Auditor, Pharmacy Benefit Management Contracts - Remote

Overview

As a Pharmacy Benefit Audit Analyst, you will be responsible for conducting audits on behalf of our clients, ensuring compliance and accuracy in pharmacy benefit management contracts.

In Short

• Conduct audits on PBM contracts and related guarantees.
• Review prescription claims for pricing and plan design accuracy.
• Analyze administrative fees and drug rebates.
• Assemble audit reports and summarize findings.
• Collaborate with account management and pharmacy consultants.
• Document project statuses and track decisions.
• Assist in financial projects as needed.
• Strong attention to detail required.
• Remote position.
• Some travel may be required (5% - 10%).

Requirements

• Bachelor’s degree in Business, Finance, or related field.
• 5+ years of pharmacy benefit audit or claim adjudication experience.
• Knowledge of the PBM industry.
• Proficient in Microsoft Office, especially Excel.
• Strong analytical and problem-solving skills.
• Proficient in SQL.
• Excellent communication skills.
• Ability to interact with diverse stakeholders.
• Previous Medicare Part D experience preferred.

Benefits

• Competitive salary based on experience and skills.
• Remote work flexibility.
• Opportunity to work with a diverse team.
• Commitment to employee inclusion and empowerment.
• Support for professional development and training.