Senior Pharmacy Audit Representative

Job Summary

A company is looking for a Senior Pharmacy Audit Representative.

Key Responsibilities:

• Analyze and monitor claims against fraud, waste, and abuse related to network pharmacies
• Investigate, review, and analyze claims data to determine details of fraudulent, erroneous, or abusive billing activity
• Identify and document fraudulent or erroneous activities

Required Qualifications:

• High School Diploma/GED or 2+ years of experience as a Pharmacy Technician
• Active and unrestricted Pharmacy Technician License and National Pharmacy Technician Certification
• 2+ years of experience in Microsoft Word and Excel
• 1+ years of Pharmacy Technician experience in a retail pharmacy, PBM, or specialized pharmacy
• Flexibility to work as late as 5:00 PM Pacific Time