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Pharmacy Audit Analyst Jobs (NOW HIRING)

Capital Rx

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 ...

Capital Rx

Case Development Specialist

Manhattan, NY · 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 ...

Capital Rx

Case Development Specialist

Denver, CO · 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

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 ...

Onco360

Pharmacy Compliance Analyst

Buffalo, 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 ...

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Pharmacy Audit Analyst information

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How much do pharmacy audit analyst jobs pay per year?

As of Aug 9, 2026, the average yearly pay for pharmacy audit analyst in the United States is $89,650.00, according to ZipRecruiter salary data. Most workers in this role earn between $65,500.00 and $116,500.00 per year, depending on experience, location, and employer.

What skills and qualifications are needed to thrive as a pharmacy audit analyst?

A Pharmacy Audit Analyst should have a strong background in pharmacy operations, data analysis, and healthcare compliance, preferably supported by a degree in pharmacy, healthcare administration, or a related field. Familiarity with pharmacy management systems, claims processing software, and data analytics tools such as Excel or SQL is often required, and certifications like Certified Pharmacy Technician (CPhT) may be advantageous. Attention to detail, critical thinking, and effective communication skills help analysts identify discrepancies and collaborate with pharmacy staff and insurers. Mastery of these competencies ensures accurate audits, regulatory compliance, and the integrity of pharmacy operations.

What does a pharmacy audit analyst do?

A Pharmacy Audit Analyst reviews pharmacy claims, billing practices, and compliance with healthcare regulations to identify discrepancies or fraudulent activities. They analyze prescription records, ensure adherence to contractual agreements, and assess financial accuracy. Their role helps prevent errors, reduce financial risk, and ensure that pharmacies follow proper guidelines. Additionally, they may collaborate with auditors, insurers, and healthcare providers to resolve issues and improve processes.

More about Pharmacy Audit Analyst jobs
What cities are hiring for Pharmacy Audit Analyst jobs? Cities with the most Pharmacy Audit Analyst job openings:
What are the most commonly searched types of Pharmacy Audit Analyst jobs? The most popular types of Pharmacy Audit Analyst jobs are:
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What job categories do people searching Pharmacy Audit Analyst jobs look for? The top searched job categories for Pharmacy Audit Analyst jobs are:
Pharmacy Audit Analyst jobs near you
Infographic showing various Pharmacy Audit Analyst job openings in the United States as of August 2026, with employment types broken down into 1% As Needed, 69% Full Time, 27% Part Time, and 3% Contract. Highlights an 96% Physical, 1% Hybrid, and 3% Remote job distribution, with an average salary of $89,650 per year, or $43.1 per hour.

Audit/Senior Audit Analyst

Independence Blue Cross

Philadelphia, PA • On-site

Full-time

Re-posted 8 days ago

Independence Blue Cross rating

8.6

Company rating: 8.6 out of 10

Based on 25 frontline employees who took The Breakroom Quiz

88th of 304 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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