Job Summary

• The role involves managing operational activities for pharmacy compliance and investigating fraud, waste, and abuse within commercial and government lines of business.
• Candidates must utilize prescription and medical claim data to generate clinical recommendations and substantiate referrals through detailed case research and audits.
• The position offers a comprehensive benefits package including medical, dental, vision, wellness programs, paid time off, and a 401K with company match.

Matching Summary

Salary

Base: $85,356 - $115,232 - $145,107; Bonus/Equity: Not specified; Benefits: Comprehensive pay and benefits discussed at offer stage

Skills & Requirements

Key Requirements

• Bachelor's degree required; advanced degree highly desired
• 4-6+ years in lead investigative role
• Must be located in Tennessee
• Not eligible for sponsorship

Work Rights