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Company

Express Scripts by Evernorth · 8 hours ago

Pharmacy Claim Quality Review and Audit Manager-Express Scripts (Remote)

United States

Full-time

Remote

Mid, Senior Level

$87K/yr - $145K/yr

3+ years exp

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Responsibilities

Develop and produce reports as required to meet needs of department, Account Managers, pharmacies and chain audit contacts, clients and other stakeholders. Providing updates to management on current status of audits including any escalated issues.

Prepare for and participate in client communications, including conference calls to present status updates of ongoing issues, results of completed audits, etc., for assigned clients.

Coach and develop team, oversee resolution of employee relations issues, oversee hiring and training of new associates, and manage workload assignments all aimed at ensuring the team succeeds in achieving a high-level of client satisfaction, as well as their own professional achievements.

Qualification

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Pharmacy experienceAudit tools proficiencyLeadership experienceCertified Pharmacy TechnicianMS Office proficiencyEmployee motivation

Required

HS Diploma Required

At least 3 years of relevant pharmacy experience in either retail or PBM setting pharmacy and audit experience in healthcare setting.

Leadership /Supervisory experience

Ability to succeed in a dynamic, high-pressure environment and develop a culture of ownership and personal accountability

Ability to motivate employees, handle difficult employee relations issues and create a culture that supports high employee morale

Strong Proficiency in MS office applications

Excellent organizational, interpersonal, communication and leadership skills

Preferred

BA/BS degree preferred

Certified Pharmacy Technician (CPhT) preferred

Benefits

Medical

Vision

Dental

Well-being and behavioral health programs

401(k) with company match

Company paid life insurance

Tuition reimbursement

A minimum of 18 days of paid time off per year

Paid holidays

Company

Express Scripts by Evernorth

Glassdoor

3.1

Express Scripts by Evernorth provides pharmacy benefits services with a clear mission: To simplify complexities and provide holistic, condition-focused care and clinically superior pharmacy benefit solutions for our clients and the people they serve.

Founded in 1986

Mt Pleasant, South Carolina, USA

10001+ employees