Pharmacy Claims Auditor Sr - Remote

Prime Therapeutics · Other

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Full TimeUSD 59000–94000 / annualPosted Sep 5, 2026

Source: Himalayas

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Specific countries

United States (-10; -9; -8 — no hybrid days in this listing.

Not open from Hungary

This role’s source listing does not include Hungary as an eligible location.

Category
Other
Employment type
Full Time
Experience level
Senior
Job salary
USD 59000–94000 / annual
Original employer: Prime TherapeuticsSource ATS: HimalayasJob status: Active

The Senior Pharmacy Claims Auditor will develop audit tools, analyze pharmacy claim data, and provide guidance to ensure compliance for Prime Therapeutics, working remotely within the United States.

This role involves leading audit initiatives to identify erroneous claims and non-compliant pharmacy practices while mentoring the Pharmacy Audit Operations team. The position requires strong analytical skills to distill complex claim data and collaborate cross-functionally to drive system enhancements and process improvements within the Pharmacy Benefit Management environment.

Why You’ll Love This Role

Remote role in the US
Salary $59,000–$94,000 USD
Senior level position
PBM and pharmacy audit focus
Healthcare industry

What You’ll Bring

Bachelor's degree in Health Science or equivalent experience
5 Years of experience in retail, long term care, specialty, home infusion, or mail order pharmacy
3 Years of experience in audit or quality assurance
Current National Pharmacy Technician Certification through PTCB or ExCPT
Proficiency in MS Word, Excel, and database software
Demonstrated understanding of point of sale and on-line pharmacy claims processing

What You’ll Get

Benefits not specified in the listing

About the Company

Prime Therapeutics is a pharmacy benefit manager focused on connecting care for patients with a purpose beyond profits. The company operates as an equal opportunity and affirmative action employer.

Listing checked for remote eligibility · Posted Sep 5, 2026 · HimalayasApply
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