Third Party Audit Senior Coordinator, CVS Health

Third Party Audit Senior Coordinator

CVS Health

Location:
United States, Work At Home

Category:
Customer Service

Contract Type:
Employment contract

Salary:

18.50 - 38.82 USD / Hour

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Job Description:

The Third Party Audit Senior Coordinator will be responsible for the timely, accurate, and compliant management of third party retail pharmacy audits. This role will facilitate the audit process coordinating between payers and the retail pharmacy staff to resolve and complete audit documentation requests and inquiries.

Job Responsibility:

Timely, accurate, and compliant management of third party retail pharmacy audits
Facilitate the audit process coordinating between payers and the retail pharmacy staff
Resolve and complete audit documentation requests and inquiries
Proactively reviewing requested claim documentation for completeness
Responding to audits within the allotted timeframe
Evaluating audit discrepancies for refutation opportunities to mitigate the bad debt associated

Requirements:

2+ years professional experience, preferably in a retail pharmacy or pharmacy call center setting
2+ years using Excel and Outlook in a professional or academic setting
Ability to complete work based on productivity standards (SLA) with minimal supervision
Ability to interact professionally with business partners (internally and externally)
Ability to work individually or with a team to identify and define problems, evaluate alternatives, and implement practical, cost-effective solutions
Verifiable High School diploma or GED is required

Nice to have:

1+ year experience with RxConnect System
Desire to seek continued professional growth
Prefer candidates living in the Eastern time zone

What we offer:

Affordable medical plan options
401(k) plan with matching company contributions
Employee stock purchase plan
Wellness screenings
Tobacco cessation programs
Weight management programs
Confidential counseling
Financial coaching
Paid time off
Flexible work schedules
Family leave
Dependent care resources
Colleague assistance programs
Tuition assistance
Retiree medical access

Additional Information:

Job Posted:
September 18, 2025

Expiration:
September 26, 2025

Employment Type:

Fulltime

Work Type:

Remote work

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