130 pharmacy compliance auditor jobs found

Pharmacy Compliance Auditor – 340B ProgramJoin our team as a Pharmacy Compliance Auditor – 340B Program and play a vital role in ensuring access to affordable medications for underserved communities. In this position, you will help safeguard the integrity of the 340B Drug Pricing Program—a federal initiative that enables healthcare organizations to stretch resources and provide comprehensive care to more patients.As a Pharmacy Compliance Auditor, you'll work closely with pharmacy leadership to conduct audits, monitor compliance, and identify opportunities for improvement. This role offers the chance to develop specialized expertise in 340B operations, gain advanced certifications, and make a meaningful impact on patient care and organizational success.If you are detail-oriented, passionate about compliance, and eager to grow in a critical area of pharmacy operations, we'd love to hear from you!Location: Norwood, OHWork Hours: Full Time, 80 hours biweekly Day shift No weekends, or...

TriHealth is seeking a Pharmacy Compliance Auditor to oversee 340B program audits, ensure regulatory adherence, and identify improvement opportunities within the pharmacy operations. You will collaborate with pharmacy leadership to safeguard program integrity and support patient access to affordable medications. The role focuses on daily, weekly, and quarterly audits, maintaining documentation, and pursuing related certifications to strengthen expertise in 340B compliance. #J-18808-Ljbffr

Pharmacy Compliance Auditor – 340B Program Join our team as a Pharmacy Compliance Auditor – 340B Program and play a vital role in ensuring access to affordable medications for underserved communities. In this position, you will help safeguard the integrity of the 340B Drug Pricing Program—a federal initiative that enables healthcare organizations to stretch resources and provide comprehensive care to more patients. As a Pharmacy Compliance Auditor, you'll work closely with pharmacy leadership to conduct audits, monitor compliance, and identify opportunities for improvement. This role offers the chance to develop specialized expertise in 340B operations, gain advanced certifications, and make a meaningful impact on patient care and organizational success. If you are detail-oriented, passionate about compliance, and eager to grow in a critical area of pharmacy operations, we'd love to hear from you! Location: Norwood, OH Work Hours: Full Time, 80 hours biweekly; Day shift No...

DaMar Staffing is seeking a Pharmacy Compliance Auditor – 340B Program to audit and monitor the 340B program under the guidance of the Sr. Director of Pharmacy and the 340B Compliance Coordinator. Role emphasizes audits of contract and outpatient pharmacies, state Medicaid claims, data integrity, and regulatory compliance; requires 2–3 years in technical/hospital pharmacy and 340B activities, Apexus 340B University (within 6 months), and 340B Operations Certificate (within 1 year). #J-18808-Ljbffr

Pharmacy Compliance Auditor – 340B ProgramJoin our team as a Pharmacy Compliance Auditor – 340B Program and play a vital role in ensuring access to affordable medications for underserved communities. In this position, you will help safeguard the integrity of the 340B Drug Pricing Program—a federal initiative that enables healthcare organizations to stretch resources and provide comprehensive care to more patients.As a Pharmacy Compliance Auditor, you'll work closely with pharmacy leadership to conduct audits, monitor compliance, and identify opportunities for improvement. This role offers the chance to develop specialized expertise in 340B operations, gain advanced certifications, and make a meaningful impact on patient care and organizational success.If you are detail-oriented, passionate about compliance, and eager to grow in a critical area of pharmacy operations, we'd love to hear from you!Location: Norwood, OHWork Hours: Full Time, 80 hours biweekly Day shift No weekends, or...

JobRx, Inc. is seeking an Internal Auditor and Pharmacy Technician responsible for auditing pharmacy processes and overseeing medication-related activities. This role fosters collaboration with various departments such as nursing and IT to ensure compliance and quality service. Candidates should possess relevant pharmacy experience, including certifications as a Registered Pharmacy Technician, and demonstrate strong problem-solving skills. The position offers a chance to work in a fast-paced healthcare environment in Miramar, Florida. #J-18808-Ljbffr

Medical University of South Carolina is seeking a Medication Area Auditor Technician to ensure medications are used and maintained in compliance with regulatory standards and health system policies. The role covers hospitals and clinics in the Catawba Division, requiring daily travel to sites for inspections and audits. Candidates must hold SCBOP Pharmacy Technician registration, PTCB or ExCPT certification, and SC state certification; 2 years of experience preferred. #J-18808-Ljbffr

Onco360 Oncology Pharmacy is seeking a Compliance Auditor to join our growing team. This remote role involves on-site and virtual audits across the country, with up to 25% travel. The Compliance Auditor will support the compliance team and report to the Vice President, Specialty Pharmacy Compliance. Qualifications include a Certified Pharmacy Technician registration and 2+ years in pharmaceutical regulatory auditing, with a Bachelor’s degree and CHC preferred. #J-18808-Ljbffr

Onco360 Oncology Pharmacy is seeking a Compliance Auditor to join our growing team. This remote role involves on-site and virtual audits across the country, with up to 25% travel. The Compliance Auditor will support the compliance team and report to the Vice President, Specialty Pharmacy Compliance. Qualifications include a Certified Pharmacy Technician registration and 2+ years in pharmaceutical regulatory auditing, with a Bachelor’s degree and CHC preferred. #J-18808-Ljbffr

Medical University of South Carolina is seeking a Medication Area Auditor Technician to ensure medications are used and maintained in line with regulatory standards and MUSC policies. The role covers sites in the Catawba Division, requiring daily travel to Lancaster, Chester, and Indian Land for inspections and audits. Occasional cross-coverage across divisions may occur during time off or other circumstances. #J-18808-Ljbffr

