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in Irvine, CA

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Hours Full-time, Part-time
Location Irvine, CA
Irvine, California

About this job

Position Description:

We're
changing the way health care works for the better. That means
consulting with our members, partnering with our physicians, and
delivering drugs in the most efficient and effective way. Join us and
start doing your life's best work.

Primary Responsibilities:

  • Positions in this function analyze and monitor claims against fraud, waste and abuse related to network pharmacies.
  • Investigates, reviews and analyzes claims data
    applying knowledge of pharmacy policy and practice and data mining
    techniques to determine details of fraudulent, erroneous, or abusive
    billing activity on Real Time Application System and various reports.
  • Auditor will need to identifies and documents
    fraudulent or erroneous activities determined as a result of their work.
    Auditors typically are licensed pharmacy technicians with in-depth
    knowledge of pharmacy operations. Nationally certified technicians and
    technicians with investigative experience are preferred.

Requirements

Requirements:

  • High School education / GED
  • Basic experience in Word and Excel
  • California Pharmacy Technician License
  • 2+ years Pharmacy Technician experience
  • Working Hours Monday - Friday 8:00 AM - 4:30 PM

Assets:

  • National Pharmacy Technician Certification (CPhT)
  • Compound Pharmacy experience
UnitedHealth Group is working to create the health care system of tomorrow.

Already Fortune 14, we are totally focused on innovation and change. We work a little harder. We aim a little higher. We expect more from ourselves and each other. And at the end of the day, we're doing a lot of good.

Through our family of businesses and a lot of inspired individuals, we're building a high-performance health care system that works better for more people in more ways than ever. Now we're looking to reinforce our team with people who are decisive, brilliant and built for speed.

Come to UnitedHealth Group, and share your ideas and your passion for doing more. We have roles that will fit your skills and knowledge. We have diverse opportunities that will fit your dreams.

Diversity creates a healthier atmosphere: 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.