CrawlJobs Logo

Pharmacy Auditor

https://www.roberthalf.com Logo

Robert Half

Location Icon

Location:
United States , New York

Category Icon
Category:

Job Type Icon

Contract Type:
Not provided

Salary Icon

Salary:

30.00 - 38.00 USD / Hour

Job Description:

In this role, you’ll conduct pharmacy desk and/or audits, review claims and supporting documentation, identify irregularities, and help ensure compliance with policy and billing requirements. Your work will directly support fraud, waste, and abuse (FWA) detection and overall program integrity.

Job Responsibility:

  • Conduct pharmacy audits (desk or field) to verify accuracy of billed claims
  • Review prescriptions, invoices, and dispensing logs for discrepancies
  • Identify and document issues related to: Days’ supply, NDC accuracy, Quantity and reimbursement mismatches, Purchase vs. dispensing inconsistencies, Duplicate billing or non‑covered items
  • Draft clear and defensible audit findings reports
  • Calculate recoveries and overpayments
  • Collaborate with SIU, Compliance, Legal, Finance, and Provider Relations
  • Support escalation of potential FWA issues

Requirements:

  • Experience (3–5 years) in pharmacy auditing, PBM operations, or retail/clinical pharmacy with billing knowledge
  • Prior work with SIU or FWA investigations is a major plus
  • Strong command of pharmacy claims processing & PBM systems
  • Excel proficiency (pivots, VLOOKUPs, data comparisons)
  • Experience with audit management tools and reporting
  • CPhT strongly preferred
  • Bachelor’s in Pharmacy, Healthcare, Business, or related field a plus
  • Familiarity with NCPDP standards and third‑party billing rules
  • Exceptional attention to detail
  • Strong written communication (audit reports, summaries)
  • Ability to manage multiple audits simultaneously
  • Professional, composed communication with pharmacies and internal teams
  • Analytical mindset with the ability to spot trends and irregularities

Nice to have:

  • Prior work with SIU or FWA investigations is a major plus
  • Bachelor’s in Pharmacy, Healthcare, Business, or related field a plus
What we offer:
  • medical, vision, dental, and life and disability insurance
  • eligible to enroll in our company 401(k) plan

Additional Information:

Job Posted:
March 22, 2026

Work Type:
Remote work
Job Link Share:

Looking for more opportunities? Search for other job offers that match your skills and interests.

Briefcase Icon

Similar Jobs for Pharmacy Auditor

Pharmacy Technician Auditor

The Pharmacy Auditor is responsible for identifying pharmacy audit risks using a...
Location
Location
United States of America , Detroit
Salary
Salary:
Not provided
thecignagroup.com Logo
The Cigna Group
Expiration Date
Until further notice
Flip Icon
Requirements
Requirements
  • Bachelor's Degree preferred
  • At least 2+ years of pharmacy technician experience in a retail, long term care, specialty, mail order or similar pharmacy setting or equivalent education
  • Certified Pharmacy Technician (CPhT) preferred
  • Proficient in database and spreadsheet applications, ie: Microsoft Excel, Access, Word
  • Excellent organizational, interpersonal, and communication skills
  • Ability to work well with all levels of internal and external contacts
  • Ability to handle sensitive or confidential information is critical
  • Ability to work with minimum management oversight while performing audits
  • Ability to work a flexible schedule to accommodate project deadlines
  • Ability and willingness to travel up to 50%
Job Responsibility
Job Responsibility
  • Perform efficient and effective audits to produce results consistent with departmental policies and critical corporate goals while meeting or exceeding personal production goals
  • Performance of audits includes obtaining, analyzing, and appraising evidentiary data on which to base an informed, objective assessment of the accuracy and legitimacy of claims audited
  • Utilize personal knowledge of medications and available tools including the Enterprise Data Warehouse (EDW), Access, Excel, etc., identify pharmacies and claims representing audit risks and develop an audit plan, utilizing appropriate audit techniques, to efficiently and effectively address those risks
  • Develop and produce reports as required to meet needs of department management, 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 and on-site meetings, to present status updates of ongoing issues, results of completed audits, etc., for assigned clients
  • Perform special projects as assigned
  • Mentor less experienced team members to improve their understanding and skills by ensuring they are familiar with resource materials including manuals and systems
  • Responsible for the training of new associate auditors on departmental processes
  • Assist with post audit as required by management
  • Fulltime
Read More
Arrow Right

