We have other current jobs related to this field that you can find below

  • Internal Auditor for Parts Logistics

    6 days ago

    Madison, Alabama, United States Jefferson Wells International Full time

    Internal Financial Auditor for Automotive Parts Logistics Jefferson Wells International is seeking a skilled Internal Financial Auditor to conduct audits related to Parts Logistics for our esteemed Automotive Manufacturing clients. The ideal candidate will possess substantial experience in the automotive or manufacturing sectors, with a strong...

  • Premium Auditor

    1 day ago

    Madison, United States Davies Risk Services Full time

    Job DescriptionJob DescriptionGig Workers Wanted!   Are you tired of working for someone else?  Have you thought about building a business for yourself?  If you answered yes to either question – Welcome!  We are excited to introduce Davies Risk Services to you!  Our Premium Auditors come from various backgrounds.  If you are inquisitive, driven &...

  • Clinical Account Auditor

    6 days ago

    Madison, Wisconsin, United States Huntsville Hospital Full time

    Position: Hospital Account AuditorPerform comprehensive internal audits of hospital financial accountsExecute routine insurance audits as part of standard proceduresReview accounts upon patient inquiryAnalyze accounts to distinguish between medical charges and cosmetic surgery costsInput manual charges and credits for discrepancies in Pharmacy billingManage...

  • Revenue Integrity Auditor

    5 days ago

    Madison, Wisconsin, United States Huntsville Hospital Full time

    Position Title: Hospital Account AuditorPerform comprehensive internal evaluations of hospital billing accountsExecute routine insurance assessmentsReview accounts based on patient inquiriesAnalyze accounts to distinguish between medical and cosmetic procedure chargesInput manual adjustments for discrepancies in Pharmacy billingManage charge corrections and...

  • Pharmacy Billing Specialist

    2 weeks ago

    Madison, United States Spherion Full time

    Spherion is assisting our retail pharmacy client in their search for a Pharmacy Billing Specialist! The Pharmacy Billing Specialist will process customer bills and insurance claims. You will use your professional customer service skills to complete tasks while maintaining positive customer/client relationships.Highlights:Temporary with the opportunity for...

  • Auditor Revenue Integrity

    2 months ago

    Madison, United States Huntsville Hospital Full time

    Performs internal audits of hospital accounts; processes routine insurance audits; audits accounts as requested by patients; performs audits of accounts to separate medical charges from elective cosmetic surgery procedures; manual charge entry/credit for Pharmacy discrepancies; charge correction and billing requirements for Medical Oncology accounts,...

  • Pharmacy Billing Specialist

    11 hours ago

    Madison, United States Spherion Full time

    Spherion is assisting our retail pharmacy client in their search for a Pharmacy Billing Specialist! The Pharmacy Billing Specialist will process customer bills and insurance claims. You will use your professional customer service skills to complete tasks while maintaining positive customer/client relationships.Highlights:- Temporary with the opportunity for...

  • Auditor Revenue Integrity

    2 months ago

    Madison, United States Huntsville Hospital Full time

    Overview Performs internal audits of hospital accounts; processes routine insurance audits; audits accounts as requested by patients; performs audits of accounts to separate medical charges from elective cosmetic surgery procedures; manual charge entry/credit for Pharmacy discrepancies; charge correction and billing requirements for Medical Oncology...

  • Staff Pharmacist

    3 days ago

    Madison, United States Advanced Pharmaceutical Consultants, Inc Full time

    Advanced Pharmaceutical Consultants provide pharmacy services including pharmacists, technicians, and automation to behavioral health facilities nationwide. We are currently seeking a hospital trained Weekend Pharmacist for a behavioral health facility in Madison, WI.*This is a Part-Time position 14 hours/weekend, Saturday and Sunday, 6 hours onsite, 1 hour...

