• Pharmacy Claims Auditor

    Prime Therapeutics (Richmond, VA)
    …Come build the future of pharmacy with us. **Job Posting Title** Pharmacy Claims Auditor - Remote **Job Description** The Pharmacy Claims ... in-depth analysis of large datasets and audit findings to detect high-risk pharmacy claims , identify billing irregularities, and uncover patters of… more
    Prime Therapeutics (12/11/25)
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  • QA Auditor II

    Healthfirst (NY)
    …performance to ensure the quality of the network.** + **Review and investigate claims and encounters for medical, facility, pharmacy , dental and vision services ... **This position is 100% Remote .** **Scope of Responsibilities:** + **Conduct moderately complex...**Conduct moderately complex to complex quality audits of provider claims , pre-payments and post-payments including high-dollar and specialized … more
    Healthfirst (12/05/25)
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