Medication Cart Auditor - Omnicell Technician

We are seeking a detail-oriented professional to serve as a Medication Cart Audi...
Location
Location
United States , Indianapolis
Salary
Salary:
17.00 - 28.46 USD / Hour
https://www.cvshealth.com/ Logo
CVS Health
Expiration Date
March 31, 2026
Flip Icon
Requirements
Requirements
  • Pharmacy Technician license with the state of Indiana (Required)
  • Experience in long-term care or nursing home settings strongly preferred
  • Strong attention to detail and analytical skills
  • Excellent written and verbal communication skills
  • Ability to work independently and manage time effectively in a remote environment
Job Responsibility
Job Responsibility
  • Conduct on-site audits of medication carts at nursing facilities
  • Identify discrepancies in medication labeling, storage, expiration dates, and documentation
  • Provide written reports of audit findings with recommendations for corrective actions
  • Collaborate with consultant RPH, nursing staff, and facility leadership to ensure timely resolution of issues
  • Maintain up-to-date knowledge of state and federal regulations related to long-term care medication practices
  • Participate in periodic training and quality improvement initiatives
  • Replenishment and maintenance of Omnicell machines
  • Perform equipment audits
  • Participate in pharmacy activities, such as packaging, staging, EKits, and inventory as needed
What we offer
What we offer
  • Affordable medical plan options
  • 401(k) plan (including matching company contributions)
  • Employee stock purchase plan
  • No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching
  • Paid time off
  • Flexible work schedules
  • Family leave
  • Dependent care resources
  • Colleague assistance programs
  • Tuition assistance
  • Fulltime
Read More
Arrow Right

Senior GMP Quality Auditor

Proclinical is seeking a Senior GMP Quality Auditor to join a team in the UK. Th...
Location
Location
United Kingdom , London
Salary
Salary:
Not provided
proclinical.com Logo
Proclinical
Expiration Date
Until further notice
Flip Icon
Requirements
Requirements
  • Degree in Chemistry, Pharmacy, Microbiology, or equivalent
  • General auditing qualification: external lead auditing qualification is desirable
  • Proven experience in a similar role within the pharmaceutical industry
  • Familiarity with directives and guidelines for medical devices, sterile manufacturing facilities, and biosimilars
  • Strong organizational and time management skills with the ability to prioritize multiple tasks
  • Excellent communication skills, both written and verbal, including the ability to engage with senior management at third-party suppliers
  • Sound problem-solving skills and the ability to make decisions based on risk
  • Willingness and ability to travel globally
  • Proficient in working independently and collaboratively as part of a team
Job Responsibility
Job Responsibility
  • Mentor team members and support their professional development
  • Oversee the lifecycle management of approved vendors and suppliers in compliance with industry regulations
  • Establish and monitor KPIs, evaluating and reporting associated metrics
  • Manage a risk-based audit program for vendors and suppliers, excluding pharmacovigilance partners
  • Conduct risk analysis based on audit outcomes and collaborate with QPs and management on necessary actions
  • Ensure audits provide assurance for vendors and suppliers in line with EU GMP, EU GDP, or equivalent standards and marketing authorizations
  • Monitor and maintain CAPAs internally and with external suppliers
  • Maintain vendor validity within the SAP ERP system
  • Evaluate and interpret global regulations for audit purposes
  • Create, revise, and review QA documentation, including audit checklists, questionnaires, SOPs, and guidance documents
  • Fulltime
Read More
Arrow Right

