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Pharmacy Claim Quality Review and Audit Manager-Express Scripts (Remote)

Posted 2 days agoViewed

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💎 Seniority level: Manager, At least 3 years

📍 Location: United States

💸 Salary: 86900.0 - 144900.0 USD per year

🔍 Industry: Healthcare, Pharmacy Services

🗣️ Languages: English

⏳ Experience: At least 3 years

🪄 Skills: LeadershipData AnalysisAnalytical SkillsCoachingQuality Assurance

Requirements:
  • BA/BS degree preferred, HS Diploma required.
  • Certified Pharmacy Technician (CPhT) preferred.
  • At least 3 years of relevant pharmacy experience in either retail or PBM settings.
  • Leadership and supervisory experience.
  • Ability to thrive in a dynamic, high-pressure environment.
  • Strong proficiency in MS Office applications.
  • Excellent organizational, interpersonal, communication, and leadership skills.
Responsibilities:
  • Responsible for using analytical skills and audit tools to identify network pharmacy audit risks.
  • Develop and execute audit plans and procedures to address identified risks.
  • Produce reports for various stakeholders, including management and clients.
  • Participate in client communications and present audit results.
  • Coach and develop team members, manage employee relations, and oversee hiring and training.
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