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Remote Pharmacy Auditor Jobs (NOW HIRING)

RiteChoice Rx

Claims Auditor

Pharmacy auditing, medical billing auditing, or pharmacy technician experience is strongly ... This position is remote, with occasional travel to the corporate office. Essential Job Duties

SpendMend LLC

340B Auditor

... Pharmacy's leadership. Auditor is expected to work independently within the first 3 months. Requirements Essential Duties and Responsibilities: 340B Drug Program Audits: * Perform onsite and remote ...

Scarlet

Lead Auditor - Contractor role

Conduct remote audits of medical device manufacturers' Quality Management Systems under ISO 13485 ... pharmacy * Professional experience * Minimum 4 years of experience in the medical device industry

AnewHealth

$17.50 - $21.25/hr

This is an office (or remote) based, cubicle environment, allowing the Pharmacy Technician to ... Perform claim adjudication and auditing duties such as prior authorizations, billing and ...

Gallagher

Pharmacy Benefit Analyst

$57K - $111K/yr

... auditing needed to provide KPS clients with proactive consultation on their Pharmacy Benefit ... Remote work environment flexibility. About You Required: * Typically requires a University Degree ...

Gallagher

Pharmacy Benefit Analyst

Torrance, CA · Remote

$90K - $100K/yr

... auditing needed to provide KPS clients with proactive consultation on their Pharmacy Benefit ... Remote work environment flexibility. About You Required: * Typically requires a University Degree ...

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Remote Pharmacy Auditor information

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$30.5K

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How much do remote pharmacy auditor jobs pay per year?

As of Jul 4, 2026, the average yearly pay for remote pharmacy auditor in the United States is $72,633.00, according to ZipRecruiter salary data. Most workers in this role earn between $47,000.00 and $98,500.00 per year, depending on experience, location, and employer.

What is the difference between Remote Pharmacy Auditor vs Remote Pharmacy Technician?

AspectRemote Pharmacy AuditorRemote Pharmacy Technician
CertificationsPharmacy Auditor Certification, State LicensesCertified Pharmacy Technician (CPhT), State Licenses
Work EnvironmentReviewing pharmacy records remotely, compliance auditsAssisting pharmacists, data entry, customer service
Employer & Industry UsageHealthcare, pharmacy compliance companiesRetail pharmacies, hospitals, mail-order pharmacies

Remote Pharmacy Auditors focus on reviewing pharmacy records for compliance and accuracy, often requiring specialized certifications. Remote Pharmacy Technicians assist pharmacists with daily operations and customer interactions, typically needing CPhT certification. While both roles work remotely within the pharmacy industry, their responsibilities and certifications differ significantly.

What are the key skills and qualifications needed to thrive as a Remote Pharmacy Auditor, and why are they important?

To thrive as a Remote Pharmacy Auditor, you need a strong background in pharmacy or healthcare, detailed knowledge of pharmacy billing practices, and typically a relevant degree or pharmacy technician certification. Familiarity with pharmacy management software, auditing tools, and claims management systems is essential. Excellent analytical thinking, attention to detail, and clear written communication are crucial soft skills for identifying discrepancies and collaborating with both internal teams and external partners. These skills ensure accurate audits, regulatory compliance, and the financial integrity of pharmacy operations.

What are some common challenges faced by Remote Pharmacy Auditors, and how can they be addressed?

Remote Pharmacy Auditors often encounter challenges such as navigating various pharmacy management systems, ensuring clear communication with offsite teams, and staying updated with frequently changing compliance regulations. To address these, auditors should become proficient in multiple digital platforms, prioritize regular virtual check-ins with pharmacy staff, and participate in ongoing training to keep up with regulatory updates. Strong organizational skills and a proactive approach to resolving discrepancies are also crucial for success in this remote role.

What is a Remote Pharmacy Auditor?

