CAREERS

• Apply knowledge of pharmacy practice, billing, and PBM audit criteria to assess whether flagged claims represent true discrepancies

• Ensure audit findings are accurate, well-documented, and defensible prior to communication to the pharmacy

• Provide clinical guidance to technician auditors and help refine flagging criteria over time

• Maintain confidentiality, compliance, and quality standards across all audit work

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Qualifications

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• Active pharmacist license in good standing (any U.S. state)

• Minimum 5 years of pharmacy experience

• Breadth of practice experience strongly preferred — candidates with a background spanning multiple settings (e.g., long-term care, retail/ambulatory, mail-service, specialty, clinic, and hospital pharmacy) will be prioritized over those with a single-setting background, as diverse exposure sharpens the clinical judgment this review role depends on

• Strong attention to detail and clear, defensible documentation skills

• Prior audit, claims, or PBM experience a plus

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Work Arrangement

Hybrid position based out of our Melrose, Massachusetts office. Approximately 2 days per week in-office with the remaining 3 days remote.

Salary Range: $60.00 - $65.00 per hour

Work Location: Hybrid remote in Melrose, MA 02176

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To Apply

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Please send the latest copy of your resume to:

ademokritou@integratedrx.net

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or apply via indeed:

Clinical Quality Assurance Pharmacist – Pharmacy Claims Audit Review - Hybrid - Melrose, MA 02176 - Indeed.com