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Remote Pharmacy Audit Analyst Jobs (NOW HIRING)

Actalent

Remote Pharmacy Technician

Atlanta, GA · Remote

$18 - $20/hr

Remote Pharmacy Technician We are seeking a dedicated Pharmacy Technician to join our dynamic team ... The role encompasses a variety of functions including Formulary Management, Pharmacy Audit and ...

ERT Inc

IT Audit Analyst

Laurel, MD · On-site +1

IT Audit Analyst ID 2026-9623 Type Full Time W/Benefits Ret Match Location : Location US- Secondary ... This role can be Remote or based out of Mechanicsburg, PA/Yorktown, VA. Travel to Mechanicsburg and ...

Healthmap Solutions

Audit Analyst - Healthcare

The Audit Analyst will work with the Compliance Director, in conjunction with the Chief Compliance ... Limited Travel, Scheduled per needs of the business #LI-REMOTE Americans with Disability ...

TEKsystems

Sr. ITGC/ IT Audit Analyst

Greenville, SC · Remote

$50 - $60/hr

Description The Sr. Internal Audit/ ITGC Analyst serves as a key leader within the ITGC testing ... Proven success working independently and collaborating in hybrid/remote settings. Compliance ...

Symetra

Quality Audit Analyst - WBI

$27.10 - $45.16/hr

About the role The Quality Audit Analyst will be a subject matter expert within the assigned ... Remote Network Minimum Requirements As a remote-first organization committed to providing a ...

Symetra

Quality Audit Analyst - WBI

Bellevue, WA · On-site +1

$27.10 - $45.16/hr

About the role The Quality Audit Analyst will be a subject matter expert within the assigned ... Remote Network Minimum Requirements As a remote-first organization committed to providing a ...

CVS Health

Sr. Analyst-Internal Audit

Woonsocket, SD · On-site +1

$46.99K - $112.20K/yr

Position Summary The Sr Analyst, Internal Audit will be a key member of the Internal Audit team and ... This role can be remote anywhere in the U.S. or hybrid based near one of our Corporate Hubs.

CVS Health

Sr. Analyst-Internal Audit

Northbrook, IL · On-site +1

$46.99K - $112.20K/yr

Position Summary The Sr Analyst, Internal Audit will be a key member of the Internal Audit team and ... This role can be remote anywhere in the U.S. or hybrid based near one of our Corporate Hubs.

CVS Health

Sr. Analyst-Internal Audit

Scottsdale, AZ · On-site +1

$46.99K - $112.20K/yr

Position Summary The Sr Analyst, Internal Audit will be a key member of the Internal Audit team and ... This role can be remote anywhere in the U.S. or hybrid based near one of our Corporate Hubs.

CVS Health

Sr. Analyst-Internal Audit

Hartford, CT · On-site +1

$46.99K - $112.20K/yr

Position Summary The Sr Analyst, Internal Audit will be a key member of the Internal Audit team and ... This role can be remote anywhere in the U.S. or hybrid based near one of our Corporate Hubs.

CVS Health

Sr. Analyst-Internal Audit

Woonsocket, RI · On-site +1

$46.99K - $112.20K/yr

Position Summary The Sr Analyst, Internal Audit will be a key member of the Internal Audit team and ... This role can be remote anywhere in the U.S. or hybrid based near one of our Corporate Hubs.

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Remote Pharmacy Audit Analyst information

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$31K

$89.7K

$126.5K

How much do remote pharmacy audit analyst jobs pay per year?

As of May 28, 2026, the average yearly pay for remote 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 are the key skills and qualifications needed to thrive as a Remote Pharmacy Audit Analyst, and why are they important?

To thrive as a Remote Pharmacy Audit Analyst, you need a solid understanding of pharmacy operations, claims processing, and healthcare compliance, often supported by a degree in pharmacy, healthcare, or a related field. Familiarity with pharmacy benefit management (PBM) systems, auditing software, and relevant certifications like Certified Pharmacy Technician (CPhT) are typically required. Strong attention to detail, analytical thinking, and effective communication are soft skills that help you identify discrepancies and collaborate with stakeholders. These skills are essential for ensuring regulatory compliance, minimizing financial risk, and maintaining the integrity of pharmacy operations in a remote environment.

How does a Remote Pharmacy Audit Analyst typically collaborate with pharmacies and internal teams to resolve audit discrepancies?

