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Job Title :
Regional Pharmacy Auditor
Job ID :
753355BR
Location :
OH - Work from home
Category :
Audit
Description :
Job Description
As a Regional Pharmacy Auditor, you will be an essential part to the Pharmacy Audit Department in CVS. In this role, you travel throughout multiple states and go onsite to pharmacies to conduct audits of claims billed and educate pharmacies on submitting accurate claims, CVS programs and requirements. Also, as the Regional Pharmacy Auditor, you will analyze claims for FWA trends and report your findings to our offices in Arizona. This is a work-from-home role. The Pharmacy Auditor role provides you with strong growth potential within the department as well as the company.


To be successful in this role, you must have the ability to travel overnight approximately 50 percent of the time. Additionally, you will need to have the ability to travel via car or air, transport a laptop computer to pharmacy locations, and stand for extended periods of time while in pharmacies.


Required Qualifications
- 3+ years related experience in the fields of pharmacy, pharmaceutical industry, or pharmacy regulatory industry
- 2+ years of experience using Excel
- Must be able to travel up to 50% of the time. Travel includes flights, overnight stays, local travel, travel on short notice, and other travel deemed necessary by the company.
- Must possess valid and current driver's license.
- Must possess personal vehicle sufficiently reliable to meet the requirements of the job and is appropriately insured.


Preferred Qualifications
- Candidate will have excellent time management skills with the ability to appropriately schedule audits in advance and book travel in a cost effective manner strongly preferred
- PBM related experience a plus
- Pharmacy experience preferred
- Experience with MS Office, including Excel and Word
- 6 months of experience working in a challenging environment requiring collaboration with multiple stakeholders


Education
Verifiable Bachelor's degree or equivalent experience required

Business Overview
CVS Health, through our unmatched breadth of service offerings, is transforming the delivery of health care services in the U.S. We are an innovative, fast-growing company guided by values that focus on teamwork, integrity and respect for our colleagues and customers. What are we looking for in our colleagues? We seek fresh ideas, new perspectives, a diversity of experiences, and a dedication to service that will help us better meet the needs of the many people and businesses that rely on us each day. As the nation’s largest pharmacy health care provider, we offer a wide range of exciting and fulfilling career opportunities across our three business units – MinuteClinic, pharmacy benefit management (PBM) and retail pharmacy. Our energetic and service-oriented colleagues work hard every day to make a positive difference in the lives of our customers.

CVS Health is an equal opportunity employer. We do not discriminate in hiring or employment against any individual on the basis of race, ethnicity, ancestry, color, religion, sex/gender (including pregnancy), national origin, sexual orientation, gender identity or expression, physical or mental disability, medical condition, age, veteran status, military status, marital status, genetic information, citizenship status, unemployment status, political affiliation, or on any other basis or characteristic prohibited by applicable federal, state or local law. CVS Health will consider qualified job candidates with criminal histories in a manner consistent with federal, state and local laws. CVS Health will not discharge or in any other manner discriminate against any Colleague or applicant for employment because such Colleague or applicant has inquired about, discussed, or disclosed the compensation of the Colleague or applicant or another Colleague or applicant. Furthermore, we comply with the laws and regulations set forth in the following EEO is the Law Poster: EEO IS THE LAW and EEO IS THE LAW SUPPLEMENT

Federal law requires employers to provide reasonable accommodation to qualified individuals with disabilities. If you require assistance to apply for this job, please contact us by clicking EEO AA CVS Health

CVS Health does not require nor expect that applicants disclose their compensation history during the application, interview, and hiring process.

For inquiries related to the application process or technical issues please contact the Kenexa Helpdesk at 1-855-338-5609. For technical issues with the Virtual Job Tryout assessment, contact the Shaker Help Desk at 1-877-987-5352. Please note that we only accept resumes via our corporate website: https://jobs.cvshealth.com/

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Our culture

CVS Health core values of Innovation, Collaboration, Caring, Integrity, and Accountability not only support our purpose of helping people on their path to better health for our customers and patients, but they also apply to how we support our more than 250,000 colleagues. You will find our culture at CVS Health, and our leaders encourage personal and professional growth.

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