Senior Pharmacy Audit Representative

Company: VirtualVocations
Location: Metairie
Posted on: October 30, 2024

Job Description:

A company is looking for a Senior Pharmacy Audit Representative to analyze and monitor pharmacy claims for potential fraud, waste, and abuse.

Key Responsibilities

Analyze and monitor claims for fraud, waste, and abuse related to network pharmacies
Investigate and review claims data using pharmacy policy and data mining techniques
Identify and document potential fraudulent or erroneous activities

Required Qualifications

Active and unrestricted Pharmacy Technician license in state of residence
Active and unrestricted National Pharmacy Technician Certification (ExCPT or PTCB)
2+ years of experience with Microsoft Word and Excel
1+ years of Pharmacy Technician experience in a retail pharmacy, PBM, or specialized pharmacy
Flexibility to work as late as 5:00 PM Pacific Time

Keywords: VirtualVocations, Gulf Port , Senior Pharmacy Audit Representative, Accounting, Auditing , Metairie, Mississippi

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