Pharmacist – Claims Auditor/Reviewer (Part-Time)
Are you a detail-oriented and experienced pharmacist looking for a flexible part-time role? Join our team at Conduent as a Claims Auditor/Reviewer and use your knowledge and expertise to ensure the accuracy and compliance of prescription claims. As a trusted member of our team, you will play a vital role in improving the quality of healthcare for our clients and their patients. We are seeking a driven individual with strong communication and analytical skills, as well as a passion for delivering exceptional customer service. If you are ready to take on a new challenge and make a positive impact in the healthcare industry, we would love to hear from you.
Conduct thorough and accurate audits of prescription claims to ensure compliance with company policies and industry regulations.
Identify and resolve any discrepancies or errors in prescription claims, utilizing knowledge of pharmacy operations and procedures.
Communicate findings and recommendations to clients and internal teams in a clear and professional manner.
Collaborate with other team members to develop and implement effective processes and procedures for claims review and auditing.
Maintain up-to-date knowledge of industry regulations and changes in medication guidelines.
Provide exceptional customer service to clients and patients, answering any questions or concerns regarding prescription claims.
Utilize analytical skills to identify trends and patterns in claims data, and make recommendations for improvement.
Adhere to strict confidentiality and security protocols to protect sensitive patient information.
Act as a resource and mentor for junior team members, providing guidance and support as needed.
Flexibly manage workload and prioritize tasks to meet deadlines and ensure timely completion of audits and reviews.
Conduent is an Equal Opportunity Employer. We celebrate diversity and are committed to creating an inclusive environment for all employees. We do not discriminate based upon race, religion, color, national origin, sex, sexual orientation, gender identity, age, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics.
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Conduct thorough and accurate audits of prescription claims to ensure compliance with company policies and industry regulations.
Identify and resolve any discrepancies or errors in prescription claims, utilizing knowledge of pharmacy operations and procedures.
Communicate findings and recommendations to clients and internal teams in a clear and professional manner.
Collaborate with other team members to develop and implement effective processes and procedures for claims review and auditing.
Maintain up-to-date knowledge of industry regulations and changes in medication guidelines.
Provide exceptional customer service to clients and patients, answering any questions or concerns regarding prescription claims.
Utilize analytical skills to identify trends and patterns in claims data, and make recommendations for improvement.
Adhere to strict confidentiality and security protocols to protect sensitive patient information.
Act as a resource and mentor for junior team members, providing guidance and support as needed.
Flexibly manage workload and prioritize tasks to meet deadlines and ensure timely completion of audits and reviews.
Conduent is an Equal Opportunity Employer. We celebrate diversity and are committed to creating an inclusive environment for all employees. We do not discriminate based upon race, religion, color, national origin, sex, sexual orientation, gender identity, age, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics.
Apply tot his job
Apply To this Job