About the Company
CVS Health is a leading American healthcare company that owns CVS Pharmacy, a retail pharmacy chain, CVS Caremark, a pharmacy benefits manager, and Aetna, a health insurance provider, among many other brands. We are committed to helping people on their path to better health, offering a wide range of services from prescriptions to health and wellness products, and innovative healthcare solutions.
Job Description
We are seeking a highly detail-oriented and meticulous Pharmacy Auditing Clerk to join our team. This fully remote position is critical for ensuring the accuracy and compliance of pharmacy claims and transactions. The ideal candidate will possess exceptional attention to detail, strong analytical skills, and a commitment to maintaining the highest standards of data integrity. You will be responsible for reviewing pharmacy records, identifying discrepancies, and ensuring all documentation adheres to regulatory and company guidelines.
Key Responsibilities
- Conduct thorough audits of pharmacy claims, prescriptions, and related documentation for accuracy and compliance.
- Identify and investigate discrepancies in billing, coding, and record-keeping.
- Reconcile audit findings with internal systems and external records.
- Prepare detailed audit reports and summaries of findings.
- Collaborate with pharmacists, technicians, and other staff to resolve audit issues and implement corrective actions.
- Stay informed about relevant pharmacy regulations, policies, and best practices.
- Maintain strict confidentiality of patient information and sensitive data.
- Perform data entry and administrative tasks as needed to support auditing functions.
Required Skills
- Exceptional attention to detail and accuracy.
- Strong analytical and problem-solving skills.
- Proficiency in Microsoft Office Suite (Excel, Word, Outlook).
- Excellent written and verbal communication skills.
- Ability to work independently and manage time effectively in a remote environment.
- Demonstrated ability to handle confidential information with discretion.
Preferred Qualifications
- Previous experience in a pharmacy setting (retail, hospital, or PBM).
- Familiarity with medical terminology and pharmaceutical claims processing.
- Associate's degree in a related field or equivalent work experience.
- Pharmacy Technician certification (CPhT).
Perks & Benefits
- Comprehensive health, dental, and vision insurance.
- Paid time off and company holidays.
- 401(k) retirement plan with company match.
- Employee assistance program.
- Opportunities for professional development and career growth.
- Flexible work arrangements for remote employees.
How to Apply
If you are interested in this position, please click the "Apply Now" button below. To ensure your application is properly considered, please prepare the following:
- An up-to-date Resume or CV
- A brief cover letter summarizing your experience and motivation
Applications are reviewed on a rolling basis. Only shortlisted candidates will be contacted for an interview.
⚠️ Important Disclaimer
Welcome to Westford Trust. We publish job opportunities aggregated from public sources, employers, and job portals. We never charge any fees to access or use our website; all information is provided entirely for free.
Westford Trust does not directly offer or manage these positions, nor are we directly involved in the hiring process for the vacancies published on https://jobs.westfordtrust.com.
If you suspect a fraudulent listing or have any questions, please contact us at techturna@gmail.com.