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Remote Pharmacy Claims Auditor — Drive Compliance & Savings

Remote / Online - Candidates ideally in
Broomfield, Broomfield County, Colorado, 80230, USA
Listing for: Prime Therapeutics
Remote/Work from Home position
Listed on 2026-07-30
Job specializations:
  • Healthcare
    Healthcare Compliance
Salary/Wage Range or Industry Benchmark: 34440 - 55104 USD Yearly USD 34440.00 55104.00 YEAR
Job Description & How to Apply Below

Prime Therapeutics is seeking a Pharmacy Claims Auditor to remotely review and audit pharmacy claims, identify waste and non-compliance, and educate network pharmacies. You will analyze large datasets, develop audit samples, verify claims against contracts and policies, and support process improvements.

Responsibilities include identifying high-risk claims, selecting samples strategically, and ensuring accurate reimbursements while maintaining compliance with state and federal regulations.

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