Remote 340B Claims Reviewer – Compliance & Impact

Maxor National Pharmacy Services; United States; Remote; USD 37.000 - 41.000; Vollzeit

Benefits dieser Stelle

Employer-matched 401k Plan

Industry leading PTO plan

Earned Wage Access

Rx, dental, vision

Zusammenfassung

VytlOne is hiring a 340B Pharmacy Claims Reviewer to conduct scheduled audits of prescription claims and supporting records, ensuring 340B eligibility and preventing duplicate discounts. You will document findings, monitor trends, and collaborate with the 340B Account Specialist to strengthen compliance.

This remote role offers a competitive hourly pay range, robust benefits, and opportunities to impact patient care and program savings across a Fortune 500–backed pharmacy services organization.

Qualifikationen

• Associate degree in pharmacy technology, healthcare administration, business, or a related field preferred or equivalent experience.
• Active pharmacy technician certification (CPhT) preferred.
• Two years of experience in pharmacy operations, pharmacy claims, healthcare auditing, 340B program support, or related healthcare environment.

Aufgaben

• Perform scheduled audits of prescription claims and supporting documentation according to procedures and client requirements.
• Review Medicaid claims and related indicators to identify potential duplicate discounts and prevent improper payments.
• Evaluate 340B patient eligibility and claim qualification by reviewing records, insurance data, and hospital status.
• Document audit results and follow-up actions in designated systems with clear rationale.
• Identify trends and supply improvement opportunities to stakeholders.

Kenntnisse

Analytical skills

Reconciliation

Attention to detail

Communication

Microsoft Office

Remote work

Privacy/compliance

Ausbildung

Associate degree in Pharmacy Technology

Tools

Microsoft Office

340B systems

Pharmacy claims systems

Jobbeschreibung

VytlOne is hiring a 340B Pharmacy Claims Reviewer to conduct scheduled audits of prescription claims and supporting records, ensuring 340B eligibility and preventing duplicate discounts. You will document findings, monitor trends, and collaborate with the 340B Account Specialist to strengthen compliance.

This remote role offers a competitive hourly pay range, robust benefits, and opportunities to impact patient care and program savings across a Fortune 500–backed pharmacy services organization.