Pharmacy Audit Analyst

At UnitedHealth Group, we are looking for a Pharmacy Audit Analyst to join our dynamic team. This position will be responsible for evaluating pharmacy-related claims and determining compliance with applicable regulations. Our ideal candidate will have a background in pharmacy administration, auditing, or compliance and a passion for ensuring accurate and timely payment of claims.The successful candidate will be highly organized and detail-oriented, with strong analytical and problem-solving skills. A positive attitude and the ability to work independently and collaborate with other departments is essential. The ideal candidate will also have excellent written and verbal communication skills and be comfortable working with data in a variety of formats.If this position sounds like a great match for your qualifications and experience, we encourage you to apply today!

Responsibilities:

1. Evaluate pharmacy-related claims to ensure compliance with applicable regulations.
2. Utilize analytical and problem-solving skills to identify discrepancies and inaccuracies.
3. Monitor and audit pharmacy-related claims for accuracy and timeliness of payment.
4. Maintain detailed records of all pharmacy audits and make necessary adjustments.
5. Collaborate with other departments to ensure compliance with policies and procedures.
6. Prepare reports and presentations to present audit results.
7. Ensure accuracy of data in a variety of formats.
8. Provide feedback to pharmacy staff on areas of improvement and best practices.
9. Proactively identify and address any potential compliance issues.
10. Remain up-to-date on pharmacy laws and regulations.

According to JobzMall, the average salary range for a Pharmacy Audit Analyst in La Palma, CA, USA is $35,000 to $65,000 per year. This range may vary depending on the employer, experience, and other qualifications that the applicant may have.

UnitedHealth Group Incorporated is an American for-profit managed health care company based in Minnetonka, Minnesota. UnitedHealth Group, Inc. provides health care coverage, software and data consultancy services. It operates through the following segments: UnitedHealthcare, OptumHealth, OptumInsight, and OptumRx. The UnitedHealthcare segment utilizes Optum's capabilities to help coordinate patient care, improve affordability of medical care, analyze cost trends, manage pharmacy benefits, work with care providers more effectively, and create a simpler consumer experience.