Pharmacy Claims Integrity Specialist (Onsite Taguig)

IQVIA; Taguig; On-site; PHP 400,000 - 700,000; Full time

Job summary

IQVIA is seeking a Pharmacy Integrity Auditor in Taguig, Philippines. You will review pharmacy audit requests, conduct claims audits, and collaborate with operations, management, and pharmacy facilities to ensure compliance with program rules.

The role requires at least a high school diploma and 2 years of auditing experience in a customer care setting, with strong problem solving, communication, and time-management skills. Onsite in Taguig.

Qualifications

• High School diploma or equivalent required.
• 2+ years auditing experience in a customer care environment.
• Strong problem solving and communication skills.
• Excellent customer relationship abilities.
• Ability to exercise independent judgment and escalate to management as needed.
• Able to adapt to new technologies and work with teams to meet deadlines.
• Willingness to work onsite in Taguig.

Responsibilities

• Conduct pharmacy claims audits as requested by operations and management.
• Collaborate with pharmacy facilities to review documentation for compliance with program rules.
• Determine corrective actions for noncompliant claims and notify pharmacies.
• Document audit details and provide summaries to management.
• Interpret guidelines and policies for project teams; assist with planning, scheduling, and reporting of audits.
• Work with project teams and stakeholders to ensure timely delivery under guidelines.

Skills

Auditing experience

Problem solving

Communication skills

Customer relationship skills

Independent judgment

Adaptability to new technologies

Teamwork

Time management

Onsite collaboration

Education

High School diploma or equivalent

Tools

MS Office

Job description

IQVIA is seeking a Pharmacy Integrity Auditor in Taguig, Philippines. You will review pharmacy audit requests, conduct claims audits, and collaborate with operations, management, and pharmacy facilities to ensure compliance with program rules.

The role requires at least a high school diploma and 2 years of auditing experience in a customer care setting, with strong problem solving, communication, and time-management skills. Onsite in Taguig.