Remote Pharmacy Audit Investigator

Job is Expired

Location: Nationwide

Compensation: Hourly

Staff Reviewed: Fri, Jan 15, 2021

Job Category: Healthcare

Remote Level: Partially Remote

Weekly Hours: Full Time

Employer Type: Employer

Career Level: Experienced

Education Level: Bachelors

Job Summary

A health insurance company has a current position open for a Remote Pharmacy Audit Investigator.

Candidates will be responsible for the following:

  • Analyzing and monitoring industry publications to be aware of fraud, waste, and abuse schemes
  • Performing onsite and desktop investigative audits targeting potential Pharmacy FWA
  • Adhering to all applicable requirements for case process and quality

Qualifications for this position include:

  • Ability to travel up to 25% of the time
  • High school diploma / GED or higher
  • 2+ years working in pharmacy audit, PBM, healthcare investigations, or health insurance environment
  • 1+ years pharmacy benefits management investigations experience
  • 3+ years of experience in a position processing pharmacy claims and/or investigating fraud
  • In – depth knowledge of pharmacy operations

COMPLETE JOB DESCRIPTION

The job description is available to subscribers. Subscribe today to get the full benefits of a premium membership with Virtual Vocations. We offer the largest remote database online...

BECOME A PREMIUM MEMBER TO
UNLOCK FULL JOB DETAILS & APPLY

  • ACCESS TO FULL JOB DETAILS AND APPLICATION INFORMATION
  • HUMAN-SCREENED REMOTE JOBS AND EMPLOYERS
  • COURSES, GROUP CAREER COACHING AND RESOURCE DOWNLOADS
  • DISCOUNTED CAREER SERVICES, RESUME WRITING, 1:1 COACHING AND MORE
  • EXCELLENT CUSTOMER SUPPORT FOR YOUR JOB SEARCH