State Licensed Pharmacy Auditor

Job Summary

Working remotely on a full-time basis, the State Licensed Pharmacy Auditor will manage payer audits, provide expert audit assistance to customers, and oversee compliance risk monitoring mechanisms.

Key responsibilities:

• Track and coordinate all incoming payer audit correspondence, including notifications and discrepancy reports
• Provide proactive audit prevention tips and support to customers, including pre-audit preparation and appeals coordination
• Identify high-risk accounts through pharmacy performance analytics and collaborate with internal departments for risk assessment

Required qualifications:

• Bachelor's degree or equivalent combination of experience and education, with a minimum of four years of relevant experience
• Prior pharmacy background and strong knowledge of third-party billing, private health plans, and government programs
• Experience with pharmacy audits, compliance, and risk mitigation is preferred
• Certified or State Licensed Pharmacy Technician is desired