Top 39 Pharmacy audit Jobs in California

Pharmacy Part D Auditor
Clever Care Health Plan —Huntington Beach, CA
- $80,000 - $90,000 a year
- Full-time
- Hybrid work
- Background check
- Bachelor of Science
- Mid-level
PACE Clinical Consultant Pharmacist (Korean/English fluent) - Los Angeles, CA
Grane Rx —Los Angeles, CA
- Full-time
- Customer service
- Computer literacy
- Bachelor of Science
Temp Pharmacy Coordinator
Santa Clara Family Health Plan —San Jose, CA
- $61,554 - $89,253 a year
- Temporary
- Microsoft Outlook
- Writing skills
- Mid-level
Sr. Director, Pharmacy - Prior Authorization & Call Center
Blue Shield of California —Oakland, CA
- $212,630 - $318,890 a year
- Full-time
- Hybrid work
- Background check
- 6 years
- Pass drug screening
- Work from home
Regulatory Affairs Coordinator
Abbott Laboratories —Sylmar, CA
- $24.65 - $49.35 an hour
- Full-time
- Research
- Mid-level
- Office
- Health insurance
- Tuition reimbursement
Community Pharmacy Supervisor
UCLA Health —Los Angeles, CA
- $150,200 - $355,400 a year
- Full-time
- 5 years
- Outpatient experience
- Senior level
- Opportunities for advancement
Pharmacy Tech-340B Program Analyst
Kaweah Health —Visalia, CA
- $25.28 - $37.92 an hour
- 8 hour shift
- LVN
- Mid-level
- High school diploma or GED
Drug Utilization Management Specialist - Pharmacy 500P (Full-Time, 8-Hour Day Shifts)
Stanford Health Care —Palo Alto, CA
- $83.98 - $111.27 an hour
- 8 hour shift
- 5 years
- Analysis skills
- Supervising experience
Quality Manager
AmeriPharma —Laguna Hills, CA
- $95,000 - $114,000 a year
- Full-time
- Nursing
- Microsoft Outlook
- Databases
- Health insurance
- Dental insurance
Quick Apply
Director Clinical Pharmacy - 340B Program
Providence —Irvine, CA
- $123.14 - $200.63 a day
- Full-time
- Hybrid work
- Travel
- Fair chance
- Senior level
- Paid parental leave
- Paid holidays
Pharmacist
AHMC Healthcare —Whittier, CA
- From $64 an hour
- PALS Certification
- Hospital
- Bachelor of Science
9d
Associate Service Chief - Pharmacy Primary Care & Specialty Clinic Services
US Veterans Health Administration —Palo Alto, CA
- $209,520 - $228,000 a year
- Online Application
- Acute care
- Background check
- Bachelor of Science
- Loan repayment program
3d
REMOTE Utilization Management Pharmacist, Oncology
Starling Oncology —Cerritos, CA
- $144,000 - $170,000 a year
- Computer skills
- Senior level
- Communication skills
Quick Apply
3d
Payroll & HR Compliance Specialist
Valor Compounding Pharmacy, Inc. —Berkeley, CA
- $40 - $45 an hour
- Full-time
- Microsoft Excel
- Mid-level
- Office
- Profit sharing
- AD&D insurance
Quick Apply
1d
Account Manager- Healthcare Mkts (Pharmacy Benefit Management)
RxBenefits, Inc. —California
- $56,800 - $71,000 a year
- Full-time
- Remote
- Microsoft Excel
- Microsoft Outlook
- Mid-level
- Disability insurance
- Health insurance
Quick Apply
7d
Pharmacy Tech I
Pioneers Memorial Healthcare District —Brawley, CA
- Part-time
- CPR Certification
- Hospital
- BLS Certification
Quick Apply
Quality Assurance LVN
Apex Infusion Pharmacy —Signal Hill, CA
- $40 an hour
- Full-time
- Nursing
- LVN
- Mid-level
- Health savings account
- Health insurance
Quick Apply
6d
Pharmacist
Oncare Pharmacy —West Hollywood, CA
- $65 - $75 an hour
- 8 hour shift
- Mid-level
- In-person
- Communication skills
- Health insurance
- 401(k)
Quick Apply
Clinical Pharmacist Lead
Stanford Health Care Tri-Valley —Pleasanton, CA
- $75.21 - $100.96 an hour
- Full-time
- Hospital
- BLS Certification
- 3 years
Staff Pharmacist (Per Diem)
Advantage Healthcare Services —Rancho Cucamonga, CA
- $55.38 - $76.15 an hour
- Weekends as needed
- Hospital
- Customer service
- Clinic
- Health insurance
- Dental insurance
Quick Apply

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pharmacy audit jobs near california

Pharmacy Part D Auditor

Clever Care Health Plan -
Huntington Beach, CA

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Job Details

Full-time
$80,000 - $90,000 a year

Qualifications

Regulatory compliance evaluation
Medicare
CMS
CMS regulatory compliance
Bachelor's degree
Medicare regulations
Medication therapy management (MTM)

Full Job Description

This position operates on a hybrid work schedule. Candidate must reside in Los Angeles or Orange County.