Quality Assurance Manager

Companies in the veterinary and animal feed sectors require qualified support fo...
Location
Location
Germany , Munich
Salary
Salary:
Not provided
argentaglobal.com Logo
Argenta
Expiration Date
Until further notice
Flip Icon
Requirements
Requirements
  • University degree in veterinary medicine, pharmacy or a comparable science
  • Ideally, qualification as auditor or training in quality assurance and/or quality management
  • Able to be to familiarize yourself with new tasks and areas of knowledge
  • Independent and structured way of working
  • Flexibility, customer orientation and high sense of responsibility
  • Strong written and verbal communication skills including good command of German and English
  • Willingness to travel for business (up to 40% of working time)
Job Responsibility
Job Responsibility
  • Overseeing the quality of studies performed by Argenta
  • Perform project specific audits, such as (not limited to) protocol audits, site audits, audits of final study report, statistical report, and raw data
  • Data Base validation
  • Budget responsibility for the QA activities within projects
  • Support maintenance of QM System and continuous improvement
  • Performance of internal and supplier audits
  • Prepare, participate and CAPA management related to customer audits and inspections by competent authorities
What we offer
What we offer
  • a detailed introduction to your field of work
  • independent, challenging and divers work
  • modern work equipment
  • family-friendly working hours
  • regular training and further education
  • a positive and collegial team in an appealing atmosphere in Munich
Read More
Arrow Right

Global Supplier Quality Senior Specialist

The Senior Specialist, Global Supplier Quality is responsible for driving suppli...
Location
Location
Italy , Pomezia; Milano; Bologna; Alanno
Salary
Salary:
Not provided
it.alfasigma.com Logo
Alfasigma
Expiration Date
Until further notice
Flip Icon
Requirements
Requirements
  • Minimum 7 years’ experience in supplier quality management within pharmaceuticals, medical devices, or food supplements
  • Strong working knowledge of GMP, ISO 13485, HACCP, and global regulatory expectations
  • Demonstrated success in supplier audits, risk-based quality management, and compliance oversight
  • Lead Auditor certification highly desirable
  • Bachelor’s or Master’s degree in Pharmacy, Chemistry, Engineering, or a related technical field
  • Proven experience using digital tools and systems for supplier qualification and performance management
  • Exceptional communication, stakeholder management, and problem-solving skills
  • Ability to operate effectively in a fast-paced, matrixed, and multicultural environment
  • Fluency in English required
  • Strong proficiency with Microsoft Office Suite and other business platforms
Job Responsibility
Job Responsibility
  • Lead global supplier qualification, approval, and requalification processes in alignment with corporate and regulatory standards
  • Develop and maintain comprehensive supplier risk assessments and qualification documentation
  • Oversee the full supplier lifecycle — from onboarding and performance monitoring to periodic reviews and requalification
  • Plan, conduct, and report supplier audits (both on-site and remote) to verify compliance with internal and external standards
  • Ensure adherence to GMP, ISO 13485, HACCP, and other applicable global quality and regulatory frameworks
  • Partner with suppliers to address audit findings, implement corrective and preventive actions, and monitor their effectiveness
  • Support site quality operations in reviewing and approving supplier-provided documentation, including change controls, technical files, and periodic reviews
  • Maintain and update Supplier Quality Agreements, ensuring alignment with internal policies and regulatory requirements
  • Contribute to the preparation and successful execution of regulatory inspections and customer audits related to supplier management
  • Proactively identify and mitigate supplier-related risks impacting product quality or supply continuity
Read More
Arrow Right

Director of Finance

We are looking for an experienced Director of Finance to lead and manage the fin...
Location
Location
United States , New Orleans
Salary
Salary:
Not provided
https://www.roberthalf.com Logo
Robert Half
Expiration Date
Until further notice
Flip Icon
Requirements
Requirements
  • Minimum of 5 years of experience in financial management, preferably within a non-profit or healthcare setting
  • Proven expertise in annual budgeting, month-end close processes, and financial reporting
  • Strong knowledge of GAAP accounting principles and financial analysis
  • Experience with Medicare and Medicaid audits and compliance requirements
  • Proficiency in cash flow forecasting and managing complex budget processes
  • Familiarity with healthcare administration and regulatory reporting
  • Skilled in using financial systems and electronic medical records for billing and compliance
  • Leadership abilities to manage and develop finance teams effectively
Job Responsibility
Job Responsibility
  • Direct and oversee all financial operations, including accounting, budgeting, auditing, and reporting processes
  • Develop, monitor, and manage annual operating and capital budgets, ensuring alignment with organizational goals and compliance requirements
  • Provide accurate and timely financial reports, including variance analyses and projections, to leadership and the board
  • Supervise revenue cycle activities, including billing, reconciliation, accounts receivable, and participant invoicing
  • Ensure compliance with Medicare Part D regulations, including bid development, reporting, and pharmacy benefit monitoring
  • Lead external audit processes by preparing schedules, analyses, and engaging with auditors
  • Collaborate with leadership to provide financial oversight for expansion projects, capital investments, and new care sites
  • Manage supply chain and procurement to optimize costs and streamline operations
  • Develop and implement financial policies and procedures to drive efficiency and mitigate risks
  • Recruit, train, and mentor finance team members to promote growth and accountability
What we offer
What we offer
  • medical, vision, dental, and life and disability insurance
  • eligible to enroll in our company 401(k) plan
Read More
Arrow Right

