💼 Full-Time Position

Pharmacy Claims Coordinator

🏢
HCM Nexus Consulting
📍 Cebu City, Central Visayas, Philippines
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Location
Cebu City, Philippines
📅
Posted
June 14, 2026
⏰
Type
Full-Time
🎯

Full-Time Opportunity: This is a permanent, full-time position with a competitive package and real career growth potential.

Job Description

We're looking for a Pharmacy Claims Auditor to safeguard our claims data and prevent fraud. You'll conduct audits, analyze billing activities, and ensure compliance with regulations.

What Youll Do:


  • Conduct desk and on-site pharmacy audits.
  • Review claims for errors, discrepancies, or fraud.
  • Communicate with pharmacies to resolve billing issues.
  • Prepare audit reports and recommend corrective actions.
  • Document findings and ensure client invoicing accuracy.

    • What You'll Bring:


  • Bachelor's degree + 1 year pharmacy experience (Long Term Care, Specialty, or Mail Order a plus).
  • Pharmacy Technician license required; national certification preferred.
  • Strong knowledge of pharmacy practice, laws, and regulations.
  • Proficient in MS Office; SQL/SAS knowledge a plus.
  • Excellent analytical, problem-solving, and communication skills.