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

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

Vacancy posted 9 hours ago
Similar jobs that could be interesting for youBased on the Pharmacy Part D Compliance Auditor - Impact & Dashboards in Huntington Beach, CA vacancy
  • $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

    Clever Care Health Plan

    Huntington Beach, CA
    9 hours ago
  •  ...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

    ADEX

    Irvine, CA
    3 days ago
  • $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... 
    Suggested
    Remote job
    Work experience placement
    Work at office
    Local area

    Phenom People

    Irvine, CA
    9 hours ago
  • $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... 
    Suggested
    Work at office
    Immediate start
    Remote work
    Relocation
    Visa sponsorship
    Flexible hours

    Liberty Dental

    Tustin, CA
    9 hours ago
  • $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... 
    Suggested
    Full time
    Seasonal work
    Local area
    Worldwide
    Home office

    Crowe

    Costa Mesa, CA
    3 days ago
  •  ...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

    UC Irvine

    Irvine, CA
    1 day ago
  • $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 office
    Immediate start
    Remote work
    Relocation
    Visa sponsorship
    Flexible hours

    Jobs for Humanity

    Tustin, CA
    3 days ago
  • $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 office
    Local area
    Flexible hours

    Avanath Capital, LLC

    Irvine, CA
    3 days ago
  •  ...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 contractors
    Work at office
    Local area

    Vaco

    Newport Beach, CA
    3 days ago
  • $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 program
    Work experience placement
    Local area
    Worldwide

    Abbott

    Irvine, CA
    1 day ago
  •  ...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 area
    Immediate start

    West Coast University

    Irvine, CA
    3 days ago
  •  ...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

    Vaco

    Newport Beach, CA
    3 days ago
  •  ...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 work
    Work at office

    Molina Healthcare

    Long Beach, CA
    3 days ago
  • $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

    Hyundai AutoEver America

    Irvine, CA
    4 days ago
  • $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 office
    Work from home
    Flexible hours

    Western Growers

    Irvine, CA
    3 days ago
  •  ...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 job
    Contract work
    Work at office

    Molina Healthcare

    Long Beach, CA
    1 day ago
  • $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 office
    Flexible hours

    Masimo

    Irvine, CA
    2 days ago
  • $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 work
    Summer work
    Work at office
    Local area
    Flexible hours

    Hyundai Glovis

    Irvine, CA
    5 days ago
  •  ...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 office
    Flexible hours

    RIS Rx

    Irvine, CA
    16 days ago
  •  ...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

    Elijahhouseliving

    Huntington Beach, CA
    2 days ago
  • $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

    North American Science Associates, Inc.

    Irvine, CA
    9 hours ago
  •  ..., 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 time
    Part time
    Work at office
    Local area
    Work from home
    Home office
    2 days per week

    Blue Shield of California

    Long Beach, CA
    4 days ago
  • $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

    Grant Thornton International Ltd

    Newport Beach, CA
    2 days ago
  •  ...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 time
    Part time
    Work at office
    Local area
    Work from home
    Home office
    2 days per week

    Blue Shield of California

    Long Beach, CA
    5 days ago
  • $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 pay
    Full time
    Work experience placement
    Work at office

    Molina Healthcare

    Long Beach, CA
    2 days ago
  • $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 pay
    Temporary work
    Local area

    Yamaha Motor Corporation, USA

    Cypress, CA
    1 day ago
  •  ...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... 

    BDO Capital Advisors, LLC

    Costa Mesa, CA
    2 days ago
  • $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 office
    Immediate start

    Profit Recovery Partners

    Santa Ana, CA
    23 days ago
  • $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 placement
    Local area

    Hyundai Motor Company

    Fountain Valley, CA
    1 day ago
  • $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 pay
    Full time

    Hoag Health System

    Costa Mesa, CA
    4 days ago

Do you want to receive more vacancies?

Subscribe and receive similar vacancies to Pharmacy Part D Compliance Auditor - Impact & Dashboards. Be the first to apply!