Pharmacy Claims Auditor Position

3 weeks ago


Irvine, California, United States UnitedHealth Group Full time

Company Overview:

Optum, a global organization, is dedicated to delivering care and utilizing technology to help millions of people live healthier lives. Our team works tirelessly to improve health outcomes by connecting individuals with the care, pharmacy benefits, data, and resources they need to thrive.

Job Description:

We are seeking a skilled Pharmacy Claims Auditor to join our team. As a Pharmacy Claims Auditor, you will play a vital role in monitoring and reviewing recent pharmacy claims for potential waste, abuse, and errors. Your expertise in pharmacy practice, data mining techniques, and drug knowledge will be instrumental in evaluating the accuracy of billing.

Required Skills and Qualifications:

  • Current and unrestricted Pharmacy Tech License in the state of residence
  • Current and active National Pharmacy Technician Certification (ExCPT or PTCB)
  • 2+ years of experience as a Pharmacy Technician in a retail pharmacy, PBM, or specialized pharmacy
  • 1+ years of experience with pharmacy claims audits
  • 1+ years of experience with RxClaim and Integrated Data Warehouse

Benefits:

As a valued member of our team, you will enjoy a comprehensive benefits package, including a competitive salary, incentive and recognition programs, equity stock purchase, and 401k contribution. Our company is committed to mitigating its impact on the environment and delivering equitable care that addresses health disparities and improves health outcomes.

Location:

The salary range for this position is $48,300 to $94,500 per year, depending on the location. We are seeking candidates who reside in California, Colorado, Nevada, Connecticut, New York, New Jersey, Rhode Island, Hawaii, Washington, or Washington D.C.

About UnitedHealth Group:

Our mission is to help people live healthier lives and make the health system work better for everyone. We are an Equal Employment Opportunity / Affirmative Action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law. We are a drug-free workplace and require candidates to pass a drug test before beginning employment.



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