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Pharmacy Claims Coordinator

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HCM Nexus Consulting
📍 Cebu City, Philippines
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Location Cebu City
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Posted June 07, 2026
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Commute Local Area
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Local Opportunity Near You!

This job is in your area. Enjoy a short commute and work close to home.

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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.

    • Apply for This Job

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    📍 Location Details

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    City
    Cebu City
    🗺️
    Country
    Philippines
    🚗
    Commute
    Local Area

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