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Remote Pharmacy Auditor Jobs (NOW HIRING)

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

Allmed Staffing Inc

Pharmacy Technician

Houston, TX · Remote

$20/hr

Remote / Telecommute Schedule: Monday-Friday, 8:30 AM-5:30 PM CST Interview: Video Interview ... Auditing experience. * Bilingual skills, particularly English/Spanish . * Ability to learn new ...

Allmed Staffing Inc

Pharmacy Technician

Houston, TX · Remote

$20/hr

Remote / Telecommute Schedule: Monday-Friday, 8:30 AM-5:30 PM CST Interview: Video Interview ... Auditing experience. * Bilingual skills, particularly English/Spanish . * Ability to learn new ...

Allmed Staffing Inc

Pharmacy Technician

Houston, TX · Remote

$20/hr

Remote / Telecommute Schedule: Monday-Friday, 8:30 AM-5:30 PM CST Interview: Video Interview ... Auditing experience. * Bilingual skills, particularly English/Spanish . * Ability to learn new ...

EnableComp

DRG Auditor (REMOTE)

Franklin, TN · Remote

$28 - $31.75/hr

Position Summary The DRG Auditor is responsible for reviewing post-billed inpatient claims to ... operative, radiology, pharmacy). * Experience working in a post-bill coding environment and ...

EnableComp

DRG Auditor (REMOTE)

OR · On-site +1

$27.25 - $31/hr

Position Summary The DRG Auditor is responsible for reviewing post-billed inpatient claims to ... operative, radiology, pharmacy). * Experience working in a post-bill coding environment and ...

Enablecomp

DRG Auditor (REMOTE)

Franklin, TN · Remote

$27 - $30.50/hr

Position Summary The DRG Auditor is responsible for reviewing post-billed inpatient claims to ... operative, radiology, pharmacy). * Experience working in a post-bill coding environment and ...

EnableComp

DRG Auditor (REMOTE)

Franklin, TN · Remote

$27 - $30.50/hr

Position Summary The DRG Auditor is responsible for reviewing post-billed inpatient claims to ... operative, radiology, pharmacy). * Experience working in a post-bill coding environment and ...

EnableComp

DRG Auditor (REMOTE)

$28 - $31.75/hr

Position Summary The DRG Auditor is responsible for reviewing post-billed inpatient claims to ... operative, radiology, pharmacy). * Experience working in a post-bill coding environment and ...

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Remote Pharmacy Auditor information

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$30.5K

$72.6K

$117.5K

How much do remote pharmacy auditor jobs pay per year?

As of Sep 8, 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 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.

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 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.

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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 are popular job titles related to Remote Pharmacy Auditor jobs?

For Remote Pharmacy Auditor jobs, the most frequently searched job titles are:

Remote Pharmacy Auditor jobs near you
Infographic showing various Remote Pharmacy Auditor job openings in the United States as of September 2026, with employment types broken down into 2% As Needed, 65% Full Time, 31% Part Time, and 2% Contract. Highlights an 93% Physical, 1% Hybrid, and 6% Remote job distribution, with an average salary of $72,633 per year, or $34.9 per hour.

Pharmacy Claims Auditor Sr - Remote

Albuquerque, NM • On-site, Remote

Prime Therapeutics LLC
Insurance Services • 1 - 5K employees
Learn more about Prime Therapeutics LLCexternal

