Pharmacy Fraud Program Manager
Remote USARemote (US)manager$73K – $130K
Posted 2 days ago · via Workday
About this role
Job Description A bit about this role: The Pharmacy Fraud Program Manager is a member of the Special Investigations Unit responsible for detecting, validating, and investigating suspected fraudulent activity within the pharmacy benefit — including prescribing, dispensing, and pharmacy claims activity — across a wide range of internal and external data sources. This role centers on rigorous data validation — reconciling, cross-referencing, and stress-testing information drawn from numerous systems to confirm accuracy, surface inconsistencies, and build defensible investigative findings.…
What we'd score you on
reqspace match rubricFive dimensions, recruiter-grade. Upload your resume and we'll generate a written explanation of where you fit and where the gaps are.
1
Skills match
For this role: teams
2
Level fit
This role is manager-level. We check your trajectory against it.
3
Domain experience
Your work in the role's domain matters more than your years total. We weight recent and direct experience.
4
Recency
A skill you used last quarter weighs more than one from five years ago. We grade on recency, not lifetime.
5
Location fit
This role is remote-eligible — we factor in your stated location and time-zone overlap.
Score yourself on this role.
Free · no card · written explanation included
Skills in this role
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teams
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