Pharmacy Audit Analyst - National Remote

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together.

The Pharmacy Audit Analyst (i.e. Internal Pharmacy Audit- IPA Auditor) conducts remote and onsite, pharmacy compliance audits which help to ensure regulatory, compliance, and accreditation requirements are met at Optum Rx (ORx) pharmacies. IPA audits ORx retail/client retail, home delivery, multi-dose packaging, specialty, and Genoa Healthcare pharmacies. Each auditor completes approximately 12-16 audits per month.

You will enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges.

Primary Responsibilities:

• Conducts remote and onsite regulatory compliance-based internal audits within ORx by collecting evidence to verify conformance or nonconformance to the audit criteria
• Records the results of audits performed (e.g., checklist, questionnaire, etc.)
• Reports audit results concisely, objectively, and impartially
• Maintains confidentiality of audit information and reports any conflict of interest to management
• Manages and prioritizes assigned audits to meet mandated turnaround times
• Understand the audit purpose, scope, and criteria being audited against
• Serves as a resource to others on the team
• Assesses compliance with applicable laws and regulations (e.g., BOP, FDA, DEA, CMS, and HIPAA)
• Demonstrates knowledge of applicable medical/pharmacy terminology (e.g., CPT, ICD-9, ICD-10)
• Verifies the correction of previous nonconformities
• Remains ethical and adheres to the organization's code of conduct and internal processes/requirements
• Attends, participates, and routinely hosts internal meetings (e.g., opening, closing, etc.)
• Works with business partners to identify and improve pharmacy compliance-related issues
• Participates and/or facilitates team engagement activities
• Other duties and responsibilities, not specifically described, may be defined or assigned from time to time, consistent with the knowledge, skills, and abilities of the incumbent by management

You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

Required Qualifications:

• 3+ years of relevant work experience in the healthcare industry
• Currently located within 45 miles of International Airport
• Ability to travel up to 65%
• Ability to travel by plane, train, and car for a timeframe of up to 8 hours
• Access to reliable transportation & valid US driver's license
• Must be 18 years of age or older

Preferred Qualifications:

• National Pharmacy Technician Certification
• American Society of Quality (ASQ) Certified Quality Auditor (CQA) or equivalent credential(s)
• 1+ years of experience conducting or assisting with quality, compliance, or internal audit
• 1+ years of previous Quality experience or demonstrated Subject Matter expertise across multiple quality areas
• Intermediate level of proficiency using MS Excel (filtering and sorting data)

Physical Requirements and Work Environment:

• Extended periods of sitting at a computer and use of hands/fingers across the keyboard or mouse
• Extended periods of standing, bending, and twisting at a pharmacy location

*All Telecommuters will be required to adhere to UnitedHealth Group's Telecommuter Policy.

The salary range for this role is $49,300 to $96,400 annually based on full-time employment. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. UnitedHealth Group complies with all minimum wage laws as applicable. In addition to your salary, UnitedHealth Group offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with UnitedHealth Group, you'll find a far-reaching choice of benefits and incentives.

Pursuant to the San Francisco Fair Chance Ordinance, we will consider for employment qualified applicants with arrest and conviction records.

Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.

At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location, and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups, and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.

Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity / Affirmative Action employer, and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.

UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.

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