Pharmacy Benefit Management (PBM) • Health Business Intelligence • Health Information Technology (HIT) • Medicare • Medicaid
501 - 1000
October 29
Pharmacy Benefit Management (PBM) • Health Business Intelligence • Health Information Technology (HIT) • Medicare • Medicaid
501 - 1000
• Ensuring compliance with federal/state requirements as a Senior Compliance Auditor. • Managing audit activities and evaluating compliance controls.
• Bachelor’s or Master’s degree in relevant field (or equivalent work experience) • 6+ years of experience in Medicare Part D Compliance or Audits. • Experience in PBM Operations. • Experience executing audits for CMS regulations and Part D requirements. • Strong collaboration skills with stakeholders. • Problem-solving and negotiation skills within a regulatory context. • Excellent communication skills.
• Flexible hybrid work model requiring certain on-site workdays in Puerto Rico.
Apply NowOctober 29
1001 - 5000
Lead inpatient hospital audits for billing and coding at Horizon BCBSNJ.
October 29
1001 - 5000
Audits financial data for Co-op Solutions, a credit union service organization.
October 26
5001 - 10000
Remote Auditor at ReSource Pro conducting virtual audits for insurance companies.