Senior Pharmacy Audit & Revenue Integrity Specialist

Location: Remote (U.S.) + Occasional Travel (1-3 days) Type: Contract (PT/FT, 1-6 month projects) Rate: $65-$95/hr DOE Summary Seeking a Licensed Pharmacist to support national Pharmacy Audit and Revenue Integrity projects. Work includes reviewing pharmacy billing accuracy, evaluating drug pricing (AWP/WAC/U&C), identifying discrepancies, and ensuring compliance with payer and regulatory standards. Mainly remote with short onsite visits; travel paid. Key Duties Conduct pharmacy billing and reimbursement audits Validate NDCs, pricing tables, invoice accuracy Identify discrepancies in UOM, pricing, fees Prepare audit summaries, documentation, and findings Ensure Medicare/Medicaid and regulatory compliance Collaborate with internal and external stakeholders Requirements Active U.S. Pharmacist license Experience with pharmacy audits or revenue cycle Strong understanding of drug pricing methodologies Detail‐oriented; strong analytical and documentation skills Ability to travel briefly when needed Preferred Public‐sector/government audit experience Medicare/Medicaid billing familiarity