Pharmacy Claims Auditor at Conduent in China Grove, Bexar County. Skills: Claims auditing, Collaboration, Compliance, Data Analysis, Fraud Detection. Apply on NeverHard.
Company
Conduent
Location
China Grove, Bexar County
Type
full_time
Required skills:
Claims auditing
Collaboration
Compliance
Data Analysis
Fraud Detection
Process Improvement
Conduent seeks a Pharmacy Claims Auditor CPhT to review high-volume pharmacy claims for accuracy, compliance, and potential fraud, waste, or abuse. You will validate coding, pricing, eligibility, and formulary rules, investigate discrepancies, and document findings to support recoveries and client reporting. Partnering with operations, pharmacy, and client teams, you’ll identify trends, recommend process improvements, and support audit readiness. You’ll work in a collaborative, data-driven cult…