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Remote Pharmacy Claims Auditor: Compliance & Reimbursement
Remote / Online - Candidates ideally in
Williston, Williams County, North Dakota, 58801, USA
Listed on 2026-08-02
Williston, Williams County, North Dakota, 58801, USA
Listing for:
Prime Therapeutics
Remote/Work from Home
position Listed on 2026-08-02
Job specializations:
-
Healthcare
Healthcare Compliance
Job Description & How to Apply Below
Prime Therapeutics seeks a Pharmacy Claims Auditor to identify waste and ensure contract compliance across the pharmacy network. The role involves researching, analyzing and compiling supporting information, and supporting audit projects to drive value for Prime and clients.
The incumbent will analyze large data sets, select audit samples by risk, evaluate claims against contracts and policies, and educate pharmacies on documentation standards to ensure accurate reimbursements and improved
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