Pharmacy Claims Auditor (CPhT)
Employment type
Full-time
Work setting
On-site
Location
Cincinnati, OH
Schedule
Day shift
Posted
You'll be redirected to the employer's application page.
Job overview
The Pharmacy Claims Auditor (CPhT) is an onsite role based in Cincinnati, OH. Compensation is not specified, though the role supports Conduent's Payment Integrity Solutions department in delivering mission-critical services for healthcare payers. This role exists to ensure the accuracy of pharmacy claims by examining records against client data. The auditor conducts onsite and desktop audits, interprets pharmacy documentation, and ensures compliance with federal and state regulations to maintain high standards of billing integrity.
What you'll do
- Examine pharmacy records against claim data
- interpret client instructions and regulations
- conduct onsite and desktop audits
- research pharmacy laws
- respond to pharmacy inquiries
- produce detailed reports on pharmacy operations.
What we're looking for
- Skills & competencies
- full-timeday shiftcincinnati ohpharmacyauditorcphtonsitehealthcareclaimscomplianceretail pharmacyno on-callno weekends
- Work arrangement
- Weekend coverage required
Benefits & perks
- Health insurance, voluntary dental and vision, life and disability insurance, retirement savings plan, paid holidays, and paid time off.
Why this role
Requires CPhT certification and extensive retail pharmacy experience.
About the employer
Conduent Payment Integrity Solution Inc. is hiring for this role. Industry: Pharmacy Benefit Management and Other Third Party Administration of Insurance and Pension Funds. Sector: 52.
Additional details
- Industry sector
- 52
- Industry
- Pharmacy Benefit Management and Other Third Party Administration of Insurance and Pension Funds
- Occupation code
- 29-2052.00
You'll be redirected to the employer's application page.
Listing ID: 42d0afa4-b6e9-493f-8e80-96eb593822ac