Are you ready to make a lasting impact and transform the healthcare space? We are one of Southern California’s fastest-growing Medicare Advantage plans with an incredible 112% year-over-year membership growth.

Who Are We? ✨

Clever Care was created to meet the unique needs of the diverse communities we serve. Our innovative benefit plans combine Western medicine with holistic Eastern practices, offering benefits that align with our members’ culture and values.

Why Join Us?

We’re on a mission! Our rapid growth reflects our commitment to making healthcare accessible for underserved communities. At Clever Care, you’ll have the opportunity to make a real difference, shape the future of healthcare, and be part of a fast-moving, game-changing organization that celebrates diversity and innovation.

Job Summary

The Pharmacy Part D Oversight Auditor owns independent auditing and monitoring of Part D clinical compliance: CDAG (coverage determinations, exceptions, redeterminations), MTM program elements (targeting, CMR/TMR), and delegated PBM controls; ensures timeliness, accuracy, and member impact remediation are documented and audit-ready.

Functions & Job Responsibilities

Audit coverage determinations and redeterminations timeliness, notice content, exceptions processing, and effectuation under Part 423 Subpart M.
Validate MTM targeting criteria, Comprehensive and Targeted Medication Review (CMR/TMR) completion, and annual CMS submission/attestation compliance under §423.153 and current year guidance.
Monitor delegated PBM and pharmacy FDRs for adherence to plan policy and CMS requirements; track corrective actions consistent with delegation oversight duties.
Coordinate with UM/Part C on benefit coordination issues (e.g., B vs D drug coverage boundaries) affecting member access and appeals.
Prepare CDAG/MTM dashboards and Board-level reporting

Required Qualifications

Bachelor of Science in Pharmacy
3–5+ years Part D operations/compliance auditing.
Proficiency with 42 C.F.R. Part 423 Subparts D & M and current MTM expectations

Deep knowledge of:

CMS Program Audit (CDAG, FA, CPE)
Delegation oversight principles and evidence requirements
Part D regulatory structure and operational requirements

Preferred Qualifications

PharmD or Registered Pharmacist (RPh) preferred
SNP experience strongly preferred

Wage Range: $80,000 to $90,000 per year

Physical & Working Environment.

Physical requirements needed to perform the essential functions of the job, with or without reasonable accommodation:

Must be able to travel when needed or required
Ability to operate a keyboard, mouse, phone and perform repetitive motion (keyboard); writing (note-taking)
Ability to sit for long periods; stand, sit, reach, bend, lift up to fifteen (15) lbs.

Ability to express or exchange ideas to impart information to the public and to convey detailed instructions to staff accurately and quickly.

Work is performed in an office environment and/or remotely. The job involves frequent contact with staff and the public. May occasionally be required to work irregular hours based on the needs of the business.

Leadership Expectations

By way of leadership approach, mobilize others to create extraordinary results, and unite people to turn challenges into successes by championing the following:

1. Model the Way:

Clarify values by finding your voice and affirming shared values
Set the example by aligning actions with shared values

2. Inspire a Shared Vision

Envision the future by imagining exciting and ennobling possibilities
Enlist others in a common vision by appealing to shared aspirations

3. Challenge the Process

Search for opportunities by seizing the initiative and looking outward for innovative ways to improve
Experiment and take risks by consistently generating small wins and learning from experience

4. Enable Others to Act

Foster collaboration by building trust and facilitating relationships
Strengthen others by increasing self-determination and developing competence

5. Encourage the Heart

Recognize contributions by showing appreciation for individual excellence
Celebrate the values and victories by creating a spirit of community

Clever Care Health Plan is proud to be an Equal Employment Opportunity and Affirmative Action workplace. Individuals seeking employment will receive consideration for employment without regard to race, color, national origin, religion, age, sex (including pregnancy, childbirth or related medical conditions), sexual orientation, gender perception or identity, age, marital status, disability, protected veteran status or any other status protected by law. A background check is required.

Salary ranges posted on the job posting are based on California wages. Salary may be higher or lower depending on the candidate’s state residency.

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Refine Your Search

pharmacy audit jobs in california

Pharmacy Part D Auditor

PACE Clinical Consultant Pharmacist (Korean/English fluent) - Los Angeles, CA

Temp Pharmacy Coordinator

Sr. Director, Pharmacy - Prior Authorization & Call Center

Regulatory Affairs Coordinator

Community Pharmacy Supervisor

Pharmacy Tech-340B Program Analyst

Drug Utilization Management Specialist - Pharmacy 500P (Full-Time, 8-Hour Day Shifts)

Quality Manager

Director Clinical Pharmacy - 340B Program

Pharmacist

Associate Service Chief - Pharmacy Primary Care & Specialty Clinic Services

REMOTE Utilization Management Pharmacist, Oncology

Payroll & HR Compliance Specialist

Account Manager- Healthcare Mkts (Pharmacy Benefit Management)

Pharmacy Tech I

Quality Assurance LVN

Pharmacist

Clinical Pharmacist Lead

Staff Pharmacist (Per Diem)

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