Pharmacy Auditor - Health Plan (8a - 4:30p)

Job Description

We're searching for a Pharmacy Auditor, someone who's ready to be part of the best ranked children's hospital in Texas, and among the best in the nation. The Pharmacy Auditor is primarily responsible for using analytical skills and audit tools to mitigate risks and ensure compliance adherence for the 340B program in both hospital and contract pharmacy claims. Providing Pharmacy revenue cycle audit reviews for charging accuracy and billing compliance. Assisting the Financial Analysts with variance explanations monthly by providing feedback on trends identified through daily, weekly and monthly audits.

Must be proficient in excel, comfortable presenting, and possess excellent communication skills (verbal and written).

Think you've got what it takes?

Job Duties & Responsibilities

•Performs audits for contract pharmacy, pharmacy revenue cycle and 340B compliance.
•Reviews and monitor pharmacy revenue across all campuses.
•Submits and completes the transactions in all work queue.
•Perform audits of charges and verify accuracy.
•Auditing for eligibility of all claims
•Reviews and monitors inventory for contract pharmacies.

Skills & Requirements

•Required H.S. Diploma or equivalent.
•Required RPHT-TX - Reg Pharmacy Technician by the TX State Board of Pharmacy.
•Preferred 2 years pharmacy technician experience.

About Us

Founded in 1996, Texas Children's Health Plan is the nation's first health maintenance organization (HMO) created just for children. We provide STAR/Medicaid and Children's Health Insurance Program (CHIP) to pregnant women, teens, children and adults in Houston and surrounding areas. Currently, the Health Plan has more than 375,000 members who receive care from our network of more than 1,100 primary care physicians, 3,200 specialists, and 70 hospitals. Texas Children's Health Plan is also the largest combined STAR/CHIP Managed Care Organization in the Harris County service area.

To join our community of 14,000+ dedicated team members, visit texaschildrenspeople.org for career opportunities. You can also learn more about our amazing culture at infinitepassion.org.

Texas Children's is proud to be an equal opportunity employer. All applicants and employees are considered and evaluated for positions at Texas Children's without regard to mental or physical disability, race, color, religion, gender, national origin, age, genetic information, military or veteran status, sexual orientation, gender identity, marital status or any other protected Federal, State/Province or Local status unrelated to the performance of the work involved.
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