Pharmacy Claims Auditor (CPhT) - Compliance & Audit Specialist

Jobtailor; San Antonio (TX); On-site; USD 52,000 - 72,000; Full time

Job summary

Jobtailor is seeking a Pharmacy Auditor in San Antonio, TX to examine pharmacy records, ensure compliance with regulations, and support clients with audit results. The role requires strong pharmacy knowledge, auditing skills, and the ability to travel for site visits.

Responsibilities include reviewing documentation, researching regulatory requirements, and communicating audit findings to clients. This position emphasizes accuracy, professionalism, and adherence to standards across multiple

Qualifications

• Certification as National CPhT or ability to obtain within first months.
• Extensive retail pharmacy experience.
• Resident within commutable distance to San Antonio, TX.
• Valid driver’s license and reliable car for local visits.
• Willingness to travel overnight up to 25%.
• Proficiency with Windows and Microsoft Office.
• Ability to stand for up to 8 hours and lift 20 lb.

Responsibilities

• Examine and interpret pharmacy records against submitted claim data for discrepancies.
• Apply client instructions and regulations when accessing pharmacy documentation.
• Research board of pharmacy regulations and related laws.
• Respond to audit results and report to clients regularly.
• Conduct onsite, desktop, and credentialing audits.
• Review documentation against claim data using prescription knowledge.
• Assess and describe pharmacy operations and procedures.
• Make confirmation calls to pharmacies before audit dates and reschedule as needed.
• Perform other assigned duties.

Skills

Retail Pharmacy Experience

Pharmacy Auditing

Windows Proficiency

Microsoft Office Proficiency

Education

National CPhT Certification

Tools

Windows

Microsoft Office

Job description

Jobtailor is seeking a Pharmacy Auditor in San Antonio, TX to examine pharmacy records, ensure compliance with regulations, and support clients with audit results. The role requires strong pharmacy knowledge, auditing skills, and the ability to travel for site visits.

Responsibilities include reviewing documentation, researching regulatory requirements, and communicating audit findings to clients. This position emphasizes accuracy, professionalism, and adherence to standards across multiple