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Entry Level Pharmacy Audit Analyst Jobs (NOW HIRING)

Independence Blue Cross

Audit Analyst

Philadelphia, PA · On-site

The Senior Audit Analyst assists as a senior audit professional responsible for leading external ... Working knowledge of pharmacy benefits/products is preferred but not required. * Preferred but not ...

Banner Health

Quality Audit Analyst NE

Phoenix, AZ · Hybrid

... from entry-level to leadership positions, and extend our innovation to employment settings by ... As a Quality Audit Analyst, you will be a vital part of the Health Plan Quality Management Team.

Bannerhealth

Quality Audit Analyst NE

Banner, IL · Hybrid

... from entry-level to leadership positions, and extend our innovation to employment settings by ... As a Quality Audit Analyst, you will be a vital part of the Health Plan Quality Management Team.

Banner Health

Quality Audit Analyst NE

Phoenix, AZ · On-site

... from entry-level to leadership positions, and extend our innovation to employment settings by ... As a Quality Audit Analyst, you will be a vital part of the Health Plan Quality Management Team.

Judi Health

Case Development Specialist

Charlotte, NC · On-site

Develop, maintain, and analyze reports, dashboards, case inventories, and tracking tools that support FWA investigations, pharmacy audits, and operational monitoring. * Monitor documentation requests ...

Onco360

Pharmacy Compliance Analyst

Woodridge, IL · Remote

Also, the Compliance Analyst will assist with the Onco360/CareMed/ConnectMed360 audit and monitoring plan. Compliance Analyst Major Responsibilities: * Assists the Vice President, Specialty Pharmacy ...

Onco360

Pharmacy Compliance Analyst

New Hyde Park, NY · Remote

Also, the Compliance Analyst will assist with the Onco360/CareMed/ConnectMed360 audit and monitoring plan. Compliance Analyst Major Responsibilities: * Assists the Vice President, Specialty Pharmacy ...

Onco360

Pharmacy Compliance Analyst

New Hyde Park, NY · On-site

Also, the Compliance Analyst will assist with the Onco360/CareMed/ConnectMed360 audit and monitoring plan. Compliance Analyst Major Responsibilities: * Assists the Vice President, Specialty Pharmacy ...

Onco360

Pharmacy Compliance Analyst

Houston, TX · Remote

Also, the Compliance Analyst will assist with the Onco360/CareMed/ConnectMed360 audit and monitoring plan. Compliance Analyst Major Responsibilities: * Assists the Vice President, Specialty Pharmacy ...

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Entry Level Pharmacy Audit Analyst information

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$60

How much do entry level pharmacy audit analyst jobs pay per hour?

As of Aug 22, 2026, the average hourly pay for entry level pharmacy audit analyst in the United States is $27.61, according to ZipRecruiter salary data. Most workers in this role earn between $20.19 and $30.53 per hour, depending on experience, location, and employer.

What does an entry level pharmacy audit analyst do?

An Entry Level Pharmacy Audit Analyst is responsible for reviewing pharmacy claims and transactions to identify errors, inconsistencies, or potential fraud. They analyze data, prepare audit reports, and help ensure pharmacies comply with regulations and contract terms. This role often involves working with large sets of data, collaborating with pharmacy staff, and supporting efforts to improve the accuracy and integrity of pharmacy billing and operations.

What are the key skills and qualifications needed to thrive as an entry level pharmacy audit analyst, and why are they important?

To thrive as an Entry Level Pharmacy Audit Analyst, you need strong analytical skills, attention to detail, and a bachelor's degree in pharmacy, healthcare, or a related field. Familiarity with pharmacy benefit management (PBM) systems, claims processing software, and proficiency in Excel or data analysis tools is typical. Effective communication, problem-solving abilities, and organizational skills help you stand out in this position. These competencies are crucial for accurately reviewing pharmacy claims, detecting discrepancies, and ensuring regulatory compliance in a dynamic healthcare environment.

What are some common challenges faced by entry level pharmacy audit analysts, and how can they be overcome?

Entry Level Pharmacy Audit Analysts often encounter challenges such as interpreting complex pharmacy claims data, staying up-to-date with regulatory changes, and balancing multiple audit projects simultaneously. To overcome these, effective time management and strong attention to detail are crucial. Collaborating closely with experienced team members and proactively seeking feedback can also help analysts quickly build confidence and accuracy in their work. Many organizations provide training and mentorship to support professional development and ensure new analysts are equipped to handle the demands of the role.

