Scottsdale, Arizona

Job Description
As a Regional Pharmacy Onsite Auditor, you will be an essential part to the Pharmacy Audit Department at CVS/Caremark.
In this role, you will be based from your home and travel onsite to conduct claims audit pharmacies throughout multiple states by reviewing prescription claims billed and educating pharmacies on the findings.
You will also analyze claims for fraud, waste, and abuse trends and report your findings to the corporate office.

Required Qualifications
- 3+ years of professional experience, preferably in a retail pharmacy setting, or in fields of pharmaceutical and/or pharmacy regulatory industry
- Must be able to travel up to 60% of the time. Travel includes flights, overnight stays, local travel, travel on short notice, and other travel deemed necessary by the company.
- Must possess valid and current driver's license.
- Must possess personal vehicle sufficiently reliable to meet the requirements of the job and is appropriately insured.
- Ability to handle difficult situations

COVID Requirements


COVID-19 Vaccination Requirement
CVS Health requires certain colleagues to be fully vaccinated against COVID-19 (including any booster shots if required), where allowable under the law, unless they are approved for a reasonable accommodation based on disability, medical condition, religious belief, or other legally recognized reasons that prevents them from being vaccinated.

You are required to have received at least one COVID-19 shot prior to your first day of employment and to provide proof of your vaccination status or apply for a reasonable accommodation within the first 10 days of your employment. Please note that in some states and roles, you may be required to provide proof of full vaccination or an approved reasonable accommodation before you can begin to actively work.

Preferred Qualifications
- Candidate must have excellent time management skills
- Ability to work independently and make decisions with a self-starter mentality
- Ability to plan and appropriately schedule audits in advance
- Ability to plan travel on the company’s site in a cost effective manner
- Knowledge of CVS Health (or other PBM) claims
processing
- Knowledge of retail pharmacy operations including reading prescriptions and drug knowledge
- Excellent verbal and written communication skills
- Experience with MS Office, including Excel and Word
- Pharmacy Technician Licensure
- Certified Pharmacy Technician (PTCB)

Education
High school diploma or GED required
Bachelor's Degree preferred

Business Overview
At CVS Health, we are joined in a common purpose: helping people on their path to better health. We are working to transform health care through innovations that make quality care more accessible, easier to use, less expensive and patient-focused. Working together and organizing around the individual, we are pioneering a new approach to total health that puts people at the heart.


We strive to promote and sustain a culture of diversity, inclusion and belonging every day. CVS Health is an equal opportunity and affirmative action employer. We do not discriminate in recruiting, hiring or promotion based on race, ethnicity, sex/gender, sexual orientation, gender identity or expression, age, disability or protected veteran status or on any other basis or characteristic prohibited by applicable federal, state, or local law. We proudly support and encourage people with military experience (active, veterans, reservists and National Guard) as well as military spouses to apply for CVS Health job opportunities. See Job Description

Scottsdale, Arizona

Continue serving and work with a purpose

As a CVS Health colleague, you'll find career opportunities across the organization and at every stage of your career. More important, your work will have an impactful purpose on someone's life, including your own. Learn more about how you can continue serving on your next mission at CVS Health.

Careers for Veterans and Military Spouses

 

"The military has an ethos that is grounded in purpose-driven service that’s bigger than the individual. The same holds true for us at CVS Health. You can talk to colleagues in any part of our business and they will be able to articulate our company’s purpose. Working here provides an opportunity for service members and military spouses to continue to serve, just in a civvies."

Similar jobs