  • Staff Pharmacist

    2 days ago

    Madison, United States Advanced Pharmaceutical Consultants, Inc Full time

    Advanced Pharmaceutical Consultants provide pharmacy services including pharmacists, technicians, and automation to behavioral health facilities nationwide. We are currently seeking a hospital trained Weekend Pharmacist for a behavioral health facility in Madison, WI. This is a Part-Time position 14 hours/weekend, Saturday and Sunday, 6 hours onsite, 1 hour...

  • Staff Pharmacist

    3 days ago

    Madison, United States Advanced Pharmaceutical Consultants, Inc Full time

    Advanced Pharmaceutical Consultants provide pharmacy services including pharmacists, technicians, and automation to behavioral health facilities nationwide. We are currently seeking a hospital trained Weekend Pharmacist for a behavioral health facility in Madison, WI. This is a Part-Time position 14 hours/weekend, Saturday and Sunday, 6 hours onsite, 1 hour...

  • Staff Pharmacist

    6 days ago

    Madison, United States Advanced Pharmaceutical Consultants Inc Full time

    Advanced Pharmaceutical Consultants provide pharmacy services including pharmacists, technicians, and automation to behavioral health facilities nationwide. We are currently seeking a hospital trained Weekend Pharmacist for a behavioral health facility in Madison, WI. *This is a Part-Time position 14 hours/weekend, Saturday and Sunday, 6 hours onsite, 1 hour...

  • Pharmacist in Charge

    2 days ago

    Madison, United States Advanced Pharmaceutical Consultants, Inc Full time

    Advanced Pharmaceutical Consultants provide pharmacy services including pharmacists, technicians, and automation to behavioral health facilities nationwide. We are currently seeking a hospital trained Pharmacist in Charge for a behavioral health facility in Madison, WI. This is a Full-Time position 35 hours/week, Monday - Friday, 30 hours onsite, 5 hours...

  • Pharmacist in Charge

    4 days ago

    Madison, United States Advanced Pharmaceutical Consultants, Inc Full time

    Advanced Pharmaceutical Consultants provide pharmacy services including pharmacists, technicians, and automation to behavioral health facilities nationwide. We are currently seeking a hospital trained Pharmacist in Charge for a behavioral health facility in Madison, WI. *This is a Full-Time position 35 hours/week, Monday - Friday, 30 hours onsite, 5 hours...

  • Pharmacist in Charge

    3 days ago

    Madison, United States Advanced Pharmaceutical Consultants, Inc Full time

    Advanced Pharmaceutical Consultants provide pharmacy services including pharmacists, technicians, and automation to behavioral health facilities nationwide. We are currently seeking a hospital trained Pharmacist in Charge for a behavioral health facility in Madison, WI. This is a Full-Time position 35 hours/week, Monday - Friday, 30 hours onsite, 5 hours...

  • Pharmacist in Charge

    6 days ago

    Madison, United States Advanced Pharmaceutical Consultants Inc Full time

    Advanced Pharmaceutical Consultants provide pharmacy services including pharmacists, technicians, and automation to behavioral health facilities nationwide. We are currently seeking a hospital trained Pharmacist in Charge for a behavioral health facility in Madison, WI. *This is a Full-Time position 35 hours/week, Monday - Friday, 30 hours onsite, 5 hours...

  • Pharmacist in Charge

    3 days ago

    Madison, United States Advanced Pharmaceutical Consultants, Inc Full time

    Advanced Pharmaceutical Consultants provide pharmacy services including pharmacists, technicians, and automation to behavioral health facilities nationwide. We are currently seeking a hospital trained Pharmacist in Charge for a behavioral health facility in Madison, WI.*This is a Full-Time position 35 hours/week, Monday - Friday, 30 hours onsite, 5 hours...

  • Pharmacist in Charge

    4 days ago

    Madison, United States Advanced Pharmaceutical Consultants, Inc Full time

    Advanced Pharmaceutical Consultants provide pharmacy services including pharmacists, technicians, and automation to behavioral health facilities nationwide. We are currently seeking a hospital trained Pharmacist in Charge for a behavioral health facility in Madison, WI.*This is a Full-Time position 35 hours/week, Monday - Friday, 30 hours onsite, 5 hours...

