Employer Industry: Pharmacy Benefits Management

Why consider this job opportunity:
- Salary up to $100,628
- Incentive compensation and employee referral bonuses
- Comprehensive benefits including medical, dental, vision, and wellness programs
- 401K plan with company match
- Opportunities for career advancement and professional development
- Supportive and collaborative work environment focused on improving healthcare value

What to Expect (Job Responsibilities):
- Collaborate with the External Compliance Support team and other departments to assist clients during audits
- Manage research, responses, and communication regarding audit findings
- Serve as a subject matter expert for compliance audits and maintain knowledge of Medicare Part D and relevant regulations
- Handle a large volume of audit support requests using a CRM system
- Communicate potential audit risks and recommend process improvements

What is Required (Qualifications):
- Bachelor's degree in a related field or equivalent combination of education and experience
- Minimum of two (2) years of experience in the PBM, prior authorization, or healthcare fields
- Strong computer skills including proficiency in Microsoft Office Suite and CRM tools
- Current Pharmacy Technician License and/or CPhT certification without restriction
- Analytical skills in healthcare data and systems

How to Stand Out (Preferred Qualifications):
- Experience in prior authorization, data analysis, and claims research
- PMP or CFE certification
- Advanced skills in building queries and performing data quality control

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