Coordinator I, 3rd Party Audit
- Retrieve and process pharmacy audit notices, communicate with field leadership and store associates regarding audits, and manage audit deadlines and documentation requests in accordance with department procedure.
- Aid in the correction of pharmacy claims billing errors through communications sent to field leadership and pharmacy employees.
- Ensure data accuracy throughout all stages of audit maintenance to promote integrity of databases and actionability of reports.
- Obtain supporting documents to dispute discrepant claims found on pharmacy audit findings reports to ensure maximum savings.
- Work with other corporate departments, field leaders, audit companies, and PBM’s to perform root cause analysis and help resolve audit issues and system deficiencies as it pertains to claim billing, audits, and the drug dispensing process.
- Produce routine and support special projects/initiatives, ad hoc reports to compile audit statistics to aid in management decision making.
- Meet daily deadlines while prioritizing and managing multiple tasks.
EDUCATION REQUIREMENTS
Education Level
Area of Specialization (Marketing, Finance, Pharmacy, Engineering/IT, etc)
Required or Preferred
H.S. Diploma or General Education Degree (GED)
Required
Associate Degree
Preferred
LICENSES/CERTIFICATIONS
Licenses/Certifications
Other/List/Reason
Required or Preferred
Other:
RX Technician Certification
Preferred
KNOWLEDGE, SKILLS AND ABILITIES
Knowledge, Skills and Abilities
Required or Preferred
Proficiency with Microsoft Office Suite (Access, Excel, Word)
Required
Adaptable, open to change, and able to work in ambiguous situations and respond to new information or unexpected circumstances.
Required
WORK EXPERIENCE
Experience
Areas of Experience (Pharmacy, Compliance, E-commerce, Retail, etc)
Required or Preferred
2 years of experience in PBM, Healthcare or Retail Pharmacy / Pharmacy Technician or Healthcare Industry experience
Required
If you want to make a difference, Rite Aid is the right place.
While Rite Aid is big, it still feels small — you and your work are never lost in the crowd. You know the leaders, and they recognize your impact. Teams are tightly knit and agile. Small groups, courageous enough to meet our goals in new ways. You can take your work, your team, or your business to the next level without being slowed down by a ton of process or layers of approval. For anyone with intent to grow, you can reinvent yourself in a new role or take on a new challenge while helping us reinvent Rite Aid and innovate our industry.
Wherever you work in the Rite Aid family, your diverse perspectives and fierce commitment enable us to deliver on the promise of ’whole health for life’ for communities around our country.
And that makes the biggest difference of all.
Rite Aid is on the front lines of delivering healthcare services and retail products to more than 1.6 million Americans each day.
Through our RxEvolution strategy, Rite Aid is re-imagining the neighborhood pharmacy as a destination for total health and wellness – the place where traditional medicine and alternative therapies come together in perfect harmony.
We believe in the power of pharmacy to provide trusted and accessible care that helps our customers go beyond healthy and get thriving. An essential part of our RxEvolution includes empowering our pharmacists to engage more with customers – while also updating our product mix to favor better-for-you and free-from options that our customers value.
Rite Aid Corporation is also proud to be one of the nation's leading drugstore chains. With approximately 2,500 stores in 19 states, we have a strong presence on both the East and West Coasts, employing more than 51,000 associates.
Fair Chance Act
Fair Chance Act Pursuant to the San Francisco Fair Chance Ordinance, we will consider for employment qualified applicants with arrest and conviction records.
Pursuant to the Los Angeles Fair Chance Ordinance, we will consider for employment qualified applicants with arrest and conviction records.
Pursuant to the California Fair Chance Act, we will consider qualified applicants with a criminal history. You do not need to disclose your criminal history or participate in a background check until a conditional job offer is made to you. After making a conditional offer and running a background check, if we identify a conviction that is directly related to the job, you will be given the chance to explain the circumstances surrounding the conviction, provide mitigating evidence, or challenge the accuracy of the background report. Find out more about the Fair Chance Act by visiting the Civil Right’s Department Fair Chance Act webpage.
For more detailed information around city/state required notices, click here to access a list of disclosures.
New Jersey Law Against Discrimination (LAD)
The New Jersey Law Against Discrimination (LAD) prohibits unlawful employment discrimination based on an individual's race, creed, color, national origin, nationality, ancestry, age, sex (including pregnancy), familial status, marital/civil union status, religion, domestic partnership status, affectional or sexual orientation, gender identity and expression, atypical hereditary cellular or blood trait, genetic information, liability for military service, and mental or physical disability (including perceived disability, and AIDS and HIV status).