Pharmacy Audit Engineer
Core
Conduct financial and operational audits of pharmacy claims to ensure PBM contract compliance and evaluate the effectiveness of controls.
Role type
Senior IC pharmacy audit engineer (data analytics)
Builds
Customized audit automation frameworks and SQL-based analysis tools
Domain
Healthcare / Pharmacy claims / PBM contracts
Required skills
Oracle/SQL, ETL, dimensional modeling, data quality checks, financial acumen, ad-hoc analytics, report drafting
Preferred skills
Python (pandas, NumPy), version control (Git/Bitbucket), PowerBI/SSRS, low-code/no-code solutions
Technologies
Oracle, SQL, PowerBI, SSRS, Python, Git, Bitbucket, MS Office
Responsibilities
Plan and develop audit approaches per internal standards; perform data loading, quality checks, and reconciliation; run and analyze Oracle reports; track audit observations and follow up on remediation; draft audit reports; perform ad-hoc data analytics requests; re-evaluate system functionality for efficiency improvements.
Seniority
Mid-Senior, hands-on IC