • Perform onsite and desktop investigative audits targeting potential Pharmacy FWA
  • Adhere to all applicable requirements for case process and quality
  • Prepare reports and presentations based on case results

Must meet the following requirements for consideration:

  • Ability to travel up to 25% of the time
  • 2+ years working in pharmacy audit, PBM, healthcare investigations, or health insurance
  • 1+ years pharmacy benefits management investigations experience
  • 3+ years in a position processing pharmacy claims and/or investigating fraud
  • In-depth knowledge of pharmacy operations
  • Current and unrestricted Pharmacy Technician License for the state of residence

COMPLETE JOB DESCRIPTION

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