Pharmacy Audit Analyst Resume Example
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PHARMACY AUDIT ANALYST
Summary
Analyst with extensive experience in pharmacy audit. Proficiencies include strong computer skills and prioritizes/organizes workload to meet deadlines.
Experience
06/2016 to Current
Pharmacy Audit AnalystAscension (System Office) － Waupaca , WI
- Manager: Kathryn Ton.
- Reviews and analyzes claims data.
- Claim processing and applying knowledge of pharmacy practice and data mining techniques to determine overpayment billing activity.
- Assist with PARC process
- Identifies and documents FWA
- Work with other team members to ensure pharmacies get paid in a timely and properly.
- Collaborate and work with clients to resolve audit/appeal inquiries.
09/2013 to 06/2016
Sr. Pharmacy Auditor RepresentativeUnited Health Group OptumRx － City , STATE
- Identify perpetual activity and prevent continued occurrence of.
- wrong drug/ drug quantity bill by pharmacies.
- Serve as subject matter expert for fraud, waste, abuse and error for client.
- Prepare Analysis on Pharmacies and review audit samples of the prescriptions.
- Prepare/ analyze in detail of different Drug reports.
- Merging data/reports.
- Analytical and interpretation skills to identify/ reduce in medication billing errors.
- Analyzing in detail of Compound claims and Muti-Ingredient Report.
09/2004 to 09/2013
Lead Pharmacy TechnicianSaddleback Valley Pharmacy － City , STATE
- Supervisor: Anne Tran, R.Ph
- Compound drugs billing.
- Processing prescription, communicate with doctors, nurse and Patients.
- Provided onsite training.
- Knows trade names of many generic drug products.
- Monitored multiple databases to keep track of all company inventory.
- Run pharmacy monthly, annually drugs report and determine patterns/trends.
Education and Training
09/2006
Biological ScienceUniversity of California － CityBiological Science
06/2002
Magnolia High School
06/2000
John Glenn High School
Additional Information
- License: 07/2007- Present Pharmacy Technician and National Licenses License Registration Number: 77112
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Resume Overview
School Attended
- University of California
- Magnolia High School
- John Glenn High School
Job Titles Held:
- Pharmacy Audit Analyst
- Sr. Pharmacy Auditor Representative
- Lead Pharmacy Technician
Degrees
- Biological Science
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