Program Integrity Auditor
A company is looking for a Program Integrity Auditor - Remote. Key Responsibilities Conduct pharmacy claims audits and collaborate with pharmacy facilities to validate compliance of claims Determine corrective actions for noncompliant claims and document audit details for management Provide consultation on project guidelines and assist with internal audit activities as needed Required Qualifications High School diploma or equivalent Previous experience in a customer care environment HIPAA certification preferred Bachelor's Degree preferred Previous auditing experience or Pharmacy Technician experience preferred
A company is looking for a Program Integrity Auditor - Remote.
Key Responsibilities
Conduct pharmacy claims audits and collaborate with pharmacy facilities to validate compliance of claims
Determine corrective actions for noncompliant claims and document audit details for management
Provide consultation on project guidelines and assist with internal audit activities as needed
Required Qualifications
High School diploma or equivalent
Previous experience in a customer care environment
HIPAA certification preferred
Bachelor's Degree preferred
Previous auditing experience or Pharmacy Technician experience preferred
