Pharmacy Audit & Credential Coordinator (Remote)

Remote

Pharmacy Audit & Credential Coordinator (Remote)

Grapevine, TX, United States

Job Description

Job ID

5193

Date posted

04/27/2026

Business Unit

Specialty Pharmacy

Work Location Type

Remote

SUMMARY
The OSPS Credentialing and Audit Coordinator plays a key role in supporting the Client Services team by managing pharmacy credentialing activities, coordinating responses to PBM and third-party audits, and resolving payor-related issues. This role supports compliance, reimbursement optimization, and strategic initiatives across the organization.

ESSENTIAL FUNCTIONS

Support the coordination and timely response to PBM and third-party audits, ensuring all requests are reviewed and addressed within required deadlines
Prepare and organize audit responses and assist with appeal submissions when applicable
Collect, review, and validate audit documentation from pharmacies to ensure accuracy and completeness prior to submission
Assist with PBM-related activities, including MAC appeals, claim rejections, and reimbursement discrepancies
Maintain active pharmacy credentialing with all required entities in compliance with regulatory and contractual requirements
Communicate with PBMs to verify contracted reimbursement rates and initiate appeals as needed
Maintain and audit contract and carrier code data within the third-party reconciliation system to ensure financial accuracy
Manage and analyze the Daily Rejection Report and investigate and resolve third-party claim rejections
Collaborate with Accounting, Finance, and Operations teams to support accurate reporting and resolution of audit findings and pricing discrepancies
Support formal communications with Pharmacy Benefit Managers and Managed Care Organizations
Perform additional duties as assigned to support departmental and organizational objectives

EDUCATION AND EXPERIENCE

Required Qualifications

Certified Pharmacy Technician registration
Minimum of 5 years of experience working in a specialty pharmacy environment

Preferred Qualifications

2 to 3 years of experience working in a pharmacy dispensing system
Experience with PBM or payor audits

COMPETENCIES AND SKILLS

Strong attention to detail with excellent organizational and time management skills
Effective communication and interpersonal skills, including the ability to perform well in high-pressure situations
Ability to manage multiple priorities in a fast-paced environment
Strong analytical and problem-solving skills related to claims and reimbursement issues
Proficiency in Microsoft Office applications
Self-motivated, proactive, and resourceful with strong follow-through
Ability to work independently and collaboratively within a team environment
Professional demeanor with a strong work ethic and commitment to accuracy
Ability to interact effectively with internal teams, clients, and external partners at all levels
Ability to work remotely or in an office environment
Willingness to travel up to 25% as needed

PAY RANGE
The targeted pay range for this position is $58,000 to $60,000 annually.
The final offer will be based on factors such as qualifications, experience, geographic location, and internal equity, and may vary within the stated range.

EEO, Privacy, and Adaptability

Omnicell welcomes applications from all individuals, valuing a wide range of perspectives and backgrounds. As an equal opportunity employer, we do not discriminate based on race, gender, religion, sexual orientation, gender identity, national origin, veteran status, or disability. We are committed to making our recruitment process accessible to everyone. We offer support and reasonable adjustments for individuals with disabilities during our hiring process. If you need assistance, please contact us at Recruiting@omnicell.com.

At Omnicell, respect for privacy and confidentiality is paramount. We adhere to strict policies to prevent discrimination or retaliation against those who engage in open conversations about compensation. However, employees privy to compensation information as part of their job role are expected to maintain confidentiality, except in specific circumstances outlined by law, such as during formal complaints, investigations, or as required by legal obligations. Learn more about our privacy practices: https://www.omnicell.com/privacy/

Please note that Omnicell reserves the right to modify job roles and responsibilities as needed to meet our organization's evolving needs and drive our mission forward.

About Us

At Omnicell, innovation starts with people who are passionate about making healthcare safer and smarter. Since 1992, we’ve been transforming the future of pharmacy care through bold ideas and hands-on solutions that make a real impact on clinicians and patients’ lives.

We build outcomes-driven technology—from robotics to intelligent software—that helps clinicians work more efficiently and ensures patients get the care they need. Every improvement, every breakthrough, every idea is rooted in our belief that better is always possible.

But what sets us apart isn’t just the work we do, it’s how we do it. Our Culture of Care shapes everything, from how we show up for each other to how we solve tough problems together. You’ll find a team that has your back, leaders who listen, and a shared commitment to building something that matters.

Here, careers are more than job titles, they are journeys of purpose and possibility. Whether you’re just getting started or ready to grow in new directions, we’ll meet you where you are, with support, flexibility, and opportunity that matches your ambition.

If you’re driven by purpose and ready to shape what’s next in healthcare, there’s a place for you at Omnicell.

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