Which cities near St Louis, MO have the most job openings?

The 10 cities near St Louis, MO that have the most job openings are: Independence Columbia Joliet Springfield Clarksville Indianapolis Evansville Springfield Peoria Lee's Summit

What are the most popular job searches in St Louis, MO?

The 10 most popular job searches in St Louis, MO are: city amazon work from home zoo warehouse government librarian rn amazon warehouse data entry

What are the highest-paying jobs in St Louis, MO?

The highest-paying jobs are: dermatology ( from $ 38,474 to $ 349,350 year ) hospitalist ( from $ 37,500 to $ 275,000 year ) physician recruiter ( from $ 80,000 to $ 260,400 year ) associate dentist ( from $ 191,250 to $ 250,000 year ) physician ( from $ 50,000 to $ 245,000 year ) forensic pathologist ( from $ 95,499 to $ 235,747 year ) crna ( from $ 53,604 to $ 228,000 year ) owner operator ( from $ 78,000 to $ 227,242 year ) dentist ( from $ 50,000 to $ 225,000 year ) general dentist ( from $ 30,000 to $ 225,000 year )

Which cities in the United States of America offer the highest salaries for claims auditor jobs?

The top 10 cities are: Phoenix, AZ ( from $ 31,200 to $ 123,880 year ) Chicago, IL ( from $ 100,000 to $ 108,750 year ) Philadelphia, PA ( from $ 50,831 to $ 80,000 year ) Los Angeles, CA ( from $ 48,880 to $ 75,213 year ) Houston, TX ( from $ 46,000 to $ 58,250 year )

Claims auditor Jobs in St Louis, MO

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Claims auditor • st louis mo

Last updated: 8 days ago

Pharmacy Claims Auditor CPhT

conduent business servicesSaint Louis, Missouri, United States

Full-time

Premium Auditor

davies risk servicesSaint Louis, MO, US

Full-time

Quick Apply

Join Davies Risk Services as a Premium Auditor — No Experience Required!   Are you a self-starter who thrives on independence, loves working with numbers, and enjoys meeting new people?.... Show more

Senior Field Premium Auditor

fcci insurance groupSaint Louis, MO, United States

$68,664.00–$105,739.00 yearly

Full-time

Creating connections is our focus at FCCI.Are you a dedicated team-player who thrives in a culture of accountability, have strong team working skills, possess technical excellence, have a desire fo... Show more

Sr. Director, Claims Pricing

zelisSaint Louis, MO, United States

Full-time

Senior Director, Claims Pricing & Revenue.Zelis is modernizing the healthcare financial experience across payers, providers, and healthcare consumers.We serve more than 750 payers, including the to... Show more

Auditor

spireSaint Louis, MO, United States

Full-time

This position will be responsible for providing an objective and independent evaluation of risks, assessing the internal control environment and recommending improvements to Spire's operations.This... Show more

Branch Auditor

edward jonesSaint Louis, MO, United States

Full-time

Join a financial services firm where your contributions are valued.Edward Jones is a Fortune 500 company where people come first.With over 9 million clients and 20,000 financial advisors across the... Show more

Revenue Auditor

caesars entertainmentSaint Louis, MO, United States

Full-time

We are the largest casino-entertainment company in the U.Our Caesars family is driven by our mission, vision, and values.We take great pride in living these values Together We Win, All In On Servi... Show more

Insurance Premium Auditor

information providersSt. Louis, MO, USA

$42,000.00–$55,000.00 yearly

Full-time

Quick Apply

Build a career where your precision and decisions truly matter.St Louis, MO, is hiring a full-time Insurance Premium Auditor.Apply now and take the next step forward in your career.You can expect t... Show more

Senior Internal Auditor - Hybrid

evi coreSaint Louis, MO, United States

$94,000.00–$156,600.00 yearly

Full-time

Join the Evernorth Pharmacy Benefit Services Internal Audit team and help shape the future of risk management, governance, and operational excellence at The Cigna Group.In this role, you will provi... Show more

IT Internal Auditor

timberline groupSaint Louis, MO, United States

Full-time

Internal Auditor is responsible for the timely execution of risk-based internal audits, including IT, support of external audit activities, and assisting with other audit matters and special projec... Show more

Senior Internal Auditor - Hybrid

cignaSaint Louis, MO, United States

Full-time

Senior Claims Specialist

uni groupSaint Louis, MO, United States

Permanent

Location: Des Peres, MO Work Arrangement: On-site.The Senior Claims Specialist investigates, evaluates, and resolves a wide range of cargo loss or damage claims across multiple lines of business.Th... Show more

Excess Workers' Compensation Claims Manager

safety nationalSaint Louis, MO, United States

$88,000.00–$113,500.00 yearly

Full-time

At Safety National, we build careers with purpose! Since 1942, we've been an industry leader, valuing integrity, teamwork, and stability while providing competitive rewards, top-tier benefits, care... Show more