What is the difference between Entry Level Pharmacy Audit Analyst vs Pharmacy Claims Processor?

AspectEntry Level Pharmacy Audit AnalystPharmacy Claims Processor
Required CredentialsHigh school diploma or associate's; some certifications preferredHigh school diploma or equivalent; on-the-job training
Work EnvironmentOffice setting, healthcare or insurance companiesCall centers, healthcare facilities, insurance companies
Job FocusAuditing pharmacy claims for accuracy and complianceProcessing pharmacy claims and data entry
Common UsageInsurance companies, healthcare providersPharmacy benefit managers, insurance companies

The Entry Level Pharmacy Audit Analyst primarily reviews pharmacy claims for accuracy and compliance, requiring analytical skills and some certifications. In contrast, a Pharmacy Claims Processor focuses on entering and processing claims, often with less emphasis on auditing. Both roles are common in healthcare and insurance industries, but they differ in responsibilities and skill requirements.

What are the most commonly searched types of Pharmacy Audit Analyst jobs?

The most popular types of Pharmacy Audit Analyst jobs are:

Entry Level Pharmacy Audit Analyst jobs near you

Audit Analyst

Independence Blue Cross

Philadelphia, PA • On-site

Full-time

Re-posted 22 days ago

Independence Blue Cross rating

8.8

Company rating: 8.8 out of 10

Based on 26 frontline employees who took The Breakroom Quiz

56th of 311 rated insurance

Job description

Bring your drive for excellence, team orientation, and customer commitment to Independence; help us renew and reimagine our business and shape the future of health care.
The Senior Audit Analyst assists as a senior audit professional responsible for leading external operational audits, managing audit issue resolution and remediation, ensuring compliance with audit standards and policies, serving as a key liaison between auditors and stakeholders, reviewing audit documentation and responses for quality and accuracy, and mentoring junior audit analysts.
  • Serve in a senior role to ensure the timely completion of operational (and some financial) external audit projects in accordance with agreed-upon audit criteria, sound audit practices, and the IBC Audit Policy.
  • Develop strategies and discuss with management approaches to resolve audit issues.
  • Ensure all assigned deliverables are completed with the written audit expectations for the external audit project.
  • Address all confirmed audit issues identified from an Operational Audit project with the internal IBC stakeholder departments to ensure the root cause has been properly identified, verify the implementation of remediation steps, and verify the completion of any financial/claim impacts.
  • Serve as point of contact and knowledge expert for external auditors and internal stakeholder departments.
  • Review all internal responses to potential errors/issues from departments for accuracy and completeness.
  • Evaluate responses and modify as needed to address an internal or external audience properly.
  • Prepare and quality review all audit supporting documentation prior to issuance.
  • Monitor resolution of confirmed manual and systemic issues/errors.
  • Serve as information resource to Audit and client management regarding audit requirements and processes.
  • Train and develop new audit analysts.

Qualifications:
  • B.S. Degree with 3 or more years of knowledge of healthcare operational auditing or equivalent quality analytical experience in healthcare products.
  • Experienced knowledge in the utilization of operational audit procedures or quality review analysis experience to complete root cause analysis, verify implemented controls and resolutions to confirmed audit findings.
  • General understanding of health care claim adjudication, provider pricing/contracting, and account benefit set-up for healthcare products.
  • Working knowledge of medical healthcare benefits/product.
  • Working knowledge of pharmacy benefits/products is preferred but not required.
  • Preferred but not required working knowledge of federal regulations regarding Federal Employee Program (FEP)
  • Preferred but not required working knowledge of the BCBSA Member Touchpoint Measures Program (MTM), BCBSA Line Desk Level Audit (LDLA), Interplan Teleprocessing System (ITS), Health Rules, and OSCAR claim adjudication systems is preferred but not required.
  • Possess strong oral skills for communications with various levels of management and strong written skills for drafting responses to audit findings.

Independence has implemented a "Hybrid" model which consists of Associates working in the office 3 days a week (Tuesday, Wednesday & Thursday) and remotely 2 days a week (Monday & Friday). This role is designated as a role that fits into the "Hybrid" model. While associates may work remotely on our designated remote days, the work must be performed in the Tri-State Area of Delaware, New Jersey, or Pennsylvania
IBX is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to their age, race, color, religion, sex, national origin, sexual orientation, protected veteran status, or disability.
Must have an Android or iOS device which is compatible with the free Microsoft Authenticator app.

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