Join Green Shield Canada as a Pharmacy Auditor, focusing on compliance and claims accuracy in pharmacy benefits. Your analytical skills will help ensure adherence to industry regulations and improve operational efficiency.
In this pivotal role, you'll conduct thorough audits of pharmacy providers, examining claims and dispensing records for compliance. With your expertise, you'll analyze data for trends and support financial recovery efforts through detailed reporting and communication with stakeholders. Your insights will drive improvements in pharmacy operations and health benefit management.
Key Responsibilities:
• Perform compliance audits for pharmacy providers
• Review claims and dispensing records for accuracy
• Analyze datasets to detect anomalies and risks
• Develop reports outlining findings and necessary actions
• Communicate audit outcomes to pharmacy providers
Requirements:
• Prior experience in pharmacy auditing or healthcare analytics
• Soli...