Senior Client Audit Engineer - Pharmacy
Core
Conduct pharmacy claims audits to ensure compliance with PBM contracts, involving data analysis, reconciliation, and reporting.
Role type
Senior Client Audit Engineer (Pharmacy)
Builds
Audit reports, data quality checks, and compliance documentation for PBM contracts.
Domain
Healthcare / Pharmacy Claims / Insurance
Required skills
Oracle/SQL, ETL, dimensional modeling, data reconciliation, audit automation, Python, data analytics
Preferred skills
Project management, version control (Git/Bitbucket), visualization tools (PowerBI/SSRS), low-code/no-code solutions
Technologies
Oracle, SQL, Python, pandas, NumPy, PowerBI, SSRS, Git, Bitbucket
Responsibilities
Plan and develop audit approaches, perform data quality checks on master files, maintain audit automation transforms, track audit observations, draft audit reports, perform ad-hoc data analytics, re-evaluate system functionality, develop tools for process improvement, train new staff, complete quality checks for junior auditors.
Seniority
Senior, hands-on IC