Analysis Skills, Auditing, Billing, Certified Pharmacy Technician (CPhT), Communication Skills, Compensation and Benefits, Customer Support/Service, Detail Oriented, Document Management, Documentation, File Audits, File Maintenance, Healthcare, Healthcare Administration, Healthcare Providers, High School Diploma, Insurance, Insurance Claims, Internal Audit, Leadership, Maintain Compliance, Material Audit, Medical Records, Microsoft Office, Multitasking, Operational Audit, Operational Communications, Organizational Skills, Pharmacy, Presentation/Verbal Skills, Quality Assurance, Reconciliation, Risk Management, Time Management, Typing, Writing Skills
Company Overview
Our client is a pharmacy organization focused on operational efficiency, compliance, audit readiness, and patient support services. The company works closely with Pharmacy Benefit Managers (PBMs), insurance providers, healthcare facilities, and internal teams to maintain accurate documentation and ensure compliance across pharmacy operations.
Position Overview
Our client is seeking a detail-oriented Pharmacy Audit Assistant / Technician to support pharmacy audit and compliance operations under the direction of the Senior Auditor and Risk Management team. This role will assist with PBM audits, insurance audit responses, documentation management, claim reviews, and audit-related administrative processes.
The ideal candidate is highly organized, analytical, and comfortable working in a fast-paced pharmacy environment. Candidates with pharmacy technician, pharmacy operations, healthcare compliance, or audit experience are strongly encouraged to apply.
Location: Bardonia, NY
Employment Type: Full-Time, Onsite
Salary: $46,000 – $66,000 Annually
Key Responsibilities
- Support the Audit and Compliance team with PBM desk audits, onsite audits, and claim reviews
- Assist in preparing audit responses and gathering supporting documentation
- Collect prescription hard copies, delivery confirmations, insurance records, and related audit materials
- Review documents and records for accuracy, completeness, and compliance
- Ensure audit documentation is organized and submitted within required timelines
- Scan, organize, and maintain audit files and supporting records within pharmacy systems
- Track active audits, deadlines, submissions, and follow-up items
- Communicate with pharmacy operations, billing, compliance staff, and internal departments regarding audit-related requests
- Assist with reconciliation of audit findings and identification of discrepancies
- Report documentation concerns, risks, or compliance issues to leadership
- Support quality assurance initiatives and audit readiness processes
- Maintain confidentiality and accuracy when handling sensitive patient and pharmacy information
Qualifications
- Previous pharmacy audit, pharmacy technician, healthcare administration, compliance, or pharmacy operations experience preferred
- Familiarity with PBM audits, insurance claims, or healthcare auditing is a plus
- NJ Pharmacy Technician License preferred
- Pharmacy Technician Certification (CPhT) preferred
- Strong attention to detail and organizational skills
- Ability to manage multiple tasks and deadlines in a fast-paced environment
- Strong written and verbal communication skills
- Ability to work independently while collaborating with internal teams
- Proficiency with Microsoft Office, pharmacy software, and electronic record systems
- High School Diploma or GED required
Physical Demands
- Ability to sit and work at a computer for extended periods
- Frequent use of hands for typing, writing, and handling documents
- Occasional lifting of audit files, boxes, or binders (up to 20 pounds)
- Occasional standing, walking, bending, or reaching while retrieving physical records
- Ability to focus on detailed work and manage multiple priorities in a fast-paced environment
Compensation
The published salary range is used as a guide to provide prospective candidates with a level of compensation that is competitive with today’s market. The salary range for this position is a good faith estimate that allows for flexibility to align with various levels of experience, education, and performance.
EEO Statement
Topaz HR is an Equal Opportunity Employer, and we do not discriminate on the basis of race, color, religion, gender, national origin, age, disability, or any other status protected by applicable law. We value and are committed to creating an inclusive environment for all employees.
Please Note: Topaz HR is conducting this search on behalf of one of our clients. The employer’s name will be disclosed during the interview process, and all hiring decisions will be made directly by the client.
Powered by JazzHR