Pharmacy Claims Auditor

Conduent seeks a Pharmacy Claims Auditor CPhT to review high-volume pharmacy claims for accuracy, compliance, and potential fraud, waste, or abuse. You will validate coding, pricing, eligibility, and formulary rules, investigate discrepancies, and document findings to support recoveries and client reporting. Partnering with operations, pharmacy, and client teams, you’ll identify trends, recommend process improvements, and support audit readiness. You’ll work in a collaborative, data-driven cult…