Pharmacy Technician Auditor - Express Scripts - Remote

Job Description Summary Provides advanced professional input to complex Quality Assurance/Audit assignments/projects. Supports and provides direction to more junior professionals. Assists in the development of audit policies and procedures. Using independent judgment and discretion, may recommend changes in processing procedures. May be directly involved in complex audits. Works autonomously... only requiring ?expert? level technical support from others. Exercises judgment in the evaluation, selection, and adaptation of both standard and complex techniques and procedures. Utilizes in-depth professional knowledge and acumen to develop models and procedures, and monitor trends, within Quality Review and Audit. Job Description The Staff Field Auditor is primarily responsible for using analytical skills and audit tools to identify network pharmacy audit risks and develop/execute audit plans and scope of procedures determined necessary to address those risks. Under a moderate level of guidance, this position performs complex on-site network pharmacy audits in order to correct risks identified, protect client assets, and present findings to key internal and external stakeholders. The Staff Field Auditor will assist in mentoring and developing less experienced Audit Team Members. 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. Utilizing 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. QUALIFICATIONS Bachelor?s degree or equivalent experience. Valid driver?s license. Travel up to 50% 2+ years of pharmacy technician experience in a retail, long term care, specialty, mail order or similar pharmacy setting or equivalent education or Master?s degree. Certified Pharmacy Technician (CPhT). Proficient in database and spreadsheet applications, ie: Microsoft Excel, Access, Word. Excellent organizational, interpersonal, and communication skills. Ability to work well with all levels of internal and external contacts. Ability to handle sensitive or confidential information is critical. Ability to work with minimum management oversight while performing on-site audits. Ability to work a flexible schedule to accommodate project deadlines. Willingness to travel. ABOUT THE DEPARTMENT Our Pharma & Retail Relations team plays a key role in keeping us at the forefront of the health care evolution. Team members oversee partnerships with Express Scripts? key supplier groups, including brand and generic pharmaceutical manufacturers, retail pharmacies and drug wholesalers. Successfully maintaining these relationships allows our 100 million patients access to the medicine they need at a price they can afford. If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload. About Evernorth Health Services Evernorth Health Services, a division of The Cigna Group, creates pharmacy, care and benefit solutions to improve health and increase vitality. We relentlessly innovate to make the prediction, prevention and treatment of illness and disease more accessible to millions of people. Join us in driving growth and improving lives. Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws. If you require reasonable accommodation in completing the online application process, please email: [email protected] for support. Do not email [email protected] for an update on your application or to provide your resume as you will not receive a response. Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances. The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State. Doing something meaningful starts with a simple decision, a commitment to changing lives. At The Cigna Group, we?re dedicated to improving the health and vitality of those we serve. Through our divisions Cigna Healthcare and Evernorth Health Services, we are committed to enhancing the lives of our clients, customers and patients. Join us in driving growth and improving lives

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