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Pharmacy Audit Analyst - National Remote
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Job Description
- Req#: 2294959
Employer Industry: Healthcare Services
Why consider this job opportunity:
- Salary up to $87,000 annually
- Comprehensive benefits package including medical, dental, and vision insurance
- Paid Time Off and 8 Paid Holidays
- Opportunities for career advancement and professional development
- Flexibility to telecommute from anywhere within the U.S.
- Employee referral bonus and education reimbursement programs
What to Expect (Job Responsibilities):
- Identify and document fraudulent or erroneous activities as a result of audits
- Prepare audit reports and determine overpayments
- Collaborate with Claims Administration on reversing and re-billing overpaid claims
- Review and analyze claims data to identify overpayment billing activity
- Monitor compliance issues with regulatory requirements
What is Required (Qualifications):
- Active and unrestricted Pharmacy Technician license for the state of residence
- Active National Certification by the PTCB (Pharmacy Technician Certification Board)
- 2+ years of experience in pharmacy audit, PBM, healthcare investigations, or health insurance
- 2+ years of experience processing/auditing pharmacy claims
- Intermediate proficiency with Microsoft Excel
How to Stand Out (Preferred Qualifications):
- In-depth knowledge of pharmacy operations
#HealthcareServices #PharmacyAudit #CareerOpportunity #Telecommute #CompetitivePayAbout the company
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