A Remote Pharmacy Auditor is a professional who reviews pharmacy operations, records, and billing practices from a remote location, typically for compliance with healthcare regulations, insurance policies, and internal standards. They analyze prescription claims, identify discrepancies, and ensure pharmacies adhere to proper procedures. The role often involves using specialized software to access and evaluate pharmacy data, communicate findings, and recommend corrective actions. Remote Pharmacy Auditors play a key role in preventing fraud, reducing errors, and improving the quality of pharmacy services.
More about Remote Pharmacy Auditor jobs
What cities are hiring for Remote Pharmacy Auditor jobs? Cities with the most Remote Pharmacy Auditor job openings:
What are the most commonly searched types of Pharmacy Auditor jobs? The most popular types of Pharmacy Auditor jobs are:
What states have the most Remote Pharmacy Auditor jobs? States with the most job openings for Remote Pharmacy Auditor jobs include:
What job categories do people searching Remote Pharmacy Auditor jobs look for? The top searched job categories for Remote Pharmacy Auditor jobs are:
Remote Pharmacy Auditor jobs near you
Infographic showing various Remote Pharmacy Auditor job openings in the United States as of June 2026, with employment types broken down into 92% Full Time, and 8% Part Time. Highlights an 100% Remote job distribution, with an average salary of $72,633 per year, or $34.9 per hour.

Claims Auditor

RiteChoice Rx

Remote

Full-time

Medical, Dental, Vision, Retirement, PTO

Posted 7 days ago

Job description

Are you detail-oriented, analytical, and interested in helping pharmacies strengthen compliance and reduce audit risk? Do you enjoy reviewing information, identifying patterns, and helping teams improve their processes? RiteChoice Rx may be the right fit for you.
At RiteChoice Rx, you’ll be part of a growing independent pharmacy organization that partners with community health centers and providers to support patients across Philadelphia and surrounding areas. Our mission is simple: provide fast, friendly, and affordable pharmacy services to the communities we care about.
We are seeking an organized and compliance-focused Claims Auditor to join our Compliance Department. This role will support internal pharmacy claims auditing, help identify billing and documentation discrepancies, and work closely with pharmacy teams and operational leadership to strengthen audit readiness.
The ideal candidate is someone who can review claim details carefully, communicate findings clearly, and support a culture of compliance across the organization. Pharmacy auditing, medical billing auditing, or pharmacy technician experience is strongly preferred.
Supervision
The Claims Auditor will report directly to the Compliance Manager.
  • This is a full-time position.
  • This position is remote, with occasional travel to the corporate office.
Essential Job Duties
  • Perform routine internal audits of pharmacy claims to ensure billing accuracy, proper documentation, and compliance with federal, state, PBM, and company requirements.
  • Review submitted and adjudicated claims to confirm that key claim elements are accurate, including patient information, prescriber details, medication, quantity, day supply, DAW codes, origin codes, insurance billing, and supporting documentation.
  • Identify, investigate, and document claim discrepancies, billing irregularities, documentation deficiencies, refill timing concerns, override issues, cash billing variances, and other potential audit risks.
  • Ensure claims are properly supported by required documentation, including hardcopy notes, signatures, delivery records, claim history, payer communication, rebill notes, reversal activity, and override documentation.
  • Monitor pharmacy billing practices to help reduce audit exposure, chargebacks, and compliance concerns.
  • Track audit findings and identify patterns or recurring issues that may point to workflow, training, or process gaps.
  • Communicate audit results, trends, and potential risks to the Compliance Manager, pharmacy leadership, and operational teams.
  • Partner with pharmacy teams and operational leadership to help correct claim issues, strengthen front-end workflows, and improve overall audit readiness.
  • Develop reports and summaries that show claim accuracy, audit trends, correction timelines, recurring errors, and opportunities for improvement.
  • Support training and education for pharmacy staff on insurance requirements, documentation expectations, billing practices, and audit readiness.
  • Participate in cross-training, peer review, and process improvement efforts to support consistency across pharmacy locations.
  • Maintain professionalism, confidentiality, and integrity in all audit-related activities.
Qualifications
  • Medical billing auditing experience
  • Pharmacy auditing or pharmacy technician experience preferred
  • Applies Growth Mindset - Actively seeking new ways to grow and be challenged.
  • Demonstrates a deep understanding of the pharmacy regulations.
  • Thinks and acts strategically.
  • Ensures Outcomes - minimizes company exposure to outside auditors and regulators.
  • Participates actively within a High Performing Teams.
  • Engages and inspires other
  • Communicates to ensure readiness to execute programs
Benefits
  • Work for an engaging and growing company.
  • Health and vision insurance.
  • Dental insurance.
  • Paid time off.
  • 401(k) with employer matching.
  • Competitive salary.
  • Performance-based bonus eligibility, if applicable.
Schedule
  • Full-time position.
  • Remote work setting.
  • Occasional travel to the corporate office may be required.
  • Monday to Friday schedule anticipated.

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