- HUB International (Chicago, IL)
- …leading success in mergers and acquisitions. **ABOUT THE ROLE** **Summary:** The PBM Auditor is responsible for conducting comprehensive audits of Pharmacy ... and the preparation of detailed reports and findings. The PBM Auditor works to identify discrepancies, recoup overpayments, and provide recommendations… more
- Elevance Health (Richmond, VA)
- ** PBM Compliance Manager (Claims Audit)** **Location:** This role requires associates to be in-office 1 - 2 days per week, fostering collaboration and connectivity, ... employment, unless an accommodation is granted as required by law. The ** PBM Compliance Manager (Claims Audit)** is responsible for coordinating pharmacy compliance… more
- CVS Health (AZ)
- …compassionate. And we do it all with heart, each and every day. The PBM is currently looking for an energetic individual to join our Government Oversight ... support strategies, work, and deliverables related to regulatory oversight and exams of PBM network activities that are being performed by regulatory bodies, such as… more
- CVS Health (Phoenix, AZ)
- …CVS Caremark's extensive Pharmacy Audit division. The Medicare Pharmacy Claims Auditor will administer assigned Medicare Part-D Compliance Audit Programs, review ... business objectives. **Required Qualifications** -1+ year(s) combined experience in a PBM or pharmacy. **Preferred Qualifications** -5+ years combined experience in … more
- CVS Health (PA)
- …with heart, each and every day. **Position Summary** As a Regional Pharmacy Onsite Auditor , you will be an essential part to the Pharmacy Audit Department at ... in a cost effective manner - Knowledge of CVS Health (or other PBM ) claims processing - Knowledge of retail pharmacy operations including reading prescriptions and… more