Home
/
Accounting and Finance
/
Senior Pharmacy Audit Representative
Senior Pharmacy Audit Representative-August 2024
Irvine
Aug 26, 2025
ABOUT UNITEDHEALTH GROUP
With offices around the world, UnitedHealth Group's headquarters are located in the Minneapolis metropolitan area.
10,000+ employees
Healthcare
VIEW COMPANY PROFILE >>
About Senior Pharmacy Audit Representative

  Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data, and resources they need to feel their best.Come make an impact on the communities we serve as we help advance health equity on a global scale. Here, you will find talented peers, comprehensive benefits, a culture guided by diversity and inclusion, career growth opportunities and your life's best work.SM

  Schedule: Monday - Friday, 8:00am - 4:30pm PST (with a 30-minute lunch)

  If you reside in the PST, CST, EST or MST Time Zone, you will enjoy the flexibility to telecommute as you take on some tough challenges.

  Primary Responsibilities:

  Positions in this function analyze and monitor claims against potential fraud, waste and abuse related to network pharmacies Investigate, review, and analyze claims data applying knowledge of pharmacy policy and practice and data mining techniques to determine details of potential fraudulent, erroneous, or abusive billing activity on Real Time Application System and various reports Senior Pharmacy Audit Representative will need to identify and document potential fraudulent or erroneous activities determined as a result of their work Senior Pharmacy Audit Representative are licensed pharmacy technicians with in - depth knowledge of pharmacy operations

  What are the reasons to consider working for UnitedHealth Group? Put it all together - competitive base pay, a full and comprehensive benefit program, performance rewards, and a management team who demonstrates their commitment to your success. Some of our offerings include:

  Paid Time Off which you start to accrue with your first pay period plus 8 Paid Holidays Medical Plan options along with participation in a Health Spending Account or a Health Saving account Dental, Vision, Life& AD&D Insurance along with Short-term disability and Long-Term Disability coverage 401(k) Savings Plan, Employee Stock Purchase Plan Education Reimbursement Employee Discounts Employee Assistance Program Employee Referral Bonus Program Voluntary Benefits (pet insurance, legal insurance, LTC Insurance, etc.) More information can be downloaded at: http://uhg.hr/uhgbenefits

  You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

  Required Qualifications:

  High School Diploma/GED (or higher) OR 2+ years of experience as a Pharmacy Technician in a retail pharmacy, PBM or specialized pharmacy Active and unrestricted Pharmacy Technician License in state of residence Active and unrestricted National Pharmacy Technician Certification (ExCPT or PTCB) 2+ years of experience in Microsoft Word (creating/updating documents) and Microsoft Excel (creating/updating spreadsheets, pivot tables, and formulas) 1+ years of Pharmacy Technician experience in a retail pharmacy, PBM or specialized pharmacy Flexibility to work as late as 5:00 PM Pacific Time Reside in the United States in the Central, Mountain, Pacific or Eastern Time Zone

  All Telecommuters will be required to adhere to UnitedHealth Group's Telecommuter Policy.

  California, Colorado, Nevada, Connecticut, New York, New Jersey, Rhode Island or Washington Residents Only: The hourly range for California, Colorado, Nevada, Connecticut, New York, New Jersey, Rhode Island, or Washington residents is $18.80 to $36.78 per hour. Pay is based on several factors including but not limited to education, work experience, certifications, etc. In addition to your salary, UnitedHealth Group offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with UnitedHealth Group, you'll find a far-reaching choice of benefits and incentives.

  Pursuant to the San Francisco Fair Chance Ordinance, we will consider for employment qualified applicants with arrest and conviction records.

  At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location, and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups, and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.

  Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity / Affirmative Action employer, and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.

  UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.

  #RPO, #Green

Comments
Welcome to zdrecruit comments! Please keep conversations courteous and on-topic. To fosterproductive and respectful conversations, you may see comments from our Community Managers.
Sign up to post
Sort by
Show More Comments
SIMILAR JOBS
Accounts Receivable Clerk
Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecti
Supplemental Health Underwriting Consultant
Underwriter RA - UO08LE Sr UW Reg Acct - UO08IE We're determined to make a difference and are proud to be an insurance company that goes well beyond coverages and policies. Working here means having
Underwriting Consultant - Remote
Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecti
Medicare Sales Field Agent - Daytona
Become a part of our caring community and help us put health first Are you passionate about the Medicare population, looking for an opportunity to work in sales, and wanting the ability to directly i
Credit and Political Risk Senior Underwriter
Executive Underwriter - UJ07DE Senior Underwriter - UJ08DE We're determined to make a difference and are proud to be an insurance company that goes well beyond coverages and policies. Working here me
Insurance Agency Owner - Missouri
Business owner. Community leader. Protector of dreams. That's what makes an American Family Insurance Agency Owner. It's a highly rewarding opportunity that allows you to create financial stability w
Audit Manager (Asia Pacific), Assistant Vice President, Hybrid
State Street Corporate Audit is looking for a versatile and talented business professional interested in progressing their knowledge, skillset, and career through challenging stretch assignments. The
Investor Services - Associate 2
Job Description AIS Investor Services Operations Job title: AIS Investor Services, Associate Reports to: AIS Investor Services Manager Position Description This position is within the Investor Servic
Medicare Sales Field Agent - CarePlus Orange/Osceola/Seminole County
Become a part of our caring community and help us put health first Are you passionate about the Medicare population, looking for an opportunity to work in sales, and wanting the ability to directly i
Medicare advisor
Job Description: Medicare specialist Role You will help our customers navigate the complexity of Medicare and drive new revenue to the firm through the sale of commissionable Medicare insurance plans
Copyright 2023-2025 - www.zdrecruit.com All Rights Reserved