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Senior Pharmacy Audit Representative - CA Licensed

VirtualVocations
North Las Vegas, Nevada, United States
Full-time

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

Key ResponsibilitiesAnalyze and monitor claims against potential fraud, waste, and abuse related to network pharmaciesInvestigate and review claims data to identify fraudulent or erroneous billing activitiesDocument potential fraudulent or erroneous activities based on analysis of claims dataRequired QualificationsHigh School Diploma / GED or 2+ years of experience as a Pharmacy TechnicianActive and unrestricted Pharmacy Technician License in state of residence at time of hireActive and unrestricted National Pharmacy Technician Certification (ExCPT or PTCB) at time of hire2+ years of experience in Microsoft Word and Excel1+ years of Pharmacy Technician experience in a retail pharmacy, PBM, or specialized pharmacy

22 days ago
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