Clinical Inpatient Pharmacy Technician - Audit & Review

Work from home within Oregon, Washington, Idaho or Utah

Build a career with purpose. Join our Cause to create a person-focused and economically sustainable health care system.

Every day, Cambia’s dedicated team of Clinical Inpatient Pharmacy Technicians are living our mission to make health care easier and lives better. As a member of the Post Service Claim Review team, our Clinical Inpatient Pharmacy Technicians conducts post-service audits to ensure billing accuracy, analyzes billings for consistency with medical records and reimbursement policies, and performs projects as requested by supervisors – all in service of making our members’ health journeys easier.

Do you have a passion for pharmaceutical knowledge and ensuring billing accuracy through detailed post-service audits? Do you thrive in analyzing complex medical records and coordinating workflow activities as part of a quality-focused team? Then, this role may be the perfect fit.

• Certification as a Pharmacy Technician
• 2 years of experience in hospital or residential treatment facility
• 3 years of health insurance claims experience or analytical experience
• Equivalent combination of education and experience may be considered
• Payment review or coding experience is a plus

• Demonstrated competency in claim review and experience with billing and claims forms
• In-depth knowledge of drugs and pharmaceuticals, including IV fluids and off-label medication uses
• Strong problem-solving skills and demonstrated initiative
• Ability to consistently meet productivity and quality standards with minimal support
• Capability to work in fast-paced, multi-tasking environment with changing priorities
• Effective oral and written communication skills with healthcare documentation familiarity
• General computer skills including Microsoft Office, Outlook, and Internet search

• Prioritize work and coordinate activities to ensure timely record reviews and audits
• Analyze billings to verify charges align with medical records and reimbursement policies
• Evaluate and interpret drug administration and treatment information when needed
• Ensure all work meets corporate standards and complies with federal, state, and accreditation regulations
• Maintain organized reference documents and follow established policies and procedures
• Meet production requirements and quality standards for all assigned work
• Support department efficiency through flexibility and cross-training on various functions

Pay ranges vary based on the candidate's work location. The expected hiring range depends on skills, experience, education, and training; relevant licensure / certifications; and performance history.

• Oregon, Washington, Utah, and Idaho:
  The expected hiring range is $30.30 - $40.90 an hour, the full salary range is $28.40 - $46.30 an hour and the bonus target is 10%.

Working at Cambia means being part of a purpose-driven, award-winning culture built on trust and innovation anchored in our 100+ year history. Our caring and supportive colleagues are some of the best and brightest in the industry, innovating together toward sustainable, person-focused health care. Whether we're helping members, lending a hand to a colleague or volunteering in our communities, our compassion, empathy and team spirit always shine through.

• Work alongside diverse teams building cutting-edge solutions to transform health care.
• Earn a competitive salary and enjoy generous benefits while doing work that changes lives.
• Grow your career with a company committed to helping you succeed.
• Give back to your community by participating in Cambia-supported outreach programs.
• Connect with colleagues who share similar interests and backgrounds through our employee resource groups

We believe a career at Cambia is more than just a paycheck – and your compensation should be too. Our compensation package includes competitive base pay as well as a market-leading 401(k) with a significant company match, bonus opportunities and more.

• Medical, dental and vision coverage for employees and their eligible…