CVS Health
Business Audit - Auditor - Senior Analyst (Pharmacy Technician) - Must reside in
CVS Health, Trenton, New Jersey, us, 08628
Business Audit - Auditor - Senior Analyst (Pharmacy Technician) - Must reside in NJ or PA
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At CVS Health, we’re building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care. As the nation’s leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues – caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day.
Position Summary As a Regional Pharmacy Onsite Auditor, you will be an essential part to the Pharmacy Audit Department at CVS/Caremark. In this role, you will be based from your home and travel onsite to conduct claims audits at pharmacies throughout multiple states by reviewing prescription claims billed and educating pharmacies on the findings. You will also analyze claims for fraud, waste, and abuse trends and report your findings to the corporate office. To be successful in this role, you must have the ability to travel overnight approximately 75 percent of the time, maintain a corporate credit card, travel via car or air, transport a laptop computer to pharmacy locations, and stand for extended periods of time while in pharmacies.
Required Qualifications
3+ years of professional experience, preferably in a retail pharmacy setting or in pharmaceutical and/or pharmacy regulatory industry.
Must be able to travel up to 75% of the time, including flights, overnight stays, local travel, and short notice travel as required by the company.
Must possess a valid and current driver’s license.
Must possess a personal vehicle that is reliable and appropriately insured.
Ability to handle difficult situations.
Pharmacy Technician Licensure.
Certified Pharmacy Technician (PTCB).
Preferred Qualifications
Excellent time management skills.
Ability to work independently and make decisions with a self‑starter mentality.
Ability to plan and schedule audits in advance.
Ability to plan travel on the company’s site in a cost‑effective manner.
Knowledge of CVS Health or other PBM claims processing.
Knowledge of retail pharmacy operations, including reading prescriptions and drug knowledge.
Excellent verbal and written communication skills.
Experience with MS Office, including Excel and Word.
Education High school diploma or GED required.
Bachelor's Degree preferred.
Anticipated Weekly Hours 40
Time Type Full time
Pay Range The Typical Pay Range For This Role Is $46,988.00 - $122,400.00. This position is eligible for a CVS Health bonus, commission or short‑term incentive program in addition to the base pay range listed above.
Great Benefits For Great People We take pride in our comprehensive and competitive mix of pay and benefits – investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include:
Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan.
No‑cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching.
Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility.
For more information, visit https://jobs.cvshealth.com/us/en/benefits
We anticipate the application window for this opening will close on: 10/31/2025
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.
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At CVS Health, we’re building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care. As the nation’s leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues – caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day.
Position Summary As a Regional Pharmacy Onsite Auditor, you will be an essential part to the Pharmacy Audit Department at CVS/Caremark. In this role, you will be based from your home and travel onsite to conduct claims audits at pharmacies throughout multiple states by reviewing prescription claims billed and educating pharmacies on the findings. You will also analyze claims for fraud, waste, and abuse trends and report your findings to the corporate office. To be successful in this role, you must have the ability to travel overnight approximately 75 percent of the time, maintain a corporate credit card, travel via car or air, transport a laptop computer to pharmacy locations, and stand for extended periods of time while in pharmacies.
Required Qualifications
3+ years of professional experience, preferably in a retail pharmacy setting or in pharmaceutical and/or pharmacy regulatory industry.
Must be able to travel up to 75% of the time, including flights, overnight stays, local travel, and short notice travel as required by the company.
Must possess a valid and current driver’s license.
Must possess a personal vehicle that is reliable and appropriately insured.
Ability to handle difficult situations.
Pharmacy Technician Licensure.
Certified Pharmacy Technician (PTCB).
Preferred Qualifications
Excellent time management skills.
Ability to work independently and make decisions with a self‑starter mentality.
Ability to plan and schedule audits in advance.
Ability to plan travel on the company’s site in a cost‑effective manner.
Knowledge of CVS Health or other PBM claims processing.
Knowledge of retail pharmacy operations, including reading prescriptions and drug knowledge.
Excellent verbal and written communication skills.
Experience with MS Office, including Excel and Word.
Education High school diploma or GED required.
Bachelor's Degree preferred.
Anticipated Weekly Hours 40
Time Type Full time
Pay Range The Typical Pay Range For This Role Is $46,988.00 - $122,400.00. This position is eligible for a CVS Health bonus, commission or short‑term incentive program in addition to the base pay range listed above.
Great Benefits For Great People We take pride in our comprehensive and competitive mix of pay and benefits – investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include:
Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan.
No‑cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching.
Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility.
For more information, visit https://jobs.cvshealth.com/us/en/benefits
We anticipate the application window for this opening will close on: 10/31/2025
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.
#J-18808-Ljbffr