Sign In
 [New User? Sign Up]
Mobile Version

Pharmacy Audit Representative - Irvine, CA

UnitedHealth Group


Location:
Irvine, CA
Date:
06/23/2017
2017-06-232017-07-22
Job Code:
1753772
Apply on the Company Site
  •  
  • Save Ad
  • Email Friend
  • Print
  • Research Salary

Job Details


Pharmacy Audit Representative - Irvine, CA(Job Number:717251)
Description

Position Description:

 

Energize your career with one of Healthcare’s fastest growing companies. 

 

You dream of a great career with a great company - where you can make an impact and help people.  We dream of giving you the opportunity to do just this. And with the incredible growth of our business, it’s a dream that definitely can come true. Already one of the world’s leading Healthcare companies, UnitedHealth Group is restlessly pursuing new ways to operate our Service Centers, improve our Service levels and help people lead healthier lives. We live for the opportunity to make a difference and right now, we are living it up.

 

This opportunity is with one of our most exciting business areas: Optum - a growing part of our family of companies that make UnitedHealth Group a Fortune 14 leader.

 

Optum helps nearly 60 million Americans live their lives to the fullest by educating them about their symptoms, conditions, and treatments; helping them to navigate the system, finance their Healthcare needs, and stay on track with their Health goals. No other business touches so many lives in such a positive way. And we do it all with every action focused on our shared values of Integrity, Compassion, Relationships, Innovation, and Performance.


Primary Responsibilities:


  • Positions in this function analyze and monitor claims against fraud, waste and abuse related to network pharmacies.
  • Investigates, reviews and analyzes claims data applying knowledge of pharmacy policy and practice and data mining techniques to determine details of fraudulent, erroneous, or abusive billing activity on Real Time Application System and various reports.
  • Auditor will need to identify and documents fraudulent or erroneous activities determined as a result of their work. Auditors typically are licensed pharmacy technicians with in-depth knowledge of pharmacy operations.



Job Pharmacy Audit
Primary Location US-CA-Irvine
Other Location 
Organization OptumRx Audit & Regulatory
Schedule Full-time
Number of Openings 17
Apply on the Company Site

UnitedHealth Group is the most diversified health care company in the United States and a leader worldwide in helping people live healthier lives and helping to make the health system work better for everyone.

Featured Jobs[ View All ]

Featured Employers [ View All ]