Top 37 Pharmacy audit pbm Jobs in Remote

Auditor of Pharmacy Benefit Management - Remote
Gallagher Benefit Services —Rolling Meadows, IL
- $67,500 - $131,500 a year
- Full-time
- Remote
- Bachelor of Science
- HIPAA
- Mid-level
- Paid parental leave
- Health savings account
Claims Auditor
RiteChoice Rx —Remote
- Full-time
- Remote
- Mid-level
- Continuous improvement
- Travel
- Health insurance
- Dental insurance
Quick Apply
Principal Pharmacy Analytics Lead
Lumeris —Remote
- $133,200 - $180,900 a year
- Full-time
- Remote
- 7 years
- Computer Science
- SQL
- Health savings account
- Disability insurance
Pharmacy Contracting Executive – PBM and Pharmacy Services
Centerwell —Remote
- $86,300 - $118,700 a year
- Full-time
- Remote
- 6 years
- Master's degree
- Analysis skills
- Paid parental leave
- Paid holidays
2d
Program Manager - Pharmacy Supply Chain - (Remote)
CareFirst BlueCross BlueShield —Baltimore, MD
- $106,632 - $211,783 a year
- Full-time
- Remote
- Master's degree
- Analysis skills
- Bachelor's degree
- 401(k)
Quick Apply
Pharmacy Clinical Consulting Senior Advisor - Cigna - Remote (Nashville, TN area)
The Cigna Group —Nashville, TN
- $123,400 - $205,600 a year
- Online Application
- Remote
- Up to 50% travel
- 5 years
- Travel
- Paid holidays
- Health insurance
Pharmacy Benefits QA Analyst
SmithRx —Plano, TX
- Remote
- Mid-level
- Analysis skills
- Bachelor's degree
- Commuter assistance
- Paid parental leave
Quick Apply
Director of Audit - Synergie (Remote)
Blue Cross Blue Shield Association —Chicago, IL
- $150,000 - $200,000 a year
- Full-time
- Remote
- 3 years
- Master's degree
- Bachelor's degree
- Paid holidays
- Health insurance
Pharmacy Technician Front End (PA)
Walgreens —Remote
- Call employer
- Remote
- Computer literacy
- Mid-level
- Windows
8d
Sr. PBM Client Implementation Project Manager - Remote
Optum —Costa Mesa, CA
- $91,700 - $163,700 a year
- Full-time
- Remote
- Microsoft Excel
- Microsoft Outlook
- Pass drug screening
Quick Apply
9d
Pharmacy Technician Front End (TX)
Walgreens —Remote
- Call employer
- Remote
- Computer literacy
- Mid-level
- Windows
8d
Pharmacy Technician Front End (FL)
Walgreens —Remote
- Call employer
- Remote
- Computer literacy
- Mid-level
- Windows
8d
Pharmacy Contract Negotiator Senior
Wellspan Health —York, PA
- Full-time
- Remote
- 5 years
- Research
- Finance
- Paid parental leave
- Health insurance
Compliance Analyst - Corrections
SmithRx —Lehi, UT
- $107,100 - $126,000 a year
- Full-time
- Remote
- Mid-level
- Bachelor's degree
- Ability to sit for extended periods
- Commuter assistance
- Paid parental leave
Quick Apply
7d
Pharmacy Technician Front End (MI)
Walgreens —Remote
- Call employer
- Remote
- Computer literacy
- Mid-level
- Windows
8d
Margin Specialist / Remote
Amerita —Englewood, CO
- $55,000 - $60,000 a year
- Full-time
- Remote
- 7 years
- Mid-level
- Analysis skills
- Disability insurance
- Dental insurance
10h
Assoc. Director - Pharmacy Outcomes & Implementations
University of Miami —Miami, FL
- Full-time
- Remote
- 7 years
- Contracts
- Senior level
- Health insurance
- Dental insurance
Account Executive - Cigna Pharmacy - Remote
The Cigna Group —Houston, TX
- Online Application
- Remote
- Analysis skills
- Bachelor's degree
- Travel
Billing and Accounts Receivables Quality Manager
True Rx Health Strategists —Washington, IN
- Remote
- 5 years
- Office
- Finance
- Wellness program
- Health savings account
Payor Contracts Manager
Omnicell —Grapevine, TX
- $100,000 - $175,000 a year
- Remote
- Microsoft Excel
- 5 years
- Analysis skills
9d

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Auditor of Pharmacy Benefit Management - Remote

Gallagher Benefit Services -
Rolling Meadows, IL

Apply Now

Job Details

Full-time
$67,500 - $131,500 a year

Benefits

Paid parental leave
Health savings account
Dental insurance
401(k)
Flexible spending account
Matching gift program
Parental leave
Vision insurance
Flexible schedule

Qualifications

Performance dashboard reports
Dashboard development
Risk-based auditing
Customer relationship building
Health data analysis
Predictive modeling analysis
Audit report preparation
Bachelor of Science
Dashboard creation support
HIPAA
Mid-level
Client relationship development
Pharmacy technician experience
Healthcare regulatory compliance investigations
3 years
Audit Reporting
Bachelor's degree
Continuous improvement
Client management
Healthcare billing investigations
Health information regulatory compliance
Healthcare fraud detection compliance audits
Audit risk assessments
Managing projects
Operational excellence initiatives
Business operations
Insurance claims auditing
Insurance claims fraud prevention
Project Development
Risk & issue management

Full Job Description

Introduction

At Gallagher Benefit Services, you’re a trusted partner to organizations navigating some of their most important people decisions. We help clients build better workplaces, where people feel supported, empowered, and inspired to thrive. Whether it’s shaping benefit strategies, designing wellbeing programs, or advising on workforce challenges, the work you do here creates meaningful change for businesses and the people who power them. We’re a community of bold explorers, trusted experts, and compassionate partners; working side by side to solve problems, and shape the future of work. Here, curiosity is encouraged, collaboration is second nature, and your ideas have room to grow. If you’re looking for a place where your contribution matters and where you can help build a better world of work; think of Gallagher.

