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Remote Pharmacy Claims Audit Specialist
Remote / Online - Candidates ideally in
Westerly, Washington County, Rhode Island, 02891, USA
Listed on 2026-07-31
Westerly, Washington County, Rhode Island, 02891, USA
Listing for:
Prime Therapeutics
Remote/Work from Home
position Listed on 2026-07-31
Job specializations:
-
Healthcare
Healthcare Compliance
Job Description & How to Apply Below
Prime Therapeutics is seeking a Pharmacy Claims Auditor remotely to identify waste and ensure compliance within the pharmacy audit process. You will research, analyze large datasets, and communicate findings to drive contract adherence for Prime and its clients.
The role emphasizes audits, sampling strategies, and partnering with pharmacies to improve documentation and reimbursement while maintaining strict regulatory standards and accuracy in claim evaluation.
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