Prime Therapeutics
Harrisburg, PA, USA
At Prime Therapeutics (Prime), we are a different kind of PBM, with a purpose beyond profits and a unique ability to connect care for those we serve. Looking for a purpose-driven career? Come build the future of pharmacy with us. Job Posting Title Pharmacy Claims Auditor - Remote Job Description The Pharmacy Claims Auditor is responsible for identifying and evaluating potential waste and compliance through the pharmacy audit process and educating Prime's network pharmacies and driving contract compliance. This position will research, analyze and compile supporting information. This role will also execute and support audit-related projects, best practices in identifying audit trends, and business value opportunities for Prime and our clients. Responsibilities Conduct in-depth analysis of large datasets and audit findings to detect high-risk pharmacy claims, identify billing irregularities, and uncover patters of non-compliance or systemic errors...