How you'll make an impact

Job Summary:

Responsible for leading complex pharmacy claim audits, ensuring compliance with client-specific requirements, and delivering advanced data analysis to identify trends, risks, and opportunities for improvement. This role involves managing high-risk audits, investigating fraud or discrepancies, and presenting comprehensive reports with actionable recommendations. The Auditor provides strategic insights through advanced data analysis, predictive modeling, and the development of sophisticated dashboards to support client decision-making and cost-saving initiatives. Acting as a trusted advisor, this role manages senior-level client relationships, leads discussions on audit findings, and collaborates on customized strategies to optimize pharmacy operations. Additionally, the position includes reviewing deliverables, and driving team projects to enhance audit processes and tools. With expertise in regulatory compliance, including HIPAA, the Auditor ensures adherence to industry standards and provides guidance to clients and internal teams. This role also focuses on continuous improvement, innovation, and strategic initiatives to enhance client satisfaction, operational efficiency, and risk management.

About You

B.S. degree

3-5 years experience

Experience as a Pharmacy Tech and project managment within PBM ideal

Compensation and benefits

We offer a competitive and comprehensive compensation package. The base salary range represents the anticipated low end and high end of the range for this position. The actual compensation will be influenced by a wide range of factors including, but not limited to previous experience, education, pay market/geography, complexity or scope, specialized skill set, lines of business/practice area, supply/demand, and scheduled hours. On top of a competitive salary, great teams and exciting career opportunities, we also offer a wide range of benefits.

Below are the minimum core benefits you’ll get, depending on your job level these benefits may improve:

Medical/dental/vision plans, which start from day one!
Life and accident insurance
401(K) and Roth options
Tax-advantaged accounts (HSA, FSA)
Educational expense reimbursement
Paid parental leave

Other benefits include:

Digital mental health services (Talkspace)
Flexible work hours (availability varies by office and job function)
Training programs
Gallagher Thrive program – elevating your health through challenges, workshops and digital fitness programs for your overall wellbeing
Charitable matching gift program
And more...

**The benefits summary above applies to fulltime positions. If you are not applying for a fulltime position, details about benefits will be provided during the selection process.

We value inclusion and diversity

Click Here to review our U.S. Eligibility Requirements

Inclusion and diversity (I&D) is a core part of our business, and it’s embedded into the fabric of our organization. For more than 95 years, Gallagher has led with a commitment to sustainability and to support the communities where we live and work.

Gallagher embraces our employees’ diverse identities, experiences and talents, allowing us to better serve our clients and communities. We see inclusion as a conscious commitment and diversity as a vital strength. By embracing diversity in all its forms, we live out The Gallagher Way to its fullest.

Gallagher believes that all persons are entitled to equal employment opportunity and prohibits any form of discrimination by its managers, employees, vendors or customers based on race, color, religion, creed, gender (including pregnancy status), sexual orientation, gender identity (which includes transgender and other gender non-conforming individuals), gender expression, hair expression, marital status, parental status, age, national origin, ancestry, disability, medical condition, genetic information, veteran or military status, citizenship status, or any other characteristic protected (herein referred to as “protected characteristics”) by applicable federal, state, or local laws.

Equal employment opportunity will be extended in all aspects of the employer-employee relationship, including, but not limited to, recruitment, hiring, training, promotion, transfer, demotion, compensation, benefits, layoff, and termination. In addition, Gallagher will make reasonable accommodations to known physical or mental limitations of an otherwise qualified person with a disability, unless the accommodation would impose an undue hardship on the operation of our business.

Apply Now

Refine Your Search

pharmacy audit pbm jobs in remote

Auditor of Pharmacy Benefit Management - Remote

Claims Auditor

Principal Pharmacy Analytics Lead

Pharmacy Contracting Executive – PBM and Pharmacy Services

Program Manager - Pharmacy Supply Chain - (Remote)

Pharmacy Clinical Consulting Senior Advisor - Cigna - Remote (Nashville, TN area)

Pharmacy Benefits QA Analyst

Director of Audit - Synergie (Remote)

Pharmacy Technician Front End (PA)

Sr. PBM Client Implementation Project Manager - Remote

Pharmacy Technician Front End (TX)

Pharmacy Technician Front End (FL)

Pharmacy Contract Negotiator Senior

Compliance Analyst - Corrections

Pharmacy Technician Front End (MI)

Margin Specialist / Remote

Assoc. Director - Pharmacy Outcomes & Implementations

Account Executive - Cigna Pharmacy - Remote

Billing and Accounts Receivables Quality Manager

Payor Contracts Manager

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