Senior Technology Quality Auditor

Technology Auditors possess significant authority and decision-making power with...
Location
Location
Salary
Salary:
Not provided
parexel.com Logo
Parexel
Expiration Date
Until further notice
Flip Icon
Requirements
Requirements
  • At least 5 years’ experience in regulatory affairs, clinical research, monitoring, data management, safety / pharmacovigilance, pharmacy, laboratory, or other relevant area in life science such as technology, third party supplier management
  • Minimum of 2 years' experience in quality assurance, auditing, including sound experience of applicable GxP technology auditing
  • Excellent knowledge, understanding and experience of Good Practices (GxPs) and international, national and local regulations and laws related to clinical trials and other clinical research
  • Educated to degree level (technology, biological science, pharmacy or other health related discipline preferred) or equivalent qualification or clinical research experience
  • Master’s degree in a science, technology or industry related discipline, preferred.
Job Responsibility
Job Responsibility
  • Independently lead, plan, schedule, perform, and report a range of technology audits across all phases of Clinical Research which may include but are not limited to project related audits, system and process audits, supplier qualification and re-qualification audits in order to evaluate the quality system against the appropriate regulatory requirements, relevant procedures and applicable guidelines
  • Perform and deliver high quality audits / audit reports within specified timelines / budgets, independently or with limited oversight
  • Ability to review and, if necessary, identify improvements that enhance the quality and clarity of audit reports
  • Travel internationally for audits, as required
  • Collect and review responses to audit findings and follow-up / escalate inadequate or delayed responses as necessary to ensure timelines are met and responses of satisfactory quality are obtained and formally recorded
  • Act as point of consultancy for Operations and Quality with regards to the implementation of adequate CAPAs with effective and timely escalation of relevant Quality Events where required
  • Coordinate internal global process / system audits across regions and develop all necessary tools such as report templates, checklists and standard emails
  • Ensure required audits are performed and reported in accordance with Parexel QA requirements, and on time
  • Review audit reports, responses and other program deliverable to ensure consistent high quality
  • Maintain required QA tools and ensure Parexel and QA systems are regularly updated with accurate information for audits and other activities
Read More
Arrow Right

Director of Pharmacy

The Pharmacy Director is a mission-critical leadership position responsible for ...
Location
Location
United States
Salary
Salary:
Not provided
brown.edu Logo
Brown University
Expiration Date
Until further notice
Flip Icon
Requirements
Requirements
  • Registered Pharmacist with an active Rhode Island license
  • Three years of experience in a retail setting required
  • Three years supervisory experience required
  • Financial experience involving price setting, profit margins, cost containment strategies required
  • Experience with pharmacy software preferred
  • Strong analytical/quantitative skills required
  • Excellent interpersonal skills required
  • Experience with PC computers preferred
Job Responsibility
Job Responsibility
  • Ensuring the safe, compliant, and fiscally sound delivery of pharmaceutical services
  • Providing essential clinical oversight, regulatory compliance, and strategic financial management
  • Providing leadership in clinical decision-making, medication safety, staff supervision, inventory control, and budget stewardship
  • Supporting more than 30,000 prescriptions annually and daily patient counseling for over 100 students
  • Serving as a key clinical resource for physicians, nurses, athletic trainers, and other providers
  • Acting as the primary liaison with regulators, auditors, vendors, and third-party payers
  • Ensuring continuity of care by maintaining active connectivity with a national network of pharmacies
  • Facilitating prescription transfers and coordination of care for students receiving treatment off campus, during academic breaks, or while traveling
  • Maintaining uninterrupted access to medications
  • Safeguarding institutional compliance
  • Fulltime
Read More
Arrow Right