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Senior 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 ...

ARServices

Audit Analyst

Fort Belvoir, VA · On-site

ARServices is seeking an experienced Audit Analyst to support the Defense Threat Reduction Agency ... Develop and present complex financial information to senior Government officials using Microsoft ...

ARServices

Audit Analyst

Fort Belvoir, VA · On-site

ARServices is seeking an experienced Audit Analyst to support the Defense Threat Reduction Agency ... Develop and present complex financial information to senior Government officials using Microsoft ...

Bank of Montreal

Audit Analyst

Chicago, IL · On-site

$57K - $106K/yr

Audit, Risk & Compliance Conducts audit engagements to critically assess management and internal ... This work provides vital assurance to the Board of Directors and senior management on the quality ...

Northbound Search

Audit Analyst

Jersey City, NJ · On-site

$65K - $85K/yr

This individual will be assisting on all internal audit testing for SOX and Internal Controls ... Provide progress reports and present executive summaries of deficiencies to senior management

HNTB

Audit Analyst I

Kansas City, MO

The Audit Analyst conducts audits that address various complexities of problems and procedures, providing senior leadership with objective analyses, appraisals, recommendations, and observations on ...

Lancesoft INC

Senior Internal Audit Analyst

Tulsa, OK · On-site

$75K - $112K/yr

Senior Internal Audit Analyst Location: Tulsa, OK Schedule: Monday-Friday | 8:00 AM - 5:00 PM Pay Range: $75,000 - $112,000 annually Job Summary: The Senior Internal Audit Analyst supports internal ...

Archer Daniels Midland

Internal Audit Analyst - Decatur or Chicago, IL This is an exempt level position. Position Summary ... Senior Auditor or 2-4 years of relevant audit experience Desired Experience * Knowledge of grain ...

HNTB Corporation

Audit Analyst I

Kansas City, MO · On-site

The Audit Analyst conducts audits that address various complexities of problems and procedures, providing senior leadership with objective analyses, appraisals, recommendations, and observations on ...

Archer Daniels Midland

Internal Audit Analyst - Decatur or Chicago, IL This is an exempt level position. Position Summary ... Senior Auditor or 2-4 years of relevant audit experience Desired Experience * Knowledge of grain ...

The Walt Disney Company

Sr Talent Audit Analyst

Burbank, CA · On-site

$87K - $106K/yr

Job Posting Title: Sr Talent Audit Analyst Req ID: 10152464 About the Role & Team At Disney, we're storytellers. We make the impossible, possible. We do this through utilizing and developing cutting ...

DRiV

Snr Internal Audit Analyst

Southfield, MI · Hybrid

$90K - $105K/yr

Senior Internal Audit Analyst DRiV | Finance & Controllership Hybrid | Skokie, Illinois Position Overview The Senior Internal Audit Analyst is responsible for supporting the execution of internal ...

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DRiV

Snr Internal Audit Analyst

Skokie, IL · Hybrid

$90K - $105K/yr

Senior Internal Audit Analyst DRiV | Finance & Controllership Hybrid | Skokie, Illinois Position Overview The Senior Internal Audit Analyst is responsible for supporting the execution of internal ...

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Senior Pharmacy Audit Analyst information

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$28.5K

$76.6K

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

As of Aug 22, 2026, the average yearly pay for senior pharmacy audit analyst in the United States is $76,607.00, according to ZipRecruiter salary data. Most workers in this role earn between $50,000.00 and $98,500.00 per year, depending on experience, location, and employer.

What does a senior pharmacy audit analyst do?

A Senior Pharmacy Audit Analyst is responsible for reviewing and analyzing pharmacy claims to ensure accuracy, compliance with regulations, and prevention of fraud, waste, or abuse. They conduct audits of pharmacy billing and dispensing practices, identify discrepancies or irregularities, and prepare detailed reports with their findings. Additionally, they collaborate with internal teams and external partners to resolve issues and improve pharmacy processes. Their expertise helps healthcare organizations maintain regulatory compliance and optimize pharmacy operations.

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

To thrive as a Senior Pharmacy Audit Analyst, you need a strong background in pharmacy operations, data analysis, and compliance, usually supported by a pharmacy or healthcare-related degree and relevant auditing experience. Familiarity with pharmacy benefit management (PBM) systems, auditing software, and data analytics tools such as Excel or SQL is typically required. Attention to detail, critical thinking, and excellent communication skills help analysts identify discrepancies, collaborate with teams, and present findings. These skills are crucial for ensuring regulatory compliance, optimizing pharmacy processes, and protecting organizational integrity.

How does a senior pharmacy audit analyst typically collaborate with other departments to ensure compliance and accuracy?

A Senior Pharmacy Audit Analyst regularly works with pharmacy operations, compliance, and billing teams to review processes and identify discrepancies. They often coordinate audits by gathering input from these departments, ensuring that pharmacy claims adhere to regulatory requirements and internal policies. Effective communication and cross-functional teamwork are essential, as the analyst provides actionable feedback and helps departments implement corrective actions. This collaborative approach not only enhances compliance but also streamlines pharmacy workflows.

What is the difference between Senior Pharmacy Audit Analyst vs Pharmacy Compliance Specialist?

AspectSenior Pharmacy Audit AnalystPharmacy Compliance Specialist
CertificationsCertified Pharmacy Technician (CPhT), audit certificationsPharmacy Technician Certification, compliance certifications
Work EnvironmentHealthcare facilities, insurance companies, pharmaciesRegulatory agencies, healthcare organizations, pharmacies
Job FocusAuditing pharmacy records, ensuring billing accuracyMonitoring compliance with pharmacy laws and regulations

The Senior Pharmacy Audit Analyst primarily focuses on auditing pharmacy records and billing practices, while the Pharmacy Compliance Specialist concentrates on ensuring adherence to pharmacy laws and regulations. Both roles require similar certifications and often work within healthcare or pharmacy environments, but their core responsibilities differ in scope and focus.

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Cities with the most Senior Pharmacy Audit Analyst job openings:

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

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Senior Pharmacy Audit Analyst jobs near you
Infographic showing various Senior Pharmacy Audit Analyst job openings in the United States as of August 2026, with employment types broken down into 90% Full Time, 5% Part Time, and 5% Contract. Highlights an 90% In-person, 5% Hybrid, and 5% Remote job distribution, with an average salary of $76,607 per year, or $36.8 per hour.

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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