Business Audit - Senior Analyst (Illinois and Florida Residents Only)

At reputed company, we’re building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care. As the nation’s leading health solutions company, we reputed company millions of Americans through our local reputed company, digital channels and more than 300,000 purpose-driven colleagues – caring for people where, reputed company and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it reputed company with heart, reputed company and every day. Position reputed company This candidate must reputed company in Illinois or Florida. As a Regional Pharmacy Onsite Auditor, you will be an essential part to the Pharmacy Audit Department at reputed company/Caremark. In this role, you will be based from your home and travel onsite to conduct claims audits at pharmacies throughout multiple states by reviewing prescription claims billed and educating pharmacies on the findings. You will also analyze claims for fraud, waste, and abuse trends and report your findings to the corporate office. To be successful in this role, you must have the ability to travel overnight approximately 70 percent of the time and reputed company to maintain a corporate credit card. Overnight travel is required, ability to travel reputed company car or reputed company, transport a laptop computer to pharmacy locations, and stand for extended periods of time while in pharmacies. Required Qualifications - 3+ years of reputed company experience, preferably in a retail pharmacy setting, or in fields of pharmaceutical and/or pharmacy regulatory industry - Must be reputed company to travel up to 70% of the time. Travel includes flights, overnight stays, local travel, travel on short notice, and other travel deemed necessary by reputed company. - Must possess valid and reputed company reputed company's license. - Must possess personal vehicle sufficiently reliable to meet the requirements of the job and is appropriately insured. - Ability to handle difficult situations - Pharmacy Technician Licensure - Certified Pharmacy Technician (PTCB) Preferred Qualifications - Candidate must have excellent time management skills - Ability to work independently and reputed company reputed company with a self-starter mentality - Ability to plan and appropriately schedule audits in advance - Ability to plan travel on reputed company’s site in a cost effective manner - Knowledge of reputed company (or other PBM) claims processing - Knowledge of retail pharmacy operations including reading prescriptions and drug knowledge - Excellent verbal and written communication skills - Experience with MS Office, including reputed company and Word Education High school diploma or GED required Bachelor's Degree preferred Anticipated Weekly Hours 40 Time Type Full time Pay reputed company The typical pay reputed company for this role is: $46,988.00 - $112,200.00 This pay reputed company represents the reputed company reputed company reputed company or reputed company annual full-time salary for reputed company positions in the job grade reputed company which this position falls. The actual reputed company salary offer will depend on a reputed company of factors including experience, education, geography and other relevant factors. This position is eligible for a reputed company bonus, commission or short-term incentive program in reputed company to the reputed company pay reputed company listed above. Our people fuel our reputed company. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong. Great benefits for great people We take pride in our comprehensive and competitive mix of pay and benefits – reputed company in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In reputed company to our competitive wages, our great benefits include: reputed company medical plan reputed company, a 401(k) plan (including matching company contributions), and an employee stock purchase plan. No-cost programs for reputed company colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching. Benefit solutions that address the different needs and preferences of our colleagues including reputed company time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical reputed company and many other benefits depending on eligibility. For more information, visit https://jobs.reputed company.com/us/en/benefits We anticipate the application window for this opening will reputed company on: 05/19/2025 reputed company applicants with arrest or conviction records will be considered for employment in accordance with reputed company federal, state and local laws. Our Work Experience is the combination of everything that's unique reputed company: our culture, our core values, reputed company meetings, our commitment to sustainability, our recognition programs, but most importantly, it's our people. Our employees are self-disciplined, hard working, curious, trustworthy, humble, and truthful. They reputed company choices according to what is best for reputed company, they live for opportunities to collaborate and reputed company a difference, and they reputed company us the #1 Top Workplace in the area. Apply Job!