As a Remote Pharmacy Audit Analyst, you will frequently interact with both external pharmacy partners and internal audit or compliance teams to clarify and resolve discrepancies identified during audits. This often involves reviewing documentation, communicating findings, and providing detailed explanations or requests for additional information. You may participate in virtual meetings, manage documentation through secure platforms, and work closely with team members to ensure compliance standards are met. Strong communication and organizational skills are key to efficiently managing these collaborations while working remotely.

What is a Remote Pharmacy Audit Analyst?

A Remote Pharmacy Audit Analyst is a professional who reviews pharmacy claims and records to ensure compliance with regulations and contractual requirements. Working remotely, they analyze data, identify discrepancies or fraud, and prepare reports for pharmacy benefit managers, insurance companies, or healthcare organizations. Their role is crucial in detecting billing errors, preventing fraud, and ensuring pharmacies adhere to best practices. Strong analytical skills, attention to detail, and knowledge of pharmacy operations are essential for this position.

What is the difference between Remote Pharmacy Audit Analyst vs Remote Pharmacy Claims Reviewer?

AspectRemote Pharmacy Audit AnalystRemote Pharmacy Claims Reviewer
Required CredentialsPharmacy or healthcare-related certifications, auditing experiencePharmacy technician license, claims processing knowledge
Work EnvironmentRemote, healthcare or insurance companiesRemote, insurance companies or pharmacy benefit managers
Employer & Industry UsageInsurance firms, healthcare providers, auditing firmsInsurance companies, pharmacy benefit managers, healthcare organizations

Both roles are remote positions within the healthcare and insurance industries, requiring knowledge of pharmacy operations. The Pharmacy Audit Analyst focuses on auditing pharmacy claims for compliance and accuracy, often requiring certifications and auditing experience. The Pharmacy Claims Reviewer primarily reviews claims for correctness and eligibility, typically needing pharmacy technician credentials. While both roles are similar, the Audit Analyst emphasizes compliance and auditing processes, whereas the Claims Reviewer concentrates on claims validation and processing.

More about Remote Pharmacy Audit Analyst jobs
What cities are hiring for Remote Pharmacy Audit Analyst jobs? Cities with the most Remote 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:
What states have the most Remote Pharmacy Audit Analyst jobs? States with the most job openings for Remote Pharmacy Audit Analyst jobs include:
What job categories do people searching Remote Pharmacy Audit Analyst jobs look for? The top searched job categories for Remote Pharmacy Audit Analyst jobs are:
Remote Pharmacy Audit Analyst jobs near you
Infographic showing various Remote Pharmacy Audit Analyst job openings in the United States as of May 2026, with employment types broken down into 77% Full Time, 6% Part Time, and 17% Contract. Highlights an 100% Remote job distribution, with an average salary of $89,650 per year, or $43.1 per hour.
Senior Pharmacy Audit Analyst

Senior Pharmacy Audit Analyst

Vital Care Infusion Services

Pittsburgh, PA • On-site, Remote

$59.84K - $75.26K/yr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 15 days ago

Job description

Recognized as a "Best Place to Work Modern Healthcare" - Join a team where people come first. At Vital Care, we are committed to creating an inclusive, growth-focused environment where every voice matters.
Vital Care (www.vitalcare.com) is the premier pharmacy franchise business with franchises serving a wide range of patients, including those with chronic and acute conditions. Since 1986, our passion has been improving the lives of patients and healthcare professionals through locally-owned franchise locations across the United States. We have over 100 franchised Infusion pharmacies and clinics in 35 states, focusing on the underserved and secondary markets. We know infusion services, and we guide owners along the path of launch, growth, and successful business operations.
What we offer:
  • Comprehensive medical, dental, and vision plans, plus flexible spending, and health savings accounts.
  • Paid time off, personal days, and company-paid holidays.
  • Paid Paternal Leave.
  • Volunteerism Days off.
  • Income protection programs include company-sponsored basic life insurance and long-term disability insurance, as well as employee-paid voluntary life, accident, critical illness, and short-term disability insurance.
  • 401(k) matching and tuition reimbursement.
  • Employee assistance programs include mental health, financial and legal.
  • Rewards programs offered by our medical carrier.
  • Professional development and growth opportunities.
  • Employee Referral Program

