Senior Pharmacy Claims Auditor | Remote

Prime Therapeutics; Utah; Remote; USD 59,000 - 94,000; Full time

Job summary

Prime Therapeutics in Utah (Remote) is seeking a Senior Pharmacy Claims Auditor to educate and guide audit activities, develop tools, and analyze data for improved claims accuracy. You will partner with cross-functional teams to implement best practices and support audit initiatives.

Minimum qualifications include a health-science degree, 5 years in pharmacy/audit roles, and national tech certification; strong communication and analytical skills are essential.

Qualifications

• Bachelor's degree in Health Science or related field, or equivalent combination.
• PTCB or ExCPT certification required; US work eligibility without sponsorship.

Responsibilities

• Lead training and guidance to educate on audit processes and tools.
• Analyze claim and audit data; identify trends and reporting needs.
• Collaborate with cross-functional teams to support audit initiatives.
• Perform other duties as assigned.

Skills

Critical thinking

Problem solving

Communication

Cross-functional collaboration

Training

Education

Bachelor's degree in Health Science

National Pharmacy Technician Certification (PTCB/ExCPT)

US work eligibility

Tools

MS Word

Excel

Database software

Job description

Prime Therapeutics in Utah (Remote) is seeking a Senior Pharmacy Claims Auditor to educate and guide audit activities, develop tools, and analyze data for improved claims accuracy. You will partner with cross-functional teams to implement best practices and support audit initiatives.

Minimum qualifications include a health-science degree, 5 years in pharmacy/audit roles, and national tech certification; strong communication and analytical skills are essential.