Sign up to access all features of our service.
  • Job search
  • Favorites
  • Create a CV
    New
  • Salaries
  • Subscriptions

Hybrid Pharmacy Claims Auditor - CPhT

Conduent

A leading service provider in Miami, FL is seeking a Pharmacy Claims Auditor CPhT to ensure accuracy in pharmacy claims. This role involves examining pharmacy records, conducting audits, and requires a National CPhT Certification. The position offers a hybrid work model, allowing 25% remote work and includes comprehensive benefits from the first day. Ideal candidates have extensive retail pharmacy experience and are proficient with Microsoft Office. Join a diverse organization making an impact daily. #J-18808-Ljbffr Conduent

Vacancy posted 2 days ago
Similar jobs that could be interesting for youBased on the Hybrid Pharmacy Claims Auditor - CPhT in Miami, FL vacancy
  • JobRx, Inc. is seeking a Pharmacy Claims Auditor CPhT based in Miami, FL. In this role, you will conduct pharmacy audits for accuracy and compliance...  ...and a valid CPhT certification. The position supports a hybrid work model, working 25% from home and conducting audits at... 
    Claims
    Remote job
    Work from home

    JobRx, Inc.

    Miami, FL
    2 days ago
  •  ...experienced Bilingual Pre-Litigation Adjuster to join our onsite team in Miami with a hybrid schedule after probation. The role focuses on managing pre‑litigation auto insurance claims, negotiating settlements, and delivering excellent customer service while adhering to... 
    Claims
    Trial period

    Univista Holdings

    Miami, FL
    2 days ago
  • A leading financial services firm in Miami seeks a Temporary Accounts Payable Assistant for the LATAM region. This hybrid role involves performing payment reviews and maintaining compliance with corporate processes. Candidates should have 3+ years of relevant experience... 
    Suggested
    Permanent employment
    Temporary work

    Arthur J. Gallagher & Co. (AJG)

    Miami, FL
    4 days ago
  •  ...seeking a detail‑oriented, bilingual English/Portuguese Accounts Payable Assistant to support the LATAM Finance team in Miami, FL on a hybrid schedule. This temporary 3-6 month assignment offers potential conversion and requires fluent English and Portuguese with strong AP... 
    Suggested
    Temporary work

    Arthur J. Gallagher & Co. (AJG)

    Miami, FL
    2 days ago
  •  ...We are seeking a Claims Auditor to join our team at Independent Living Systems (ILS). ILS, along with its affiliated health plans known as Florida Community Care and Florida Complete Care, is committed to promoting a higher quality of life and maximizing independence... 
    Claims
    Work at office

    Independent Living Systems LLC

    Miami, FL
    2 days ago
  •  ...level Associate Attorney for its Insurance Coverage Practice. The role is hybrid, direct hire, and involves handling complex coverage matters for insurers, including property, CGL, E&O, and D&O claims. The candidate will analyze policies, draft coverage opinions, and... 
    Claims

    H. T. PROF Group

    Miami, FL
    2 days ago
  •  ...Senior Auditor Employment Type: Full Time, Mid-level CGS is seeking a Senior Auditor who will assist the district legal staff by conducting medical claims data analysis, forensic investigations, financial damages, statistical sampling, and ability-to-pay analyses... 
    Claims
    Full time
    Remote work
    Flexible hours

    Contact Government Services LLC

    Miami, FL
    4 days ago
  •  ...Pharmacy Benefits Coordinator We are seeking a Pharmacy Benefits Coordinator to join our team at Independent Living Systems (ILS)....  ...Strong understanding of pharmacy benefit management, insurance claims processing, and healthcare regulations. Preferred Qualifications... 
    Claims

    Independent Living Systems LLC

    Miami, FL
    2 days ago
  • $170k

     ...' Compensation Litigation Attorney | Florida | Up to $170,000 | Hybrid Location: Miami, FL Practice: Workers' Compensation Defense Litigation...  ...litigation strategy Communicate directly with clients and claims professionals Core Requirements 3+ years of dedicated Workers' Compensation... 
    Claims

