6 дней назад
Pharmacy Audit Engineer
75 000 - 90 000$
Мэтч & Сопровод
Для мэтча с этой вакансией нужен Plus
Описание вакансии
Текст:
TL;DR
Pharmacy Audit Engineer (Oracle/SQL/Data Analytics): Completing pharmacy claims audits and developing customized audit automation frameworks to evaluate PBM contract compliance, financial accuracy, and operational controls with an accent on data loading, reconciliation, quality checks, and ad hoc analysis. Focus on building SQL automation, analyzing Oracle reports, improving audit workflows, and documenting findings in collaboration with PBMs, clients, and internal account teams.
Location: Remote - Wisconsin, United States
Salary: $75,000–$90,000 annually
Company
Brown & Brown / Remedy Analytics provides pharmacy claims auditing and analytics services focused on PBM contract compliance, financial accuracy, and operational effectiveness.
What you will do
- Plan and execute financial and operational pharmacy claims audits in line with internal audit standards.
- Load, reconcile, and quality-check claims data, master files, profiles, and table changes.
- Run and analyze Oracle reports, complex SQL queries, and recurring ad hoc data analytics.
- Build and continuously improve audit automation transforms and customized project frameworks.
- Review PBM contracts, track audit observations, and evaluate remediation efforts.
- Prepare audit reports and deliverables while collaborating with PBMs, clients, and internal account teams.
Requirements
- Bachelor’s degree in computer science, engineering, or a similar analytically focused discipline.
- Strong proficiency in database table creation and management, ETL processes, complex Oracle and SQL queries, and code maintenance.
- Understanding of dimensional models and experience developing and executing business logic.
- Experience demonstrating problem-solving, financial acumen, analytical output, and project ownership.
- Excellent written and verbal communication skills, with the ability to collaborate across functions and manage multiple deadlines.
- Knowledge of regulatory compliance requirements, including HIPAA.
Nice to have
- Project management experience.
- Version control experience with Git or Bitbucket.
- PowerBI or SSRS visualization experience.
- Python experience with pandas, NumPy, and general data manipulation.
- Experience with pharmacy or medical claims data and pharmacy claims auditing.
Culture & Benefits
- Full-time remote work from Wisconsin.
- Medical, prescription, dental, vision, life, and disability insurance.
- ESPP, 401(k), student loan assistance, and tuition reimbursement.
- Mental health and enhanced advocacy services.
- Paid time off, holidays, and preferred partner discounts.
Будьте осторожны: если работодатель просит войти в их систему, используя iCloud/Google, прислать код/пароль, запустить код/ПО, не делайте этого - это мошенники. Обязательно жмите "Пожаловаться" или пишите в поддержку. Подробнее в гайде →
Похожие вакансии
6 дней назад
Senior Insurance Data Lead
118 300 - 174 000$
11 дней назад
Senior Consultant Advisory Services
90 000 - 150 000$
8 дней назад
Healthcare Analyst II (Healthcare)
85 000 - 92 000$
6 дней назад
Data Analyst II (Analytics Focus)
85 000 - 115 000$
6 дней назад
Sales Operations Analyst (MedTech)
94 000 - 122 000$
7 дней назад
Manager, Risk Adjustment Data Analytics (Healthcare)
136 000 - 170 000$