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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 AnalystUnited Health Group OptumRx － Irvine, Ca
  • 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 － Irvine, Ca
  • 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 － Laguna Hills, Ca
  • 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 － IrvineBiological 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

Companies Worked For:

  • United Health Group OptumRx
  • Saddleback Valley Pharmacy

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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