Integrity Auditor (Pharmacy Call Center)

Taguig Cityonsite

Posted today · via Workday

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About this role

Pharmacy Integrity Auditor Job Description Summary Role Responsibilities This individual will report to the program integrity Associate Manager and act as a shared resource in collaboration with various program teams to review both chain and independent pharmacy audit requests. Principal Accountabilities: • Responsible for conducting pharmacy claims audits at the request of operations and management teams. May leverage health care providers, medical facilities, various billing portals, and contracting teams, as necessary. • Responsible for collaboration with pharmacy facilities to acquire and review documentation necessary for assessing and validating compliance of claims against program business rules.…

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