Onsite Pharmacy Auditor

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🔥 10 minutes ago

🏄 California – Remote

🏄 California – Remote

💵 $28 - $45 / hour

⏰ Full Time

🟢 Junior

🟡 Mid-level

🔎 Auditor

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Prime Therapeutics

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

Founded 1998

⚕️ Healthcare Insurance

💊 Pharmaceuticals

☁️ SaaS

Healthcare Insurance • Pharmaceuticals • SaaS

Prime Therapeutics is a trusted pharmacy solutions provider dedicated to transforming health care through innovation and transparency. The company offers a wide range of services including clinical solutions for improved member outcomes, drug access and affordability, specialty drug management, and condition management for chronic health issues. With over 7,000 employees, Prime Therapeutics aims to challenge norms in the pharmacy industry, providing exceptional experiences and simplifying the complex for millions across the nation. Their mission goes beyond profit, focusing on creating transformative impacts with long-term solutions, utilizing modern technology and holistic approaches in specialty pharmacy management. Owned by mission-driven partners, Prime Therapeutics emphasizes true transparency and conflict-free service, fostering a culture of care and shared purpose in health care.

📋 Description

• Travel to pharmacy locations and performs pharmacy audits • Responsible for the selection and auditing of claims • Educate Prime’s network pharmacies and drive contract compliance • Support downstream claim corrections to eliminate potential waste • Analyze pharmacy claims to identify those at highest risk for error • Educate external pharmacy staff on results of observations of pharmacy practices • Assist in the development and enhancement of audit tools and processes • Prepare initial audit reports to be sent to the network pharmacies

🎯 Requirements

• Bachelor’s degree in Health Science or equivalent combination of education and related work experience • HS diploma or GED is required • National Pharmacy Technician Certification through PTCB or ExCPT (CPhT) • 2 years of work experience in audit or quality assurance • 2 years of work experience in retail, long term care, specialty, home infusion, or mail order pharmacy or combined pharmacy and PBM experience • 1 year of work experience in customer service or a client facing role • Proficiency in MS Word, Excel, and database software • Intermediate skill and understanding of the point of sale and on-line pharmacy claims processing environment

🏖️ Benefits

• Health insurance • 401(k) matching • Flexible work hours • Paid time off • Professional development opportunities