Pharmacy Part D Compliance Auditor - Impact & Dashboards
Clever Care Health Plan
Clever Care Health Plan is seeking a Pharmacy Part D Oversight Auditor responsible for independent audits of Part D clinical compliance, including monitoring and reporting. The ideal candidate holds a Bachelor of Science in Pharmacy, with 3-5 years of auditing experience in Part D operations and compliance. The role requires proficiency with regulatory standards and a commitment to ensuring quality and compliance within pharmacy operations. #J-18808-Ljbffr Clever Care Health Plan
$80k - $90k
Job Summary The Pharmacy Part D Oversight Auditor owns independent auditing and monitoring... ...of Part D clinical compliance: CDAG (coverage determinations... ..., accuracy, and member impact remediation are... ...appeals. Prepare CDAG/MTM dashboards and board‑level reporting...Suggested- ...team is an extension of our customers' supply chain and pharmacy operations team. Compliance with our customers' requirements is essential to our ability... ..., and related protective gear when required. The auditor will physically count and document all related products,...Suggested
$46.7k - $91.3k
...people with the care, pharmacy benefits, data and resources... .... Come make an impact on the communities we serve... ...site's physical premises, compliance with regulatory... ...Degree Certified Quality Auditor (CQA) Intermediate level... ...Advantage, Medicare Part D, Medicaid, Tricare, Pharmacy...SuggestedRemote jobWork experience placementWork at officeLocal area$24.5 - $29 per hour
...Make an Impact at LIBERTYAt Liberty Dental Plan, we are committed to... ...and innovation. As an Internal Auditor, you play a critical role in ensuring accuracy, compliance, and continuous improvement across... ...-being, and success. You’ll be part of a collaborative culture...SuggestedWork at officeImmediate startRemote workRelocationVisa sponsorshipFlexible hours$70.6k - $139.8k
...re trusted to deliver results and make an impact. We embrace you for who you are, care for... ...through innovation has been a core part of our DNA across our audit, tax, and consulting... ...and with integrity at all times. In compliance with federal law, all persons hired will...SuggestedFull timeSeasonal workLocal areaWorldwideHome office- ...UCI Health Sciences Senior Auditor Founded in 1965, UC Irvine is a member of the prestigious... ...accounting and administrative controls, compliance with policies and procedures,... ...environment for the entire UCI community. As part of this commitment, all applicants who accept...Local area
$24 - $28 per hour
...Sr. Internal Auditor Help protect integrity, strengthen compliance, and improve how we serve our members. At Liberty... ...accountability, this role offers meaningful impact in a mission-driven organization.... .... Support CMS ODAG and CMS Part C audits, including file...Work at officeImmediate startRemote workRelocationVisa sponsorshipFlexible hours$28.85 - $31.35 per hour
...Compliance Auditor Irvine, California Avanath is proud to be named one of the top property management companies to provide affordable... ...our employees invest in their work represents a significant part our culture, our reputation and our achievements. We embrace...Work at officeLocal areaFlexible hours- ...from various systems and sources. Develop automated tools and dashboards to improve visibility into financial and operational... ...committed to the full inclusion of all qualified individuals. As part of this commitment, Vaco by Highspring and its parents, affiliates...For contractorsWork at officeLocal area
$78k - $156k
...Abbott Senior Auditor, Global Compliance Audit Abbott is a global healthcare leader that helps people live more fully at all stages of life.... ...have at least three to five years of related work experience. Part of the experience would have been obtained from employment...Rotational programWork experience placementLocal areaWorldwide- ...Make A Difference Internal audits are a key part of higher education institutions, helping to ensure compliance, manage risk, and improve operations. The Higher... ...receive Title IV. The Federal Student Aid Compliance Auditor is responsible for internal quality assurance...Local areaImmediate start
- ...from various systems and sources. Develop automated tools and dashboards to improve visibility into financial and operational performance... ...to the full inclusion of all qualified individuals. As part of this commitment, Vaco by Highspring and its parents, affiliates...Local area
- ...travel throughout NYC to conduct on-site audits, complaint investigations, and regulatory reviews in order to meet oversight and compliance requirements. Provides audit support for contractual and regulatory compliance for Social Adult Day Centers in accordance with...Contract workWork at office
$85k - $114k
...Technology Auditor Hyundai AutoEver America (HAEA), the dynamic IT powerhouse behind Hyundai... ...technology and eager to make a real impact at a world-class company, Hyundai AutoEver... ...to grow your career. Join us and be part of the transformation that's driving the...Remote work$45.09k - $63.62k
