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Pharmacy Internal Auditor

Conduct audits of pharmacy operational processes to ensure compliance and quality standards.
Remote
Mid-Level
1 week ago
Elevance Health

Elevance Health

Elevance Health is a health insurance provider offering a range of healthcare services and insurance plans.

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✨ About The Role

- The Pharmacy Internal Auditor will evaluate the quality of services provided by CarelonRx pharmacies. - Responsibilities include participating in audits of pharmacy operational processes, claims processing, and customer inquiries. - The role involves analyzing data and assessing risks to minimize exposure and mitigate potential issues. - The auditor will act as a mentor to peer auditors and provide training as necessary. - Travel to various sites may be required to oversee the implementation of new processes and conduct audits.

âš¡ Requirements

- The ideal candidate will have a bachelor's degree and at least three years of relevant experience in enrollment and billing, claims processing, or customer service. - Strong analytical skills are essential for interpreting data and making informed recommendations for process improvements. - The candidate should possess excellent communication skills to effectively consult with management and provide training to peers. - Experience in auditing multiple lines of business and functions will be beneficial for this role. - A proactive approach to identifying risks and developing solutions will contribute to the success of the candidate in this position.
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Pharmacy Internal Auditor
Remote
Registered Nurse
About Elevance Health
Elevance Health is a health insurance provider offering a range of healthcare services and insurance plans.