Pharmacy Audit Analyst

Are you a detail-oriented and analytical individual with a passion for the healthcare industry? Do you have experience in pharmacy auditing and a strong understanding of compliance regulations? If so, UnitedHealth Group is seeking a Pharmacy Audit Analyst to join our team! As a Pharmacy Audit Analyst, you will play a vital role in ensuring the accuracy and integrity of our pharmacy claims data. With your expertise, you will help us identify potential areas for improvement and drive overall operational efficiency. Join us in our mission to help people live healthier lives and make a difference in the world of healthcare.

1. Conduct pharmacy audits to ensure compliance with state and federal regulations.
2. Review and analyze pharmacy claims data for accuracy and integrity.
3. Identify potential areas for improvement and recommend solutions to increase operational efficiency.
4. Collaborate with cross-functional teams to implement audit findings and process improvements.
5. Keep up-to-date with compliance regulations and industry trends related to pharmacy auditing.
6. Communicate audit findings and recommendations to stakeholders and leadership.
7. Develop and maintain audit reports to track and monitor pharmacy audit activities.
8. Participate in external audits and provide support and documentation as needed.
9. Conduct research and analysis to support business decisions related to pharmacy auditing.
10. Train and educate other team members on pharmacy auditing processes and procedures.
11. Identify and escalate potential compliance issues to ensure timely resolution.
12. Maintain accurate and organized records of audit findings and follow-up activities.
13. Collaborate with pharmacy network providers to ensure compliance with contractual agreements.
14. Act as a subject matter expert on pharmacy auditing for internal and external stakeholders.
15. Continuously review and improve audit processes to ensure effectiveness and efficiency.

According to JobzMall, the average salary range for a Pharmacy Audit Analyst in Eden Prairie, MN, USA is $57,000 to $70,000 per year. However, this can vary depending on factors such as experience, education, and specific job duties.

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.