Top 34 Pharmacy specialist Jobs in Remote

Pharmacy Benefit Auditor Specialist
Brown & Brown —Remote
- $80,000 - $90,000 a year
- Full-time
- Mid-level
- 3 years
- Associate's degree
- Employee stock purchase plan
- Paid holidays
14h
Care Specialist
Mixlab —Remote
- $22 - $24 an hour
- Full-time
- Remote
- High school diploma or GED
- Bachelor's degree
- 2 years
- Commuter assistance
- Health savings account
Quick Apply
Pharmacy Refill Specialist
Harbor Health —Remote
- Full-time
- Spanish
- Microsoft Excel
- 5 years
- Paid holidays
- Health insurance
Quick Apply
1d
Pharmacist - Pharmacy Business Integration Specialist
Software Technology Inc —Remote
- Research
- Senior level
Quick Apply
Authorization Specialist II - CarepathRx - Remote
The Cigna Group —Remote
- $19 - $29 an hour
- Online Application
- Remote
- Customer service
- Mid-level
- High school diploma or GED
- Paid holidays
- Health insurance
15h
Senior Specialist, Pharmacy Systems Operations - Remote
EmblemHealth —New York, NY
- $68,040 - $118,800 a year
- Remote
- Oracle
- Microsoft Outlook
- Mid-level
Implementation Specialist, Customer Training, Pharmacy Automation
Westminster, CO —Remote
- $63,000 - $75,000 a year
- 5 years
- Computer literacy
- In-person
- Health insurance
- Dental insurance
Reconciliation Specialist
AlignRx LLC —Remote
- $19.57 an hour
- Full-time
- Remote
- Software troubleshooting
- Computer literacy
- Microsoft Office
- Health savings account
- Health insurance
Quick Apply
7d
ACO Medicaid Claims Review Specialist
Mass General Brigham Health Plan Holding Company, Inc. —Somerville, MA
- $17.71 - $25.28 an hour
- Full-time
- Remote
- Mid-level
- High school diploma or GED
- 1 year
- Health insurance
- Opportunities for advancement
Quick Apply
8d
New - Prior Authorization Specialist (Experience)- Remote
Nyx Health —Kansas City, MO
- $21 - $23 an hour
- 8 hour shift
- Remote
- HIPAA
- 3 years
- High school diploma or GED
Quick Apply
Benefit Eligibility Specialist Pharmacy Technician
Shields Health Solutions —Mesa, AZ
- 8 hour shift
- Remote
- Microsoft Excel
- Microsoft Outlook
- Research
Quick Apply
Compliance Specialist
Strive Pharmacy —Remote
- $130,000 - $135,000 a year
- Full-time
- Remote
- Residential
- Senior level
- 2 years
- Health savings account
- Health insurance
14d
340B Account Specialist
VytlOne —Remote
- $75,000 a year
- Full-time
- Mid-level
- 3 years
- Bachelor's degree
- AD&D insurance
- Disability insurance
Quick Apply
13d
Patient Outreach Specialist Pharmacy Technician
Shields Health Solutions —Baltimore, MD
- 8 hour shift
- Remote
- Microsoft Outlook
- Mid-level
- High school diploma or GED
Quick Apply
5d
Senior Compliance Professional
Humana —Remote
- $86,300 - $118,700 a year
- Full-time
- Remote
- Microsoft Word
- Research
- Bachelor's degree
- Paid parental leave
- Paid holidays
Animal Pharmacy Customer Care Specialist - Remote after Training!!
Wedgewood Pharmacy —Philadelphia, PA
- $19.25 - $21.00 an hour
- Monday to Friday
- Remote
- Spanish
- Microsoft Excel
- Microsoft Outlook
- Paid training
- Disability insurance
Quick Apply
Affiliation Specialist
AlignRx LLC —Remote
- $17.16 an hour
- Full-time
- Remote
- Computer literacy
- Mid-level
- Windows
- Health savings account
- Health insurance
Quick Apply
Billing Specialist - Remote
Polaris Pharmacy Services —Covina, CA
- $20 - $23 an hour
- Extended hours
- Remote
- Microsoft Excel
- Microsoft Outlook
- Computer literacy
- Paid holidays
- Disability insurance
Quick Apply
Specialist Pharma Programs - Remote
Walgreens —Remote
- $63,100 - $121,400 a year
- Remote
- Research
- Mid-level
- 3 years
1d
Specialist RCM - Quality Validation MM - Remote
Walgreens —Remote
- Remote
- Customer service
- Mid-level
- High school diploma or GED
2d

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pharmacy specialist jobs near remote

Pharmacy Benefit Auditor Specialist

Brown & Brown -
Remote

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Job Details

Full-time
$80,000 - $90,000 a year
14 hours ago

Benefits

Employee stock purchase plan
Paid holidays
Disability insurance
Health insurance
Dental insurance
401(k)
Tuition reimbursement
Paid time off
Vision insurance
Loan assistance
Life insurance

Qualifications

Confidential information handling
Employee relationship building
Health insurance knowledge
Productivity software

Full Job Description

Built on meritocracy, our unique company culture rewards self-starters and those who are committed to doing what is best for our customers.