    We Are Legal Revolution

    Miami, FL
    3 days ago
  •  ...Location: Miami, FL (On-site preferred; Hybrid/Remote may be considered) Employment Type...  ...an experienced Senior Medical Coding Auditor (CPC) to join our growing multi-specialty...  ...reviewing clinical documentation before claims are submitted to ensure accurate coding,... 
    Claims
    Hourly pay
    Part time
    Work at office
    Remote work
    Work from home
    Monday to Friday
    Flexible hours

    All inclusive preventive care

    Hialeah, FL
    28 days ago
  •  ...matters and advise clients with proactive, organized handling of claims. You will analyze policies, draft opinions, and support...  ...manage multiple projects with excellent research and writing skills. Hybrid work options are available in this role. #J-18808-Ljbffr BCG Attorney... 
    Claims

    BCG Attorney Search

    Miami, FL
    3 days ago
  •  ..., based in Miami, Florida, is seeking an experienced Litigation Claims Adjuster. This role involves effective management of Bodily Injury...  ...adjusting. We prioritize integrity and excellence, offering a hybrid work schedule after a 90-day probationary period. Join our team... 
    Claims

    Ascendant Insurance Solutions

    Miami, FL
    5 days ago
  •  ...MGA LLC is seeking a SIU Investigator to identify and investigate potential fraudulent claims. The role supports fraud prevention and requires collaboration with internal teams. A hybrid work schedule is available after probation. The ideal candidate has strong... 
    Claims
    Trial period

    Loyalty MGA LLC

    Miami, FL
    3 days ago
  • A government services firm in Miami is seeking a Senior Auditor to conduct forensic investigations and medical claims data analysis. Ideal candidates have a minimum of 5 years’ experience in financial analysis or healthcare fraud analysis. Responsibilities include analyzing... 
    Claims
    Full time
    Contract work

    CGS Federal (Contact Government Services)

    Miami, FL
    5 days ago
  •  ...Auditor Employment Type: Full-Time, Mid-Level Department: Financial CGS is seeking a highly skilled Auditor to provide general...  ...of data such as bank records, financial records, healthcare claims, tax records, correspondence, policies, other documentary evidence... 
    Claims
    Full time
    Work experience placement
    Interim role
    Work at office
    Local area
    Flexible hours

    Contact Government Services LLC

    Miami, FL
    4 days ago
  • $1,999.05 per month

     ...Agency: Business and Professional Regulations Working Title: TAX AUDITOR III - 79000284 Pay Plan: Career Service Position Number: 7...  ...also established an email where people can electronically file claims or ask questions. The email is ****@*****.***... 
    Claims
    Full time
    Work at office
    Immediate start

    The State of Florida

    Miami, FL
    10 days ago
  •  ...Miami, FL seeks a qualified attorney to defend medical malpractice claims and manage cases from early litigation through trial preparation...  ...Bar license and 2+ years of med mal litigation experience. This hybrid position allows 1-2 remote days per week and ongoing... 
    Claims
    Remote work
    2 days per week
    1 day per week

    Orion Placement

    Miami, FL
    5 days ago
  •  ...Pharmacy Technician This position requires the candidate to be bilingual, must be fluent in both English and Spanish. Why Work for...  .... Resolve issues when they arise (e.g., rejected insurance claims). Select the appropriate medicine and measure dosages to fill... 
    Claims
    Monday to Friday
    Weekend work

    NuvemRx

    Miami, FL
    4 days ago
  • $70k - $75k

     ...Best Workplaces in Financial Services & Insurance Attorney Auditor ** This is a fully remote position, and candidates residing...  ...this or other roles. Sedgwick is the world's leading risk and claims administration partner, which helps clients thrive by navigating... 
    Claims
    Local area
    Remote work
    Work from home
    Flexible hours

