Pharmacy Claims Auditor at Conduent in Somerset, Bexar County. Skills: Claims auditing, Compliance, Data Analysis, Fraud/Waste/Abuse Prevention, Process Improvement. Apply on NeverHard.
Company
Conduent
Location
Somerset, Bexar County
Type
not_specified
Required skills:
Claims auditing
Compliance
Data Analysis
Fraud/Waste/Abuse Prevention
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…