General Information |
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PA Audit Specialist I |
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Location: | Remote | Remote Location: | ||
# of openings: | 1 | Department: | ||
Employment duration: | Full time | Exemption Status: | Non-Exempt | |
Relocation Assistance: | N/A | Added to system: | 10/18/23 12:58 PM | |
Job Code: | 1405.231018.8402 | |||
Description | ||||
PA Audit Specialist I $39,612 - $51,000 - $62,388 “Pay scale information is not necessarily reflective of actual compensation that may be earned, nor a promise of any specific pay for any selected candidate or employee, which is always dependent on actual experience, education, qualifications, and other factors. A full review of our comprehensive pay and benefits will be discussed at the offer stage with the selected candidate.” This position is not eligible for Sponsorship.
MedImpact Healthcare Systems, Inc. is looking for extraordinary people to join our team! Why join MedImpact? Because our success is dependent on you; innovative professionals with top notch skills who thrive on opportunity, high performance, and teamwork. We look for individuals who want to work on a team that cares about making a difference in the value of healthcare. At MedImpact, we deliver leading edge pharmaceutical and technology related solutions that dramatically improve the value of health care. We provide superior outcomes to those we serve through innovative products, systems, and services that provide transparency and promote choice in decision making. Our vision is to set the standard in providing solutions that optimize satisfaction, service, cost, and quality in the healthcare industry. We are the premier Pharmacy Benefits Management solution!
The Scoop: The PA Audit Specialist I assists the PA Audit Team in the successful preparation, planning, execution, and follow up of audits. Additionally, this PA Audit Specialist I serves as a lead for PA audits, supports Formulary Administration audits, adherence to performance guarantees, and provides support for the Health Services Quality Improvement program. This PA Audit Specialist I understands how the PA program works, leads client PA audits, and when not in audits, participates in regular departmental meetings. The PA Audit Specialist I assists PA clients with oversight of the PA program, coordinates follow up to audit findings, monitors corrective action plans, and solves client issues related to audits. This PA Audit Specialist I meets with clients (where designated) to understand their QA and compliance programs and aligns MedImpact processes to synergize with these programs. Reports directly to the Manager, Quality, Audit and PA Client Services.
What You Get To Do:
Supervisory Responsibilities This job has no supervisory responsibilities.
Education and/or Experience For consideration candidates will need:
Computer Skills To perform this job successfully, an individual should have knowledge of Microsoft Office Suite and a working knowledge of relational databases
Certificates, Licenses, Registrations Must successfully complete one of the national certification exams OR obtain state licensure (in an U.S. State or Territory). Maintains a current Pharmacy Technician License and/or CPhT certification without restriction.
Other Skills and Abilities Prior authorization, data analysis, and claims research experience preferred. Analytical skills with Health Informatics experience preferred. Experience in promoting disease management or drug cost management programs preferred.
Travel This position may require travel for those located outside of the geographic location of the audit. Attendance may be required at various local training sessions and/or meetings or travel to a client site.
The Perks:
This position is eligible for Employee Referral Bonus at Level I To explore all that MedImpact has to offer, and the greatness you can bring to our teams, please submit your resume to www.medimpact.com/careers MedImpact, is a privately-held pharmacy benefit manager (PBM) headquartered in San Diego, California. Our solutions and services positively influence healthcare outcomes and expenditures, improving the position of our clients in the market. MedImpact offers high-value solutions to payers, providers, and consumers of healthcare in the U.S. and foreign markets.
Equal Opportunity Employer, Male/Female/Disabilities/Veterans OSHA/ADA: To perform this job successfully, the successful candidate must be able to perform each essential duty satisfactorily. The requirements listed are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Disclaimer: The above statements are intended to describe the general nature and level of work being performed by people assigned to this classification. They are not intended to be construed as an exhaustive list of all responsibilities, duties, and skills required of personnel so classified. | ||||
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