Brown & Brown is seeking a Pharmacy Benefit Audit Specialist to join our growing team.

This role supports clients by leveraging our proprietary software and PBM claims data to analyze claims data, identify findings, and develop / present findings to the clients to ensure PBMs are processing pharmacy claims in alignment with the clients’ contract. The Pharmacy Benefit Audit Specialist will develop and grow business relationships vital to the success of each audit project, which includes implementing, executing, and finalizing strict deadlines. They will also manage project development from beginning to end, which can include a variety of different types of PBM audits depending on the client audit requirements.

Our qualified professionals lead all aspects of the pharmacy benefit audit, helping our customers save money and minimize compliance risks. We provide best-in-class, value-based pharmacy solutions utilizing 100% review of your pharmacy claims. Our practical compliance guidance can help you maximize your financial outcomes, eliminate pharmaceutical waste & abuse, and increase member satisfaction.

How You Will Contribute:

Conducts Data Analysis for pharmacy benefits and contractual audits surrounding pharmacy claims. PBM audits can include, but are not limited to pricing, plan design, rebates, eligibility, CMS Data Validation, Fraud, Waste & Abuse, and performance guarantee review.

Includes gathering, implementing, executing, and finalizing audit rules and requirements from clients and PBMs into proprietary systems.

Assists with review of PBM contract(s) and contribute suggestions for improvement, based on knowledge of industry

Leverages the company’s reporting systems to conceptualize, design, and distribute both operational and analytical reports focused on pharmacy utilization and cost

Assists with developing, documenting, and evaluating the business requirements associated with data flows to and from the PBM and other vendors

Identifying issues and resolutions, and consulting management on potential solutions to facilitate critical decisions.

Generate audit reports and consult clients on the findings.

Works effectively on multiple client assignments or projects simultaneously

Plan, schedule, and track project timelines, milestones, and deliverables.

This position will include job duties that require risk designations for access to Electronic Protected Health Information (PHI) in the course of their job responsibilities

Skills & Experience to be Successful:

Required

Minimum of three years’ work experience in healthcare, health insurance fields pharmacy benefit management, with a focus on pharmacy claims processing and pharmacy benefits related activities

Ability to build and maintain strong, collaborative working relationships with multiple business units across the company

Strong communication skills (written and verbal)

Ability to maintain a high level of confidentiality

Proficient with MS Office Suite

Preferred

Associate degree or higher

Direct PBM claims auditing experience within a PBM and/or Health Plan

Pharmacy Technician Certification (CPhT) and/or pharmacy work experience

Pay Range

80,000.00 - 90,000.00 Annual

The pay range provided above is made in good faith and based on our lowest and highest annual salary or hourly rate paid for the role and takes into account years of experience required, geography, and/or budget for the role.

Teammate Benefits & Total Well-Being

We go beyond standard benefits, focusing on the total well-being of our teammates, including:

Health Benefits: Medical/Rx, Dental, Vision, Life Insurance, Disability Insurance
Financial Benefits: ESPP; 401k; Student Loan Assistance; Tuition Reimbursement
Mental Health & Wellness: Free Mental Health & Enhanced Advocacy Services
Beyond Benefits: Paid Time Off, Holidays, Preferred Partner Discounts and more.

Not reflective of all benefits. Enrollment waiting periods or eligibility criteria may apply to certain benefits. Benefit details and offerings may vary for subsidiary entities or in specific geographic locations.

Recruiting Vendor Disclosure Statement

Brown & Brown does not accept unsolicited resumes from external recruiters, recruitment vendors or employment agencies ("Recruiting Vendors"). Recruiting Vendors must have a valid written agreement and received prior written authorization from an authorized Brown & Brown representative before submitting candidates for any publicly posted role. Any unsolicited resumes submitted to Brown & Brown or its employees become the property of Brown & Brown, and no fees will be paid for such submissions. Additional information regarding this policy can be found on our careers page.

The Power To Be Yourself

As an Equal Opportunity Employer, we are committed to fostering an inclusive environment comprised of people from all backgrounds, with a variety of experiences and perspectives, guided by our Diversity, Inclusion & Belonging (DIB) motto, “The Power to Be Yourself”.

Apply Now

Refine Your Search

pharmacy specialist jobs in remote

Pharmacy Benefit Auditor Specialist

Care Specialist

Pharmacy Refill Specialist

Pharmacist - Pharmacy Business Integration Specialist

Authorization Specialist II - CarepathRx - Remote

Senior Specialist, Pharmacy Systems Operations - Remote

Implementation Specialist, Customer Training, Pharmacy Automation

Reconciliation Specialist

ACO Medicaid Claims Review Specialist

New - Prior Authorization Specialist (Experience)- Remote

Benefit Eligibility Specialist Pharmacy Technician

Compliance Specialist

340B Account Specialist

Patient Outreach Specialist Pharmacy Technician

Senior Compliance Professional

Animal Pharmacy Customer Care Specialist - Remote after Training!!

Affiliation Specialist

Billing Specialist - Remote

Specialist Pharma Programs - Remote

Specialist RCM - Quality Validation MM - Remote

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