Auditor

spireSaint Louis, MO, US

Full-time

This position will be responsible for providing an objective and independent evaluation of risks, assessing the internal control environment and recommending improvements Spire’s operations.This is... Show more

Senior Internal Auditor - Hybrid

carepath rxSaint Louis, MO, United States

$94,000.00–$156,600.00 yearly

Full-time

Senior Claims Operations Lead

keller executive searchSaint Louis, MO, United States

Full-time

Claims Professional Leadership Position.A well-established organisation is seeking an experienced claims professional to lead and strengthen its internal claims function.This is a senior leadership... Show more

Senior Auditor - Financial Services (Insurance)

wipfliSaint Louis, MO, United States

Full-time

At Wipfli, our people are core to everything we dothe catalyst behind our ability to create exceptional impact and extraordinary results.We encourage each individual to follow their own path.People... Show more

Property Claims Estimate Reviewer Specialist

cca global partnersSaint Louis, MO, United States

Full-time

Property Claims Estimate Reviewer Specialist.At CCA Global Partners, we're dedicated to building a better world by uniting family-owned businesses across North America.Our mission is to strengthen ... Show more

Lead Auditor

environmental resources managementSaint Louis, MO, United States

Full-time

Lead ESG Certification & Verification Assessor.Join a global leader at the intersection of sustainability, operational excellence, and assurance.If you are an experienced auditor or management syst... Show more

Workers Compensation Claims Trainee - Midwest

gallagherSt Louis, Missouri

$60,000.00 yearly

Full-time

About the INVEST Program Are you a recent college graduate looking for a long-term, stable, innovative and exciting career that helps make a meaningful difference and supports people through challe... Show more

Pharmacy Claims Auditor CPhT

conduent business servicesSaint Louis, Missouri, United States

30+ days ago

Job type

Full-time

Job description

Through our dedicated associates, Conduent delivers mission-critical services and solutions on behalf of Fortune 100 companies and over 500 governments - creating exceptional outcomes for our clients and the millions of people who count on them. You have an opportunity to personally thrive, make a difference and be part of a culture where individuality is noticed and valued every day.

Pharmacy Claims Auditor CPhT

Do you have a CPhT certification?

Would you like to audit pharmacy claims for accuracy?

About the Role

Conduent Payment Integrity Solutions performs in depth pharmacy audits on behalf of our healthcare payer clients. As a Pharmacy Claims Auditor CPhT, you will examine a wide variety of pharmacy records against our client’s pharmacy claim data. This is to ensure billed pharmacy claims are being accurately submitted. You will also be required to represent our clients and conduct "on-site" pharmacy audits.

Responsibilities

Examining and interpreting pharmacy records against submitted claim data for potential discrepancies.
Utilizing specific client instructions, federal and state regulations, and standards of practice to properly access pharmacy documentation.
Researching board of pharmacy regulations, and state/federal laws as they relate to prescription requirements and pharmacy practices.
Responding to pharmacy calls regarding audit results and dealing with clients periodically to report audit results.
Conducting Onsite and Desktop and Credentialing Audits in a professional and respectful manner.
Using prescription knowledge to review pharmacy submitted documentation against submitted claim data.
Assessing and producing detailed descriptions of pharmacy operations and procedures.
Making confirmation calls to pharmacies prior to audit date and personally handling audit reschedules.
Performing other duties and responsibilities as assigned

Requirements

Have National CPhT Certification through the Pharmacy Technician Certification Board (PTCB). Or be able to obtain one within the first few months.
Have extensive “retail” pharmacy experience.
Be living in commutable distance to the assigned territory (New Orleans, LA; Charlotte, NC; Louisville, KY; St. Louis, MO; or Indianapolis, IN; Cincinnati, OH.)
Have valid driver's license and have a reliable car to visit pharmacies for audits in the local geography.
Be able to travel overnight/flight 1 week/month (25%).
Be proficient with Windows and Microsoft Office.
Be able to stand for long periods of time (Up to 8 hours).
Be able to lift heavy boxes (about 20 lbs.) containing prescription records. (Most records are electronic.)

Flexible Working

At Conduent, we want you to be yourself. We recognize that everyone is different and that how people want to work and deliver at their best is different for everyone too.
In this role, you can expect the following working conditions:

Hybrid work: Will be working from home 25% of the month and will be working in the field doing audits at different pharmacy locations 75% of the month.

Working for You

We offer perks and rewards designed to support you:

Health & Welfare Benefits: Comprehensive plans tailored to your needs, effective from day one.
Retirement Savings: Robust programs to help you secure your financial future.
Employee Discounts: Access to a wide range of discounts on merchandise, services, travel, and more.
Career Growth Opportunities: Paths for advancement within a global organization.
Paid Training: Learn while you earn with award-winning learning platforms.
Paid Time Off: Competitive PTO packages to help you recharge.
Great Work Environment: Join an award-winning culture that values diversity and inclusion.