Pharmacy Auditor Resume

Posted in Auditor Resume Examples

Willie Beam

2516 Freedom Lane

Stockton, CA 95204



Job Objective To enhance my skills and further my career by filling the position of Pharmacy Auditor in well-established organization.

Summary of Qualifications:

  • Remarkable experience in conducting Fraud, Waste, Abuse audits
  • Sound knowledge of hospital, drug and long-term care pharmacy operations
  • Wide knowledge of pharmacy reference data and healthcare coding
  • Good understanding of pharmacy laws and regulations
  • Proficiency in Microsoft Word, Excel and Access
  • Familiarity with pharmacy claim adjudication standards and procedures
  • Immaculate communication skills
  • Strong analytical and investigative skills

Work Experience:

Pharmacy Auditor, August 2005 – Present

Connolly, Inc, Stockton, CA

  • Reviewed pharmacy claims within the medical benefit for potential errors.
  • Developed claim edits, and reports of results.
  • Coordinated with providers i.e. hospitals, outpatient facilities, pharmacies etc.
  • Corroborated audit findings as per payer processing principles.
  • Communicated with management on audit findings and assisted with issue resolution.
  • Suggest improvements and recommendations to meet client satisfaction.

Pharmacy Auditor, May 2000 – July 2005

Cybercoders, Stockton, CA

  • Ensured that providers retained proper records as claimed.
  • Communicated with providers and customers to provide excellent service standards.
  • Followed audit procedures and identified incoherent claims.
  • Verified audit data through communication and interaction.
  • Ensured to provide authorized services.
  • Assimilated audit data to generate the audit reports.


Bachelor’s Degree in Pharmacy, Graceland University, Independence, MO

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  • March 1, 2020Create Date
  • March 1, 2020Last Updated

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