Pharmacy Auditor I

🔥 0 minutes ago

🇺🇸 United States – Remote

💵 $45k - $58k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

🔎 Auditor

👻 Ghost score 2%

What it means: the chance that no one is really hiring for this job.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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EXL

WebsiteLinkedInAll Job Openings

10,000+ employees

🏥 Healthcare

🛡️ Insurance

📦 Logistics

💰 $2M Venture Round on 2015-01

Healthcare • Insurance • Logistics

EXL is a business consulting and services firm that focuses on leveraging data to enhance business operations and decision-making. With a strong emphasis on collaboration and adaptability, EXL partners with organizations to address their unique needs and culture while integrating data science and technology solutions. The company's areas of expertise include operations management, decision analytics, digital transformation, and various industries such as healthcare, finance, and insurance. EXL's mission is to help clients drive business evolution and maintain competitive advantage through tailored solutions and effective use of data.

📋 Description

• Conduct assigned pharmacy desk audits by reviewing prescription claims and supporting documentation for compliance and potential discrepancies or overpayments • Review pharmacy records and documentation, including prescription records, signature logs, proof of delivery, invoices, and dispensing records • Apply audit procedures, client requirements, discrepancy codes, and validation criteria to identify supported claims and recoverable findings • Maintain complete and timely audit documentation, case notes, evidence, findings, and status updates • Perform quality review and validation activities for assigned pharmacy audits • Conduct onsite or virtual pharmacy audits, including pharmacy personnel interaction, records review, evidence collection, and findings documentation • Communicate with Audit Coordinators, management, and internal stakeholders about audit status, issues, findings, deadlines, and escalations • Maintain knowledge of pharmacy audit requirements, client policies, pharmacy practices, and state and federal requirements • Handle pharmacy and patient information in compliance with HIPAA, confidentiality, privacy, and information-security requirements • Perform other pharmacy audit-related duties as assigned

🎯 Requirements

• High School Diploma or Equivalent • Certified Pharmacy Technician (CPhT) • Active state pharmacy technician license/registration where required • Compliance with HIPAA, confidentiality, privacy, and information-security requirements • Ability to meet established productivity, quality, accuracy, and timeliness expectations

🏖️ Benefits

• Industry-leading training • Career development opportunities • Competitive benefits package • Work-from-home opportunity • Work-life balance • Up to 10% annual travel for team meetings and limited client onsite engagements

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