Our team members are at the heart of everything we do. At Cencora, we are united in our responsibility to create healthier futures, and every person here is essential to us being able to deliver on that purpose. If you want to make a difference at the center of health, come join our innovative company and help us improve the lives of people and animals everywhere. Apply today!

REQUIRED EXPERIENCE

• Prior pharmacy background
• Experience with pharmacy audits
• Strong knowledge of third party billing and experience with private health plans and government programs

SKILLS, KNOWLEDGE AND ABILITY REQUIREMENTS

• Excellent organizational skills
• Excellent customer service skills
• Ability to multitask and remain flexible in a fast-paced work environment.
• Ability to communicate effectively both orally and in writing
• Exceptional interpersonal abilities
• Ability to work independently with general direction
• Strong analytical skills; attention to detail
• Strong computer skills in order to operate effectively with company systems and programs knowledge of Microsoft office, specifically Access and Excel

EQUAL EMPLOYMENT OPPORTUNITY

Cencora is committed to providing equal employment opportunity without regard to race, color, religion, sex, sexual orientation, gender identity, genetic information, national origin, age, disability, veteran status or membership in any other class protected by federal, state or local law.
The company’s continued success depends on the full and effective utilization of qualified individuals. Therefore, harassment is prohibited and all matters related to recruiting, training, compensation, benefits, promotions and transfers comply with equal opportunity principles and are non-discriminatory.
Cencora is committed to providing reasonable accommodations to individuals with disabilities during the employment process which are consistent with legal requirements. If you wish to request an accommodation while seeking employment, please call 888.692.2272 or email hrsc@cencora.com. We will make accommodation determinations on a request-by-request basis. Messages and emails regarding anything other than accommodations requests will not be returned
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• Responsible for tracking, trending and coordinating all incoming Payer audit correspondence including but not limited to: Onsite/Desktop/Invoice audit notifications and discrepancy reports, corrective actions and recoveries;
• Provide expert audit assistance to customers including proactive audit prevention tips, pre-audit preparation guidance and support, recommend the means of obtaining, analyzing and evaluating the evidentiary data to support appeal of discrepant claims and assist with coordination of any corrective action(s) taken by a Payer;
• Conduct enhanced screening of prospect customers seeking Network affiliation using a variety of internal and external resources;
• Identify opportunities to enhance audit tracking and reporting systems; recommend and implement process improvements to increase efficiency and accuracy.
• Collab Collaborate with various internal departments to identify accounts that are considered high-risk.
• Assisting in the planning and execution of pharmacy audit buy-ups to help support our customers during audits
• Responsible for maintaining good working relationships with internal and external partners;
• Responsible for acquiring knowledge of industry audit trends and compliance requirements;
• Successfully completes special projects as assigned.
• Performs related duties as assigned.