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Analyst, Pharmacy Audit-Remote
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Job Description
- Req#: 2597
Employer Industry: Pharmacy Benefit Management
Why Consider this Job Opportunity:
- Salary up to $75,000
- Opportunity for career advancement and growth within the organization
- Remote or hybrid work options in Madison WI, Appleton WI, or Austin TX
- Paid volunteer hours
- Top industry benefits including health, dental, and vision insurance, paid time off, 401K, and more
What to Expect (Job Responsibilities):
- Analyze and resolve inquiries from pharmacy providers, clients, auditors, and internal teams
- Interpret pharmacy contract language to compare pricing to claims activity
- Develop and maintain controls and oversight reporting on contract pricing
- Conduct pharmacy network rate testing, chain audits, and impact assessment
- Implement process improvements to maximize quality and efficiencies
What is Required (Qualifications):
- Bachelor's degree or equivalent experience required
- Minimum two years of analytics experience
- Adherence to compliance program objectives
- Ability to interact cooperatively and respectfully with other employees
How to Stand Out (Preferred Qualifications):
- Experience in business, finance, economics, or operations
- Strong analytical skills
- Knowledge of reimbursement programs in the pharmacy industry
#PharmacyBenefitManagement #CareerGrowth #RemoteWorkOpportunity #TopIndustryBenefits #ProfessionalDevelopment
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