...wellness solutions, and pharmacy benefit management. As part of the Western Growers Family... ..., Inc. (PCMI) are in compliance with the respective employers... ...a medical/dental claims auditor or plan testing... ...system programs to verify impact within the HCPS. System...Work at officeWork from homeFlexible hours- ...Compliance Auditor Provides support for compliance auditing activities. Responsible for evaluating Molina's adherence to regulatory requirements, internal policies, and health care industry standards by identifying compliance gaps and recommending improvements to mitigate...Remote jobContract workWork at office
$90k - $100k
...Job Summary The Senior Internal Auditor supports the company's internal audit activities with a primary focus on Sarbanes-Oxley (SOX) 404 compliance, while also contributing to operational, IT, and compliance-related projects. This role partners across functions...Work at officeFlexible hours$74k - $84k
...Internal Audit Compliance Supervisor (GRC) GLOVIS America, Inc. is a third-party logistics... ...vendors of the automotive, freight forwarding, parts distribution, used car, and fuel... ...(BCM) program Perform annual Business Impact Analyses (BIA) Monitor and report on organizational...Temporary workSummer workWork at officeLocal areaFlexible hours- ...Description Job Description Job Title: Pharmacy Auditor Location: Irvine, CA Reports to:... ...affordability count, delivering true impact for the patients and pharma... ...identify discrepancies, trends, or potential compliance issues Prepare accurate reports and...Work at officeFlexible hours
- ...discrepancies. Benefits We offer a comprehensive package of benefits including: paid time off medical, dental, vision, hearing aid, pharmacy, behavioral health, employee assistance health benefits health care reimbursement account dependent care assistance plan short-...Temporary work
$70.3k
...Job Responsibilities Evaluate data and/or lab work to assess compliance with quality system regulations (ISO, GLP, etc.) and SOPs. Review... ...interpret data. Conduct studies on medical devices that have an impact on human life. Qualifications Bachelor's degree in a scientific...Local area- ..., and/or operational plans that impact Internal Audit Services, and proactively... ...audit teams Healthcare and pharmacy audit experience preferred Certified Internal Auditor (CIA) and/or Certified... ...Office Environment - roles involving part to full time schedule in Office...Full timePart timeWork at officeLocal areaWork from homeHome office2 days per week
$79.9k
A global professional services firm is seeking an Audit Associate in Newport Beach, CA. The role involves performing audit procedures related to cash, receivables, and expense analysis. Candidates should have a degree in Accounting with a GPA of 3.0 or higher, and strong...Full time- ...external AI services, including licensing compliance, security vulnerabilities, and data... ...employees with medical conditions that may impact their ability to work in-office, we are committed... ...Office Environment - roles involving part to full time schedule in Office...Full timePart timeWork at officeLocal areaWork from homeHome office2 days per week
$29.05 - $56.64 per hour
...Job Description Performs audits for clinical functional areas in alignment with regulatory requirements - ensuring quality compliance and desired member outcomes. Contributes to overarching strategy to provide quality and cost-effective member care. Essential...Hourly payFull timeWork experience placementWork at office$110k - $150k
...internal audit function by executing risk-based audits, J-SOX compliance activities, enterprise risk assessments, and advisory engagements... ..., embraces new challenges, and wants to make a meaningful impact over the long term. What You’ll Be Doing Execute risk-based financial...Hourly payTemporary workLocal area- ...Accounting and a minimum of two years of relevant audit experience. Responsibilities include supervising audit associates, ensuring compliance with GAAP, and communicating with clients regarding financial statements. This position offers a competitive salary range, with...
$149.64k - $184.4k
...missed credits, overpayments, and vendor compliance issues. Develop customized audit... ...technology teams to enhance automation, dashboard reporting, and machine-learning audit capabilities... ..., PRP delivers measurable financial impact and operational efficiency. Our client...Work at officeImmediate start$107.8k - $154k
...and are looking for a chance to become part of a stellar team of professionals, we invite... ...audit projects across operational, compliance, supplier, and dealer domains while ensuring... ...alignment, quality execution, and impactful recommendations to support organizational...Work experience placementLocal area$49.63 - $81.93 per hour
Hoag Health System is seeking a Program Manager Revenue Integrity Compliance in Costa Mesa, California. This role supports the implementation of compliance programs and requires extensive knowledge of billing, coding, and revenue cycle operations. The successful candidate...Hourly payFull time
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