Hybrid Pharmacy Claims Auditor (CPhT) - Onsite/Remote
JobRx, Inc.
- Remote job
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, requiring both retail pharmacy experience and a valid CPhT certification. The position supports a hybrid work model, working 25% from home and conducting audits at various pharmacy locations for the remaining 75%. Team members enjoy comprehensive health benefits and opportunities for professional growth. #J-18808-Ljbffr JobRx, Inc.
- ...leading service provider in Miami, FL is seeking a Pharmacy Claims Auditor CPhT to ensure accuracy in pharmacy claims. This role... ...National CPhT Certification. The position offers a hybrid work model, allowing 25% remote work and includes comprehensive benefits from the...Remote workClaimsWork at office
$57k
...Pharmacy Claims Auditor CPhT Through our dedicated associates, Conduent delivers mission-critical services... ...report audit results. Conducting Onsite and Desktop and Credentialing Audits... ...following working conditions: ~ Hybrid work: Will be working from home 25%...ClaimsWork at officeLocal areaWork from homeFlexible hoursNight shift$57k
...individuality is noticed and valued every day. Pharmacy Claims Auditor CPhT Do you have a CPhT certification?... ...to report audit results. Conducting Onsite and Desktop and Credentialing Audits... ...the following working conditions: Hybrid work: Will be working from home 25%...ClaimsWork at officeLocal areaWork from homeFlexible hoursNight shift$25 - $32 per hour
...for an On-Site Specialty Pharmacy Care Coordinator in... ...caregivers. This is an onsite role at an office location... ...- Process pharmacy claims - Coordinate medication... ...national certification as CPhT is preferred Excited... ...how radical. We are a remote-first company, however...Remote workClaimsHourly payFull timeWork at officeWork from home- ...Pharmacy Support Liaison - Patient Engagement Team (Hybrid) Sign on bonus: $3,000!! A Brief Overview The... ...changes, adjudication of claims and obtaining the initial... ...Pharmacy Technician (CPhT) (Required Upon Hire)... ...: Yes, 10 % of the Time Remote Work: Hybrid University...Remote workClaimsFull timeWork experience placementWork at officeWork from homeRelocation package
$17.75 - $19 per hour
Refill Pharmacy Technician (CSR) - Freedom - Remote, AZ; Onsite, MA This is a permanent work from home position within the... ...a team player - Escalate complex claims to the Sr. Billing & Reimbursement... ...Job If residing in AZ - a valid CPhT license If residing in MA - a valid...Remote jobClaimsHourly payPermanent employmentWork at officeLocal areaWork from home$62.19k
...benefitted 340B Program Auditor who is responsible for... ...auditing MAHEC’s 340B Pharmacy Program. This position... ...train in person and remote/hybrid work environment may be... ...Audit state Medicaid claims to ensure compliance to... ...Pharmacy Tech (CPhT). ~ Registered Health...Remote workClaimsFull timeContract workWork experience placementWork at officeMonday to FridayFlexible hoursAfternoon shift$100k
Join to apply for the Premium Field Auditor (Hybrid) role at Brown & Joseph AR Management | an ARMStrong... ...position - work from home and complete remote audits 2-3 days per week... ...&D - Quality Systems & Auditing Complex Claims Consultant - Architect & Engineer Liability...Remote workClaimsWeekly payFull timePart timeLocal areaImmediate startWork from homeHome office2 days per week3 days per week$134.37k - $147.78k
...procedures. Works effectively in a hybrid work environment (such as Pharmacy store, Call Center, Micro-Fulfillment, and/or remote) and provides pharmacy... ...). Processes insurance claims. Liaises with insurance... ..., medical providers and auditors. Develops and maintains...Remote workHourly payLocal areaShift work1 day per week$23 per hour
W e are seeking a Pharmacy Adjudication Specialist at our Specialty pharmacy in... ...be a Full-Time position. This is a remote hybrid opportunity, after onsite training period. Shift... ...Specialist will adjudicate pharmacy claims, review claim responses for accuracy...Remote workClaimsFull timeTemporary workWork experience placementRelocation packageFlexible hoursShift work$70k - $90k
Legal Billing Auditor at CURE Auto Insurance (Citizens United Reciprocal Exchange... ...practices, trial preparation, and claims handling processes. Exceptional... ...‑4:00, 8:30‑4:30, or 9:00‑5:00 PM. Hybrid schedule: onsite 4 days/week, remote 1 day/week. Locations: Southfield,...Remote workClaimsWork at officeLocal areaFlexible hours1 day per week$120.1k - $214.5k
...connecting people with the care, pharmacy benefits, data and resources... ...the flexibility to work remotely * from anywhere within the U.... ...challenges. This position follows a hybrid schedule with four in-office... ..., particularly working with claims, clinical data, or member...Remote workClaimsMinimum wageFull timeWork experience placementWork at officeLocal area- ...Coding Auditor The Coding Auditor is a professional auditing role... ...procedures and codes billed on a claim to a medical record. #... ...career development initiatives ~ Remote work eligible About... ...PostShield (post-payment), RxShield (pharmacy analytics), CaseShield (case...Remote workClaimsHourly payFlexible hours
- ...spread, rebate retention and pharmacy ownership and delivering the most... ...-F 8am to 5pm) M-F 8am to 5pm Hybrid In Office- 3 Days Overview... ..., TN or St Louis, MO offices. Remote employment also considered. Responsibilities... ..., high-cost cases, claims editing and clinical policy...Remote jobClaimsWork at office
