Pharmacy Contract Audit Analyst
virtual vocationsNew York, NY
Pharmacy Contract Audit Analyst
virtual vocationsNew York, NY
yesterday
Industries
Pharmacy Benefit Management and Other Third Party Administration of Insurance and Pension FundsPharmacies and Drug RetailersDrugs and Druggists' Sundries Merchant WholesalersAbout the role
To support a growing team, the full-time remote Pharmacy Contract Audit Analyst will oversee the accuracy of pharmacy network reimbursement, analyze claims data, and ensure compliance with contractual obligations across Retail, Specialty, and Mail Order agreements.
Key responsibilities:
Field, analyze, and resolve inquiries regarding pricing errors from pharmacy providers, clients, and internal teams
Interpret pharmacy contract language to compare contract pricing against adjudicated claims activity
Develop and maintain oversight reporting and controls for the end-to-end process of contract pricingRequired qualificationsBachelor's degree or equivalent experience, preferably in business, finance, economics, or operations
Minimum two years of analytics experience
Ability to support compliance program objectives
Experience in pharmacy network rate testing and analysis
Familiarity with pricing structures such as AWP, WAC, and MAC
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JOB OVERVIEW
Experience level
Senior
Location
New York, NY
Occupation
Pharmacists
Industry
Pharmacy Benefit Management and Other Third Party Administration of Insurance and Pension Funds
Posted
yesterday
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