- Conduent (Newark, NJ)
- …and be part of a culture where individuality is noticed and valued every day. ** Pharmacy Claims Auditor CPhT** **Do you have a CPhT certification?** **Would ... more
- LA Care Health Plan (Los Angeles, CA)
- Specialty Health Plans Claims Auditor III Job Category: Accounting/Finance Department: Financial Compliance Location: Los Angeles, CA, US, 90017 Position Type: ... more
- Elevance Health (Norfolk, VA)
- ** Pharmacy Internal Auditor ** **Location:** This position will work a hybrid model (remote and office). Ideal candidates will live within 50 miles of one of our ... more
- The Cigna Group (Vancouver, WA)
- …contractual requirements. **ESSENTIAL FUNCTIONS** + Perform efficient and effective network pharmacy claims audits to produce results consistent with ... more
- Chesapeake Regional Healthcare (Chesapeake, VA)
- …services, home health care services, durable medical equipment, rehabilitative therapies, and pharmacy reviews from finance and/or claims department + Prepare ... more
- Chesapeake Regional Healthcare (Chesapeake, VA)
- …services, home health care services, durable medical equipment, rehabilitative therapies, and pharmacy reviews from finance and/or claims department . Prepare ... more
- AmeriHealth Caritas (Philadelphia, PA)
- …integrated managed care products, pharmaceutical benefit management and specialty pharmacy services, behavioral health services, and other administrative services. ... more
- Health Advocates Network (Coral Springs, FL)
- …! This is a full-time contract position at a nationally recognized independent pharmacy / DME company located in **Coral Springs, FL.** + **Pay Rate: $20.00 per ... more
- CVS Health (Springfield, IL)
- …resolution of exceptions identified during the audit process, specifically related to pharmacy claims and manufacturer rebates. This includes having a working ... more
- CVS Health (Nashville, TN)
- …adjudication principles, such as (but not limited to) benefit setup, prior authorizations, claims payment, and pharmacy contracting in order to review and ... more
- Elevance Health (Tampa, FL)
- …effective internal controls. **How you will make an impact:** + Detailed pharmacy claims validation + Interpreting and managing audit requirements, ie, ... more