At CVS Health, we’re building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care.

As the nation’s leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues – caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day.

Position Summary

As a Regional Pharmacy Onsite Auditor, you will be an essential part to the Pharmacy Audit Department at CVS/Caremark.
In this role, you will be based from your home and travel onsite to conduct claims audits at pharmacies throughout multiple states by reviewing prescription claims billed and educating pharmacies on the findings.
You will also analyze claims for fraud, waste, and abuse trends and report your findings to the corporate office.

To be successful in this role, you must have the ability to travel overnight approximately 70 percent of the time and able to maintain a corporate credit card. Overnight travel is required, ability to travel via car or air, transport a laptop computer to pharmacy locations, and stand for extended periods of time while in pharmacies.

Required Qualifications

- 3+ years of professional experience, preferably in a retail pharmacy setting, or in fields of pharmaceutical and/or pharmacy regulatory industry
- Must be able to travel up to 80% of the time. Travel includes flights, overnight stays, local travel, travel on short notice, and other travel deemed necessary by the company.
- Must possess valid and current driver's license.
- Must possess personal vehicle sufficiently reliable to meet the requirements of the job and is appropriately insured.
- Ability to handle difficult situations

- Pharmacy Technician Licensure
- Certified Pharmacy Technician (PTCB)

Preferred Qualifications

- Candidate must have excellent time management skills
- Ability to work independently and make decisions with a self-starter mentality
- Ability to plan and appropriately schedule audits in advance
- Ability to plan travel on the company’s site in a cost effective manner
- Knowledge of CVS Health (or other PBM) claims
processing
- Knowledge of retail pharmacy operations including reading prescriptions and drug knowledge
- Excellent verbal and written communication skills
- Experience with MS Office, including Excel and Word
 

Education

High school diploma or GED required
Bachelor's Degree preferred

Anticipated Weekly Hours

40

Time Type

Full time

Pay Range

The typical pay range for this role is:

$46,988.00 - $112,200.00

This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls.  The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors.  This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above. 
 

Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.

Great benefits for great people

We take pride in our comprehensive and competitive mix of pay and benefits – investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include:

• Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan.

• No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching.

• Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility.

For more information, visit https://jobs.cvshealth.com/us/en/benefits

We anticipate the application window for this opening will close on: 04/28/2025

Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.