6 дней назад
Senior Client Audit Engineer - Pharmacy
85 000 - 100 000$
Мэтч & Сопровод
Для мэтча с этой вакансией нужен Plus
Описание вакансии
Текст:
TL;DR
Senior Client Audit Engineer - Pharmacy (Pharmacy Claims/Audit): Completing pharmacy claims audits and validating PBM contract compliance with an accent on data loading, reconciliation, Oracle reporting, and audit automation. Focus on developing Python and SQL tools, validating data pipelines, analyzing claims data, and improving audit processes across multiple concurrent projects.
Location: Remote - Wisconsin, United States
Salary: $85,000–$100,000 annual
Company
Brown & Brown and Remedy Analytics provide pharmacy claims auditing and analytics services focused on PBM contract compliance.
What you will do
- Plan and execute pharmacy claims audits in line with internal audit standards.
- Facilitate PBM calls, obtain audit data, load claims data, perform quality checks, reconcile results, and analyze Oracle reports.
- Review PBM contracts, track audit observations, evaluate remediation efforts, and draft audit reports.
- Maintain and develop audit automation transforms, including tools for new PBMs.
- Perform ad hoc analytics and identify opportunities to improve operational efficiency.
- Collaborate with engineering and product teams to prototype solutions and validate data pipelines using Python and SQL.
Requirements
- Bachelor’s degree in computer science, engineering, or a similar analytical discipline.
- Highly proficient 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.
- 3–5 years of experience working with pharmacy claims data and pharmacy claims audit experience or knowledge are required.
- Strong analytical, problem-solving, communication, project ownership, and cross-functional collaboration skills.
- Ability to manage multiple audits and changing priorities in a deadline-oriented environment.
Nice to have
- Project management experience.
- Experience with Git or Bitbucket.
- Familiarity with Power BI or SSRS.
- Proficiency in Python, including pandas and NumPy.
- Familiarity with low-code or no-code solutions.
Culture & Benefits
- Meritocratic culture focused on customer outcomes and individual initiative.
- 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$
11 дней назад
Senior Systems/Data Analyst (Data Analytics)
7 дней назад
Manager, Risk Adjustment Data Analytics (Healthcare)
136 000 - 170 000$
10 дней назад
Senior Data Analyst (AI)
103 600 - 129 450$
11 дней назад
SQL Data Analyst – Revenue Cycle
85 000 - 95 000$