Bon Secours is seeking a 340B Auditor to monitor compliance with HRSA 340B guidelines across assigned locations. You will perform daily, weekly, monthly and quarterly audits, document results, and support external audits. Responsibilities include reviewing patient eligibility, monitoring 340B purchasing, and data uploads to 340B software systems. Strong Excel and EMR skills preferred. Minimum 1–2 years in pharmacy 340B or hospital/healthcare auditing with excellent communication. #J-18808-Ljbffr

Clever Care Health Plan in Southern California is seeking a Pharmacy Part D Oversight Auditor to lead independent auditing of Part D clinical compliance, MTM elements, and delegated PBM controls, ensuring timely, accurate, audit-ready documentation. You will coordinate with UM/Part C on benefit coordination, prepare dashboards, and deliver Board-level reporting while adhering to CMS requirements. Requires PharmD or RPh preferred, BS in Pharmacy, and 3–5+ years of Part D auditing. #J-18808-Ljbffr

SpecialtyRx, Inc. is a Long-Term Care pharmacy providing pharmaceutical services to long term care facilities and assisted living communities. The role focuses on audits, data analysis, and QA activities to ensure compliance with federal, state, and local laws, and JCAHO accreditation standards. The position requires LTC pharmacy experience and strong attention to detail in a hybrid work setting. #J-18808-Ljbffr

Medical Coding Auditor Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together. The Medical Coding Auditor is required to determine the accuracy of claims submitted by a provider to UnitedHealth Group by comparing it to the medical record(s) submitted for the date(s) of service being reviewed. This position supports the identification of suspected Waste & Error of health insurance claims and ensures claims are accurately documented. Candidates must be able...

Medical Coding Auditor Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together. The Medical Coding Auditor is required to determine the accuracy of claims submitted by a provider to UnitedHealth Group by comparing it to the medical record(s) submitted for the date(s) of service being reviewed. This position supports the identification of suspected Waste & Error of health insurance claims and ensures claims are accurately documented. Candidates must be able...

Medical Coding Auditor Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together. The Medical Coding Auditor is required to determine the accuracy of claims submitted by a provider to UnitedHealth Group by comparing it to the medical record(s) submitted for the date(s) of service being reviewed. This position supports the identification of suspected Waste & Error of health insurance claims and ensures claims are accurately documented. Candidates must be able...

Medical Coding Auditor Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together. The Medical Coding Auditor is required to determine the accuracy of claims submitted by a provider to UnitedHealth Group by comparing it to the medical record(s) submitted for the date(s) of service being reviewed. This position supports the identification of suspected Waste & Error of health insurance claims and ensures claims are accurately documented. Candidates must be able...

Medical Coding Auditor Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together. The Medical Coding Auditor is required to determine the accuracy of claims submitted by a provider to UnitedHealth Group by comparing it to the medical record(s) submitted for the date(s) of service being reviewed. This position supports the identification of suspected Waste & Error of health insurance claims and ensures claims are accurately documented. Candidates must be able...

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best.Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale.Join us to start Caring. Connecting. Growing together. The Medical Coding Auditor is required to determine the accuracy of claims submitted by a provider to UnitedHealth Group by comparing it to the medical record(s) submitted for the date(s) of service being reviewed. This position supports the identification of suspected Waste & Error of health insurance claims and ensures claims are accurately documented. Candidates must be able to exercise...

Outpatient Coding Compliance Auditor Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together. The Outpatient Coding Compliance Auditor performs audits of outpatient facility (OPPS) coding to ensure accurate assignment of ICD-10-CM diagnoses, CPT/HCPCS codes, modifiers, and facility E/M levels (ACEP or client-specific). This role reviews coding for alignment with medical record documentation and established guidelines, ensuring compliance with applicable laws,...

Outpatient Coding Compliance AuditorOptum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together.The Outpatient Coding Compliance Auditor performs audits of outpatient facility (OPPS) coding to ensure accurate assignment of ICD-10-CM diagnoses, CPT/HCPCS codes, modifiers, and facility E/M levels (ACEP or client-specific). This role reviews coding for alignment with medical record documentation and established guidelines, ensuring compliance with applicable laws,...

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best.Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale.Join us to start Caring. Connecting. Growing together. The Medical Coding Auditor is required to determine the accuracy of claims submitted by a provider to UnitedHealth Group by comparing it to the medical record(s) submitted for the date(s) of service being reviewed. This position supports the identification of suspected Waste & Error of health insurance claims and ensures claims are accurately documented. Candidates must be able to exercise...

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best.Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale.Join us to start Caring. Connecting. Growing together. The Medical Coding Auditor is required to determine the accuracy of claims submitted by a provider to UnitedHealth Group by comparing it to the medical record(s) submitted for the date(s) of service being reviewed. This position supports the identification of suspected Waste & Error of health insurance claims and ensures claims are accurately documented. Candidates must be able to exercise...

What you can expect! Find joy in serving others with IEHP! We welcome you to join us in “healing and inspiring the human spirit” and to pivot from a “job” opportunity to an authentic experience! Role Overview The Compliance Auditor II conducts comprehensive audits and reviews across the Plan, including assigned areas and Plan delegates, to ensure adherence to Federal, State, and contractual regulatory requirements. Identifies and assesses risks impacting overall compliance, drafts detailed audit findings and actionable recommendations, and evaluates operations, policies, and processes throughout the Plan. Conducts evaluations of operations, policies, and processes to validate compliance, evaluate effectiveness, and identify issues. Issues corrective action plans and reviews for acceptance to ensure that all compliance issues are appropriately addressed. Performs validation audits to determine if actions have been taken to mitigate identified risks and conducts routine monitoring...