Pharmacy Network Auditor

We are a healthcare technology company that provides platforms and solutions to improve the management and access of cost-effective pharmacy

Benefits

Our technology helps enterprise and partnership clients simplify their businesses and helps consumers save on prescriptions. As a leader in SaaS technology for healthcare, we offer innovative solutions with integrated intelligence on a single enterprise platform that connects the pharmacy ecosystem. With our expertise and modern, modular platform, our partners use real-time data to transform their business performance and optimize their innovative models in the marketplace.

Management organization Strong understanding of the pharmacy claims processing ecosystem Strong understanding of pharmacy relationships and NCPDP data extracts Proficient knowledge and ability to leverage current reporting tools to identify audit and FWA issues proactively Strong understanding of Pharmacy Network Standards and how to manage potential FWA issues via claims data Proficient knowledge of URAC and CMS network

Requirements

, pharmacy contractual compliance, and effectively communicating the program updates in real-time to leadership.

in addition to Federal and State level auditing network

Ability to research, analyze and report on audit results and industry trends in FWA Proven ability to work independently and drive results Detail-oriented, ability to multitask, proactive thinker Excellent written and verbal communication skills Experience with presenting and or training Proficiency in MS Word and Exc

Responsibilities

: To perform this job successfully, an individual must be able to perform the following satisfactorily; other duties may be assigned. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Qualifications

: Previous Pharmacy Audit Experience is required, understanding of the processes and industry related guidelines are mandatory 5+ years of experience in a Retail Pharmacy setting and/or Pharmacy