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Head of Pharmacy Fraud & Network Integrity

Horizon-Blue-Cross-Blue-Shield-of-New-Jersey

Horizon Blue Cross Blue Shield of New Jersey seeks a Pharmacist leader to oversee the Pharmacy Fraud, Waste and Abuse program. You will coordinate with regulatory agencies, design utilization management edits, and lead audits and staff training to ensure compliance and program effectiveness. Ideal candidates hold a PharmD with NJ licensure, 5+ years in pharmaceutical practice, and 3+ years in pharmacy auditing or managed care. The role is hybrid, with travel across New Jersey for audits. #J-18808-Ljbffr Horizon-Blue-Cross-Blue-Shield-of-New-Jersey

Vacancy posted 2 days ago
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