$59K - $94K/yr

Full-time

Posted 8 days ago

Prime Therapeutics rating

7.9

Company rating: 7.9 out of 10

Based on 48 frontline employees who took The Breakroom Quiz

16th of 113 rated pharmacies

Job description

At Prime Therapeutics (Prime), we are a different kind of PBM, with a purpose beyond profits and a unique ability to connect care for those we serve. Looking for a purpose-driven career? Come build the future of pharmacy with us.
Job Posting Title
Pharmacy Claims Auditor Sr - RemoteJob Description
The Senior Pharmacy Claims Auditor is responsible for providing education, training and guidance to identify and evaluating potential waste and compliance through the pharmacy audit process. This position leads the development and enhancement of audit tools, analytics, processes, and training to effectively identify erroneous claims, non-compliant pharmacy practices or potential improper pharmacy reimbursements. This role will execute and support audit-related initiatives, leveraging best practices to identify emerging audit trends and uncover business value opportunities for Prime and its clients.
Responsibilities
  • Collaborate with cross-functional teams to identify, develop, deliver, and support training focused on trend analysis, audit planning, procedures, and system process, along with identifying technology enhancement opportunities
  • Provide guidance and operational support to the Pharmacy Audit Operations team, promoting best practices, leading projects, and resolving issues
  • Analyze claim and audit data to support ongoing audit analytic efforts, identify trends and refinements; collaborate with other department staff to create enhanced reporting and represent audit team as the Subject Matter Expert (SME) for system enhancement initiatives and testing
  • Other duties as assigned

Minimum Qualifications
  • Bachelor's degree in Health Science or related area of study, or equivalent combination of education and related work experience; HS diploma or GED is required
  • 5 years of work experience in retail, long term care, specialty, home infusion, or mail order pharmacy or combined pharmacy and Pharmacy Benefit Management experience to include 3 years of work experience in audit or quality assurance
  • National Pharmacy Technician Certification through PTCB or ExCPT (CPhT)
  • Must be eligible to work in the United States without the need for work visa or residency sponsorship

Additional Qualifications
  • Change agile; willing and able to adjust individual and team direction based upon changing priorities and business need while working with a high degree of autonomy
  • Ability to think critically, problem solve and use appropriate judgement to make decisions and provide risk advice to internal and external partners while anticipating the broad impact of decisions
  • Ability to establish trust, respect and credibility and form effective working relationships with individuals at all levels of an organization; collaborate effectively cross-functionally and with clients and other key stakeholders
  • Ability to distill complex concepts or situations into concise and compelling communications
  • Ability to effectively de-escalate potentially confrontational situations
  • Proficiency in MS Word, Excel, and database software
  • Demonstrated skill and understanding of the point of sale and on-line pharmacy claims processing environment

Preferred Qualifications
  • 5 years of previous audit experience
  • Current Registration with State Board of Pharmacy in the state where position is located
  • Previous PBM experience

Every employee must understand, comply with and attest to the security responsibilities and security controls unique to their job, and comply with all applicable legal, regulatory, and contractual requirements and internal policies and procedures
Every employee must be able to perform the essential functions of the job and, if requested, reasonable accommodations will be made to enable employees with disabilities to perform the essential functions, absent undue hardship. In addition, Prime retains the right to change or assign other duties to this job.
Potential pay for this position ranges from $59,000.00 - $94,000.00 based on experience and skills.
To review our Benefits, Incentives and Additional Compensation, visit our Benefits Page and click on the "Benefits at a glance" button for more detail (https://www.primetherapeutics.com/benefits).
Prime Therapeutics LLC is proud to be an equal opportunity and affirmative action employer. We encourage diverse candidates to apply, and all qualified applicants will receive consideration for employment without regard to race, color, religion, gender, sex (including pregnancy), national origin, disability, age, veteran status, or any other legally protected class under federal, state, or local law.
We welcome people of different backgrounds, experiences, abilities, and perspectives including qualified applicants with arrest and conviction records and any qualified applicants requiring reasonable accommodations in accordance with the law.
Prime Therapeutics LLC is a Tobacco-Free Workplace employer.
Positions will be posted for a minimum of five consecutive workdays.

What Prime Therapeutics employees say

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About Prime Therapeutics

Sourced by ZipRecruiter

Prime Therapeutics, located in Eagan, MN, is a pharmacy benefits management company that has been serving the healthcare industry since its foundation. They are an integral participant in the medical sector, specifically in the realm of health insurance. They focus on providing innovative pharmacy benefits and services to more than 30 million members nationwide. Besides their main pharmacy benefit management, they offer mail service pharmacy, specialty pharmacy, benefits management, and consultative engagement services to ensure individuals have continuous access to affordable prescription drugs. Prime Therapeutics, founded around three decades ago, has grown to stand out as a leader in its industry, thanks to its commitment to improving the health of its clients.

Industry

Insurance services

Company size

1,001 - 5,000 Employees

Headquarters location

Eagan, MN, US

Year founded

1987

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