Pharmacy Compliance/Audit Technician
ResCare | Louisville, KY 40223 (map it!Map it!) | 7/5/2014
JOB DESCRIPTION

  • Technician will analyze and monitor pharmacy prescription claims for compliance against fraud, waste and abuse related to pharmacy services, in addition to supervising a team of compliance clerks. 
  • May conduct on-site audits at pharmacies and long-term care facilities. 
  • The site audits include assessment of physical premises, compliance with regulatory requirements, and completeness of provider/clinical records and itemized bills. 
  • Employee will investigate, review and analyze claims data by applying knowledge of pharmacy policy, practice and data mining techniques to determine detailed compliance with program parameters. 
  • Prepares timely complete audit responses/reports. 
  • Determines underpayments and overpayments for management.

JOB REQUIREMENTS

Required:

  • Strong computer skills, specifically with Microsoft Office (Word and Excel)
  • Strong communication skills, written and verbal
  • Strong organizational skills
  • Strong leadership skills
  • Must be able to travel


Preferred:

  • Pharmacy Technician experience and/or in depth knowledge of pharmacy operations
  • Supervisory and/or leadership experience
  • National Pharm Tech Certification
  • LTC/Specialty Pharmacy experience

JOB SNAPSHOT

Employment Type: Full-Time
Base Pay: N/A
Other Pay: N/A
Industry: Healthcare - Health Services
Education: Not Specified
Experience: Not Specified
Manages Others: Not Specified
Relocation: Not Specified
Required Travel: Not Specified
Job ID: 34775073924-829597163
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COMPANY OVERVIEW
Rescare

Founded in 1974 and headquartered in Louisville, Kentucky, ResCare is a one-of-a-kind human services company where you can find your place helping people from every walk of life reach their highest level of independence.

At the center of your job with ResCare is the person who receives our services. Whether you’re encouraging a person with developmental disabilities to brush her own teeth for the first time, or helping a man with dementia stay in his own familiar surroundings...

Learn More...
www.rescare.com
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