  • IT Support Technician

    2 weeks ago

    Madison, United States Navitus Health Solutions Full time

    Company Navitus About Us Navitus - Putting People First in Pharmacy - Navitus was founded as an alternative to traditional pharmacy benefit manager (PBM) models. We are committed to removing cost from the drug supply chain to make medications more affordable for the people who need them. At Navitus, our team members work in an environment that celebrates...

  • IT Support Technician

    4 days ago

    Madison, United States Navitus Health Solutions Full time

    Company: Navitus About Us: Navitus - Putting People First in Pharmacy - Navitus was founded as an alternative to traditional pharmacy benefit manager (PBM) models. We are committed to removing cost from the drug supply chain to make medications more affordable for the people who need them. At Navitus, our team members work in an environment that celebrates...

Onsite Pharmacy Auditor

2 months ago

Madison, United States Prime Therapeutics Full time

Job Posting Title 340B Onsite Pharmacy Auditor - Remote in the Florida market Job Description The Onsite Pharmacy Auditor travels to pharmacy locations and performs pharmacy audits and is responsible for the selection and auditing of claims, educating Prime’s network pharmacies and driving contract compliance, and supporting downstream claim corrections to eliminate potential waste. Responsibilities Evaluate potential pharmacies to include in onsite trips considering such information as claim analytic data, prior audit history, and/or referrals, and submit recommended audit plan to manager for approval; finalize onsite audit plans and schedule trips in accordance to Prime’s travel and expense policy Analyze pharmacy claims to identify those at the highest risk for error; leverage audit analytics and professional knowledge to identify educational trends and select claims for audit in alignment to department procedures and objectives Leverage professional pharmacy technician knowledge to validate claim documentation and systems data while onsite to ensure claim was accurately processed in accordance with contractual and regulatory obligations. Educate external pharmacy staff on results of observations of pharmacy practices, proper claim submission and the use of Prime Therapeutics’ Pharmacy Provider Manual at all stages of the audit process Assist in the development and enhancement of audit tools and processes to effectively identify erroneous claims, non-compliant pharmacy practices or potential pharmacy reimbursements Track audit activities to support data analysis and reporting efforts within the department Prepare initial audit reports to be sent to the network pharmacies Other duties as assigned Minimum Qualifications 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 retail, long term care, specialty, home infusion, or mail order pharmacy or combined pharmacy and PBM experience to include: 2 years of work experience in audit or quality assurance 1 year of work experience in customer service or a client facing role Must be eligible to work in the United States without need for work visa or residency sponsorship Additional Qualifications Proficiency in MS Word, Excel, and database software Intermediate skill and understanding of the point of sale and on-line pharmacy claims processing environment Excellent oral, written and interpersonal communication skills Self-directed worker with excellent organization and analytical skills Ability to work effectively with a variety of audiences at all levels of the organization Ability to maintain confidentiality of highly sensitive information Professional appearance, demeanor, and conflict resolution skills Preferred Qualifications 3 years previous audit experience Previous experience conducting onsite pharmacy audits Current Registration with State Board of Pharmacy in the state where position is located Previous PBM experience Minimum Physical Job Requirements Ability to travel up to 50% of the time Ability to work a flexible schedule including weekends, holidays, or shifts outside of Prime’s core business hours of 9:00am-4:00pm Frequently required to sit, use hands to handle or feel, talk and hear Frequently required to stand, use hands to handle or feel, talk and hear Frequently required to reach with hands and arms Occasionally required to stand, walk and stoop, kneel, and crouch Occasionally required to lift and/or move up to 10 pounds and occasionally lift and/or move up to 25 pounds Specific vision abilities required by this job include close vision, distance vision, color vision, peripheral vision, depth perception and ability to adjust focus Reporting Structure Reports to a Manager in the Pharmacy Audit and FWA department

#J-18808-Ljbffr