$25 - $35 per hour
...Title Specialty Pharmacy Technician Job Summary... ...tertiary insurance claims Resolve any... ...upon hire. CPhT-Certified Pharmacy... ...7 rotation) ~100% onsite for the first 90 days... ...week after 90 days. A hybrid model after training... ...$25-35/hr Remote Type Hybrid Work...Remote workHourly payFull timeWork at officeFlexible hours2 days per week1 day per week- ...Staffing Solutions in Phoenix, AZ is seeking a Senior Auto Claims Adjuster to investigate, evaluate, negotiate, and... ...property damage, total loss, and settlement negotiations. Hybrid: 3 days onsite / 2 days remote; Monday-Friday; 12-week paid training. Minimum 2 years auto...Remote jobClaimsMonday to Friday
- ...decisions. At AZ Blue, we have a hybrid workforce strategy, called... ...are classified as hybrid, onsite or remote. While the majority of our... ...limited to: Customer Service, Claims Processors, and... ...JOB The Clinical Trainer and Auditor is responsible for planning,...Remote jobClaimsFull timeWork experience placement1 day per week
$50 - $60 per hour
...is seeking an Attorney Auditor to join our team. You’ll... ...contact with law firms and claims staff to determine the... ...and teamwork. We offer a hybrid work schedule: team members work onsite 4 days per week and have... ...the flexibility to work remotely 1 day per week. Location...Remote workClaimsHourly payPart timeWork at officeLocal areaWork visaFlexible hours1 day per week- ...Pharmacy Support Representative, Patient Engagement (Hybrid) A Brief Overview Pharmacy Patient Access Representatives provide... ...and creation of an accurate claim. Maintains confidential health records... ...Travel: Yes, 10 % of the Time Remote Work : Hybrid University...Remote workClaimsFull timeWork experience placementShift work
$72k - $104k
...Role The Recoveries Operations Auditor oversees audits of third-party... ...collection practices through onsite and offsite audits. The auditor... ...here. Benefits & Perks Our hybrid roles require in‑office work Tuesday through Thursday, with remote flexibility on Mondays and Fridays...Remote workFull timeContract workSummer workWork at officeLocal areaMonday to Friday- ...Insurance is seeking a Senior Workers' Compensation Claims Specialist in the West Region. The role involves... ...location and experience. This role supports a hybrid work model with onsite requirements and potential for remote #J-18808-Ljbffr Liberty Mutual InsuranceRemote jobClaims
$20 - $36 per hour
...directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here... ...or groups with minimal notice ~10-20%: Audit outpatient claims to validate reported services, appropriate use of procedure...Remote jobClaimsHourly payMinimum wageFull timeTemporary workWork experience placementLive inWork at officeLocal areaShift work- Overview Remote or Onsite Opportunity!Opportunities for you! Consecutively recognized as a top... .... Responsibilities The Senior Auditor oversees and performs financial,... ...background, revenue cycle, cost reporting, claims, provider data, health plan, or clinical...Remote workClaims
$135k
Title: Senior Auditor (or Manager) - Hybrid Location: Plainsboro NJ area Salary: To $135,000 plus incentives Benefits: Terrific campus - Gym onsite, Healthcare, 401K, generous PTO including summer hours Hybrid/Remote - in office 3 days Responsibilities Plan and execute...Remote workSummer workWork at office- CorVel Corporation seeks a Senior Liability Claims Specialist in Downers Grove, IL to manage mid to complex Auto and General... ...litigated files and working with delegated authority, with remote, hybrid, and onsite options. Ideal candidates have extensive experience in large...Remote jobClaims
- CorVel Corporation in Downers Grove, IL is seeking a Liability Claims Specialist to manage non-complex medical and minor... ...guidelines, claim review, and reserving within authority. Remote, onsite, and hybrid work arrangements are available. The position requires 1 year...Remote jobClaims
- Strategic Staffing Solutions seeks a Senior Property Claims Adjuster in Phoenix, AZ. Hybrid onsite/remote schedule with 12+ month contract length. Responsible for managing the full lifecycle of residential property claims, from FNOL to closure, including coverage analysis...Remote workClaimsContract work
$78k - $120k
...Auditor As a key member of the Internal Audit team, you will be part of AgriBank's mission... ...Sick time Right Work/Right Place hybrid work program Dress for Your Day flexible... ...their families Free exercise facility onsite for all employees Parking and transportation...H1bWork at officeVisa sponsorshipWork visaFlexible hours- ...American Health Communities is seeking a Claims Auditor in Oklahoma City, OK. This role involves ensuring accurate claims payment, regulatory... ...A coding certification is preferred. The position may require onsite work 2-3 days per week at the Franklin, TN office. Benefits...ClaimsWork at office2 days per week3 days per week
$29.27 - $36.39 per hour
...Billing, Follow Up & Denials Rep – Hybrid Filing Deadline: Wed 12/17/2025... ...includes a combination of working both onsite at Greenwich Drive (San Diego, CA) and remote. Onsite 3 days a week. This... ...billing hospital medical insurance claims. Extensive knowledge of medical...Remote workClaimsHourly payContract workWork at officeLocal areaMonday to FridayDay shift3 days per week
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