Senior Pharmacy Audit & Revenue Integrity Specialist

Licensed PharmacistSeeking a Licensed Pharmacist to support national Pharmacy Audit and Revenue Integrity projects. Work includes reviewing pharmacy billing accuracy, evaluating drug pricing (AWP/WAC/U&C), identifying discrepancies, and ensuring compliance with payer and regulatory standards. Mainly remote with short onsite visits; travel paid.Key Duties:Conduct pharmacy billing and reimbursement auditsValidate NDCs, pricing tables, invoice accuracyIdentify discrepancies in UOM, pricing, feesPrepare audit summaries, documentation, and findingsEnsure Medicare/Medicaid and regulatory complianceCollaborate with internal and external stakeholdersRequirements:Active U.S. Pharmacist licenseExperience with pharmacy audits or revenue cycleStrong understanding of drug pricing methodologiesDetail?oriented; strong analytical and documentation skillsAbility to travel briefly when neededPreferred:Public?sector/government audit experienceMedicare/Medicaid billing familiarity