Remote Biologics Payer Audit & Accreditation Specialist

McKesson; Texas; Hybrid; USD 80,000 - 133,000; Full time

Job summary

McKesson is seeking a Biologics Payer Audit & Accreditation Specialist to support PBM/payer audit management and URAC/ACHC accreditation across Biologics sites. The role combines audit response, evidence collection, regulatory tracking, and survey readiness, with travel about 15% and a flexible work-from-home arrangement.

The position requires working knowledge of specialty pharmacy operations, pharmacy claims adjudication, PBM provider manuals, and accreditation standards, plus strong

Qualifications

• Degree or equivalent required; typically 4+ years of relevant experience.
• Certified Pharmacy Technician (CPhT) preferred.
• Experience in specialty pharmacy, PBM, or pharmacy regulatory compliance.

Responsibilities

• Supports PBM audit requests across Biologics sites with timely responses.
• Maintains accreditation readiness and evidence submission across sites.
• Prepares summaries and reports for leadership audiences.
• Ensures audit-ready documentation and version control.
• Supports continuous quality improvement initiatives and CAPA tracking.

Skills

PBM audit management

Specialty pharmacy accreditation

Pharmacy claims adjudication

Documentation discipline

Stakeholder management

Analytical skills

Communication

Regulatory compliance

Education

Bachelors degree or equivalent

Certified Pharmacy Technician (CPhT) preferred

Tools

Power BI

Excel

AccrediNet

MasterControl

Job description

McKesson is seeking a Biologics Payer Audit & Accreditation Specialist to support PBM/payer audit management and URAC/ACHC accreditation across Biologics sites. The role combines audit response, evidence collection, regulatory tracking, and survey readiness, with travel about 15% and a flexible work-from-home arrangement.

The position requires working knowledge of specialty pharmacy operations, pharmacy claims adjudication, PBM provider manuals, and accreditation standards, plus strong