    Sedgwick

    Miami, FL
    3 days ago
  •  ...healthcare facilities including: Fortune 100 Health Plans, Mail Order Pharmacies, Medical Billing Centers, Hospitals, Laboratories, Surgery...  ...into a long-lasting and rewarding career! Job Description Claims Processing: investigate insurance claims; properly resolve by follow... 
    Claims
    Private practice

    Healthcare Support Staffing

    Miami, FL
    2 days ago
  •  ...including general liability and high-exposure product liability claims. Responsibilities include conducting legal research, preparing legal...  ...documents, and significant client interaction. Benefits include hybrid work flexibility, performance bonuses, and comprehensive health... 
    Claims

    Clyde & Co

    Miami, FL
    1 day ago
  • Loyalty MGA in Miami, FL is hiring an SIU Investigator to identify and investigate potential fraudulent claims. The role offers a hybrid schedule after probation and requires conducting interviews, surveillance, and evidence collection to support fraud prevention. You... 
    Claims
    Trial period

    Univista Holdings

    Miami, FL
    3 days ago
  • Uloop Inc. is seeking a Claims Coordinator in Miami, FL, to efficiently handle inquiries regarding claims and provide exceptional customer...  ...skills, and have a high school diploma. This role includes a hybrid work model, competitive benefits such as medical and dental insurance... 
    Claims

    Uloop Inc.

    Miami, FL
    1 day ago
  •  ...coverage practice group. The role involves analyzing insurance policies, conducting legal research, drafting claims, and attending legal proceedings. Benefits include hybrid work flexibility, performance bonuses, paid time off, student debt repayment options, mentorship... 
    Claims

    Clyde & Co

    Miami, FL
    5 days ago
  • Dormont Manufacturing Co is seeking a Senior Auditor in Miami, Florida to analyze complex financial data, including medical claims and forensic investigations. This full-time position requires a minimum of 5 years in financial accounting and litigation consulting. Candidates... 
    Claims
    Full time

    Dormont Manufacturing Co

    Miami, FL
    2 days ago
  • CGS is seeking a Senior Auditor to support government investigations through forensic financial analysis, claims data review, and complex economic modeling. The role involves working with district legal staff on prosecutions, settlements, and recovery in high-volume matters... 
    Claims

    Cgsfederal

    Miami, FL
    2 days ago
  • Job Summary CGS is seeking a highly skilled Auditor to provide general auditing and accounting services in support of fraud investigations...  ...of data such as bank records, financial records, healthcare claims, tax records, correspondence, policies, other documentary... 
    Claims
    Work experience placement
    Interim role
    Work at office
    Local area
    Flexible hours

    Cgsfederal

    Miami, FL
    5 days ago
  • $19 - $22 per hour

     ...Answer inbound and/or outbound patient and pharmacy calls • Call patients to schedule and...  ...• Help process prescriptions and resolve claim issues • Check prescription status and...  ...where applicable) • National certification (CPhT/PTCB) required • Knowledge of... 
    Claims
    Work at office
    Local area
    Remote work
    Monday to Friday

    Shields Health Solutions

    Miami, FL
    a month ago
  •  ...Accounting FLSA Status: Exempt Location: Hybrid schedule but must be able to commute...  ...liabilities, unearned premiums, and claims payable. Support statutory reporting requirements...  ...requirements. Support external auditors and examiners by preparing work papers,... 
    Claims

    Phoenix American Warranty Company Inc

    Miami, FL
    a month ago
  •  ...Position Summary The Administrative Pharmacy Technician is responsible for providing administrative...  .... Assist in resolving pharmacy claim issues. Document payer communications....  ...Certified Pharmacy Technician (CPhT) Experience in a Managed Care Organization... 
    Claims
    Work at office

    FLORIDA DOCTORS GROUP CORP

    Miami, FL
    16 days ago

Do you want to receive more vacancies?

Subscribe and receive similar vacancies to Hybrid Pharmacy Claims Auditor - CPhT. Be the first to apply!