Quality Review and Pharmacy Technician Audit Lead Analyst - Express Scripts - Remote

POSITION SUMMARY:

The Quality Review and Pharmacy Technician Audit Lead Analyst is responsible to identify pharmacy audit risks using analytical skills and audit tools and develop and execute audit plans and scope of procedures determined necessary to address those risks.

They will complete audits in order to correct risks identified and present findings to the Sr Audit Manager.

They may participate in third party audits and work collaboratively with cross functional partners to complete research needed and provide background knowledge needed to interpret audit scope.

As a Staff Auditor, this position may act as a resource for less experienced team members and work on special projects as needed.

This role will function as support of the Sr.

Manager- Audit on some escalated issues and projects.

Location: Candidate must be located in the Minneapolis-Saint Paul metro area and must be willing to travel for pharmacy audits up to 50% of the time.

ESSENTIAL FUNCTIONS:


* Perform efficient and effective audits to produce results consistent with departmental policies and critical corporate goals while meeting or exceeding personal production goals.


* Performance of audits includes obtaining, analyzing, and appraising evidentiary data on which to base an informed, objective assessment of the accuracy and legitimacy of claims audited.


* Utilize personal knowledge of medications and available tools including the Enterprise Data Warehouse (EDW), Access, Excel, etc., identify pharmacies and claims representing audit risks and develop an audit plan, utilizing appropriate audit techniques, to efficiently and effectively address those risks.


* Develop and produce reports as required to meet needs of department management, Account Managers, pharmacies and chain audit contacts, clients and other stakeholders.

Providing updates to management on current status of audits including any escalated issues.


* Prepare for and participate in client communications, including conference calls and on-site meetings, to present status updates of ongoing issues, results of completed audits, etc., for assigned clients.


* Perform special projects as assigned.


* Mentor less experienced team members to improve their understanding and skills by ensuring they are familiar with resource materials including manuals and systems.


* Responsible for the training of new associate auditors on departmental processes.


* Assist with post audit as required by management.

IDEAL CANDIDATES WILL HAVE A COMBINATION OF THE FOLLOWING:


* Bachelor's Degree or equivalent work experience preferred


* At least 2+ years of pharmacy technician experience in a retail, long term care, specialty, mail order or similar pharmacy setting or equivalent education.


* Certified Pharmacy Technician (CPhT) preferred.


* Proficient in database and spreadsheet applications, ie: Microsoft Excel, Access, Word.


* Excellent organizational, interpersonal, a...