California Licensed Pharmacy Auditor

Job Summary

A company is looking for a Pharmacy Audit Analyst for a remote position.

Key Responsibilities

• Identify and document fraudulent or erroneous activities from audits
• Prepare and amend audit reports, determining overpayments
• Review and analyze claims data to monitor compliance with regulatory requirements

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 or auditing pharmacy claims
• Intermediate proficiency with Microsoft Excel