Hybrid Pharmacy Auditor - Compliance & Audit Expert

Judi Health, LLC; Charlotte (NC); Hybrid; USD 65,000 - 80,000; Full time

Job summary

Judi Health, LLC is seeking a Pharmacy Auditor to perform comprehensive audits of network pharmacies to ensure contractual and regulatory compliance, verify claims accuracy, and promote program integrity. The role collaborates with Compliance, Legal, Finance, Provider Relations, Clinical, and FWA teams to support recoveries and corrective actions.

The position requires desk, remote and on-site audits, with travel as needed in a hybrid setup.

Qualifications

• Bachelor’s degree in Healthcare Administration, Pharmacy, or related field preferred.
• Certified Pharmacy Technician (CPhT) designation strongly preferred.
• Experience in auditing, compliance, or pharmacy operations is required.

Responsibilities

• Conduct desk, remote and on-site audits of pharmacies to verify compliance.
• Review prescription records, claims data, inventory, and logs for accuracy.
• Identify discrepancies, overpayments, and non-compliance; document findings.
• Prepare audit reports with root causes, financial impact, and corrective actions.
• Communicate results to pharmacies and internal stakeholders professionally.

Skills

Audit analysis

Regulatory compliance

Data analytics

Communication

Detail-oriented

Education

Bachelor’s degree in Healthcare Administration / related field

CPhT designation (preferred)

Tools

Excel

Word / PowerPoint

Data analysis tools

Job description

Judi Health, LLC is seeking a Pharmacy Auditor to perform comprehensive audits of network pharmacies to ensure contractual and regulatory compliance, verify claims accuracy, and promote program integrity. The role collaborates with Compliance, Legal, Finance, Provider Relations, Clinical, and FWA teams to support recoveries and corrective actions.

The position requires desk, remote and on-site audits, with travel as needed in a hybrid setup.