Job Summary:
The Senior Pharmacy Audit Analyst is an integral member of the Vital Care Infusion Services team and is responsible for supporting the Vital Care pharmacy network and successfully responding to pharmacy payer audits. This position works closely with the franchise network of pharmacies to support timely and accurate responses to payer claims and desk audits. This position will also be the audit team's lead role and help develop and execute project plans to fulfill these needs accordingly.
Duties/Responsibilities:
  • Manages and coordinates all phases of pharmacy audits, including the preparation and support of completing pharmacy payer audits, obtaining claim data, reviewing dispensing activities for billing errors, obtaining and reviewing requested documentation, reviewing federal/state/local pharmacy laws, documenting audit results, and coordinating the submission of audit responses with Vital Care pharmacies.
  • Serve as a team lead to identify and analyze pharmacy audit project needs in supporting franchises. Oversee the management and implementation of projects as identified.
  • Manages company initiatives to improve compliance, decrease costs, and grow business related to pharmacy audit services.
  • Utilizes CareTend as well as Vital Care's internally developed systems and reports to accomplish work deliverables.
  • Communicates with pharmacies to ensure claims data verification and request claim adjustments from Vital Care's Revenue Cycle Department as needed, which includes, but is not limited to: (1) Making outbound calls to pharmacies and (2) following up with pharmacies by faxing and emailing related documents.
  • Communicates with pharmacy payers, auditors, consultants, etc., to discuss audit requests, responses, and results as needed using various media platforms (i.e., email, phone calls.).
  • Prepares appropriate documentation for pharmacy payer audits as appropriate.
  • Performs follow-up inspection of claims data based on extrapolations from initial audit results.
  • Prepares correspondence to pharmacy providers, requesting documentation to validate detected claim discrepancies.
  • Prepares audit outcome documentation for pharmacies.
  • Documents audit results within internal systems.
  • Follows company protocol for notifying management of potential fraud, waste, and abuse.
  • Performs report preparation, participation in special projects, problem resolution, and other activities that support the auditing process.
  • Engage in consistent and timely follow-up communications with franchise partners using various media platforms (e.g., email, and Microsoft Teams).
  • Develop creative training programs in Vital Care's Learning Management System (LMS) that will assist with franchise education.
  • Represents the organization at national, regional, and local conferences if needed, in focus on pharmacy audits.
  • Assess, on an ongoing basis, the effectiveness of training programs and resources.
  • Perform other related duties as assigned.

Required Skills/Abilities:
  • Demonstrated analytical, quantitative, and organizational skills, providing the ability to analyze progress, identify trends and anomalies, and recommend needed improvements.
  • Solution-oriented and resourceful, demonstrates excellent problem-solving and customer service skills.
  • Intermediate to advanced skill set in MS Office (Word, Excel, PowerPoint, and Outlook) required. Familiarity with pharmacy dispensing software (e.g., CareTend, CPR+, etc.) is highly desirable. Strong aptitude to learn and adapt to new programs.
  • Knowledge of specialty and/or infusion medications and standard dosages.
  • Strong knowledge of the practice of pharmacy, including statutory laws, regulations, and methods of filling and filing prescriptions.
  • Strong business acumen with the ability to quickly grasp issues and understand strategy and demonstrated the ability to make sound business decisions.
  • Demonstrated process and project ownership orientation with the ability to manage priorities and meet time commitments.
  • Ability to effectively collaborate and communicate project status with department team and Company leadership.
  • Ability to work independently with minimal direction and good decision-making ability.
  • Highly skilled communicator in verbal, written, and oral presentation of information.

Education and Experience:
  • Minimum of 3 years of experience in the areas of pharmacy audits.
  • For consideration, candidates will need 3+ years of pharmacy experience (or equivalent combination of education and experience). Experience in infusion, long-term care, specialty, or mail-order pharmacy is highly desired.

Physical Requirements:
  • Sitting: Prolonged periods of sitting are typical, often for the majority of the workday.
  • Keyboarding: Frequent use of a keyboard for typing and data entry.
  • Reaching: Occasionally reaching for items such as files, documents, or office supplies.
  • Fine Motor Skills: Precise movements of the fingers and hands for tasks like typing, using a mouse, and handling paperwork.
  • Visual Acuity: Good vision for reading documents, computer screens, and other detailed work.

Be part of an organization that invests in you! We are reviewing applications for this role and will contact qualified candidates for interviews.
Vital Care Infusion Services is an equal-opportunity employer and values diversity at our company. We do not discriminate on the basis of color, race, sex, age, religion, national origin, disability, genetic information, gender identity, sexual orientation, veterans' status, or any other basis protected by applicable federal, state, or local law.
Vital Care Infusion Services participates in E-Verify.
This position is full-time. The salary range for this position is $59,838 - $75,255

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