Senior Client Audit Engineer - Pharmacy

Built on meritocracy, our unique company culture rewards self-starters and those who are committed to doing what is best for our customers.

Brown & Brown \ Remedy Analytics is looking for a full-time experienced Senior Client Audit Engineer - Pharmacy. The Senior Client Audit Engineer will be responsible for completing pharmacy claims audits to ensure compliance to PBM contracts. This role will involve facilitating calls with PBMs, obtaining claims audit data, perform data loading and data quality checks, data reconciliation, running and analyzing Oracle output reports, running ad-hoc analysis, reviewing PBM contracts, completing audit support documentation and working with the client support team to develop PBM & client deliverables.

How You Will Contribute:

o Plan and develop the audit approach for assigned projects consistent with guidelines established by Remedy internal Audit Standards

o Work simultaneously on multiple audits with differing deadlines while maintaining attention to detail within the appropriate timelines

o Analyze and perform quality checks of master files, profiles, and table changes to ensure all changes are appropriately accounted for

o Maintain and continuously improve upon current audit automation transforms based on audit findings, industry changes, and technology updates

o Track open audit observations and perform follow-up to evaluate the adequacy of remediation efforts with both PBM and Remedy account team

o Draft audit reports to effectively communicate the results of the analysis to Remedy account team

o Perform (daily/weekly) ad hoc data analytics requests as prioritized per Department Management

o Re-evaluate system functionality to identify opportunities for improving operational efficiencies.

o Develop the necessary tools, templates and reporting required to support any/all process improvement initiatives

o Aid in the training of new internal audit staff

o Comply with and adhere to all regulatory compliance areas, policies, and procedures (including HIPAA requirements), and "leading practices".

o Complete quality checks for junior level auditors

o Develop audit automation transforms for new PBMs

o Collaborate with engineering and product teams to prototype solutions and validate data pipelines using Python and SQL

Skills & Experience to be Successful:

o Bachelor’s degree in computer science, engineering and/or similar discipline with analytical bias

o Highly proficient in database table creation/management, ETL process, complex Oracle/SQL queries, and code maintenance

o Dimensional Model understanding and experience manipulating models, developing, and executing on business logic

o Relevant experience that demonstrates problem-solving, financial acumen, and analytical output

o Ability to thrive in a fast-paced environment, responding quickly to oversight and following instruction closely, while anticipating needs and developing efficiencies on repeat tasks

o Excellent verbal and written communication skills to assemble data as applicable

o Experience developing and maintaining effective, collaborative working relationships with clients and internal stakeholders

o Strong sense of project ownership and the ability to manage high project volume effectively

o Excellent problem-solving, critical thinking and analytics skills with the ability to work in a cross-functional team.

o Must be able to adapt to change in direction and priorities in a project and deadline-oriented environment.

Preferred but not required

o Experience in Project Management

o Experience with version control (git, bitbucket)

o Familiarity with Visualization tools (PowerBI/SSRS preferred)

o Proficiency in Python (pandas, NumPy, general data manipulation techniques)

o Familiarity with low code to no code solutions

o 3-5 years of experience working with Pharmacy claims data (required)

o Pharmacy claims audit experience &/or knowledge of pharmacy claims data (required)

Pay Range

$85,000 - $100,000 Annual

The pay range provided above is made in good faith and based on our lowest and highest annual salary or hourly rate paid for the role and takes into account years of experience required, geography, and/or budget for the role.

Teammate Benefits & Total Well-Being

We go beyond standard benefits, focusing on the total well-being of our teammates, including:

• Health Benefits: Medical/Rx, Dental, Vision, Life Insurance, Disability Insurance
• Financial Benefits: ESPP; 401k; Student Loan Assistance; Tuition Reimbursement
• Mental Health & Wellness: Free Mental Health & Enhanced Advocacy Services
• Beyond Benefits: Paid Time Off, Holidays, Preferred Partner Discounts and more.

Not reflective of all benefits. Enrollment waiting periods or eligibility criteria may apply to certain benefits. Benefit details and offerings may vary for subsidiary entities or in specific geographic locations.

Recruiting Vendor Disclosure Statement

Brown & Brown does not accept unsolicited resumes from external recruiters, recruitment vendors or employment agencies ("Recruiting Vendors"). Recruiting Vendors must have a valid written agreement and received prior written authorization from an authorized Brown & Brown representative before submitting candidates for any publicly posted role. Any unsolicited resumes submitted to Brown & Brown or its employees become the property of Brown & Brown, and no fees will be paid for such submissions. Additional information regarding this policy can be found on our careers page.

The Power To Be Yourself

As an Equal Opportunity Employer, we are committed to fostering an inclusive environment comprised of people from all backgrounds, with a variety of experiences and perspectives, guided by our Diversity, Inclusion & Belonging (DIB) motto, “The Power to Be Yourself”.

Welcome

We think of ourselves as a team, so we have teammates - not employees. We strive to attract people who are competitive, driven, and disciplined. Built on meritocracy, our unique company culture rewards self-starters and those who are committed to doing what is best for our customers.

About Us

Founded in 1939 as a small, two-partner firm, Brown & Brown (NYSE: BRO) and our team of companies have grown into one of the world’s largest insurance brokerages while staying true to our foundation of trust, resilience, and delivering results. With a team that is as connected locally as it is globally, our high-performing, highly collaborative team delivers innovative risk and insurance solutions.

We look for individuals who embrace our culture, thrive in a collaborative environment, are driven to grow and succeed, and are committed to always doing what is right. With a unique culture built on integrity, superior capabilities and grit, we value teamwork, trust and courage. We think of ourselves as a team, so we have teammates—not employees, and leaders—not managers. Everything we do is about the greater “WE”—never “me.” While diverse in abilities and experience, we are all connected through our core values, a commitment to our local communities and a shared mission—always doing what is best for our customers.

Recruiting Vendor Disclosure Statement

Brown & Brown and its affiliates maintain an internal recruiting team responsible for filling open roles posted to the public. In certain situations, Brown & Brown may supplement its internal capabilities by engaging external recruiting vendors and employment agencies (“Recruiting Vendors”). Recruiting Vendors are not authorized to submit resumes, share candidate data, or directly or indirectly contact Brown & Brown employees to present candidates for employment opportunities. The only exception applies to Recruiting Vendors with an active Valid Agreement (as defined below) that has been approved by Brown & Brown.

In accordance with this policy, and to ensure appropriate authorization for sharing candidate personal information, Brown & Brown will not accept unsolicited resumes from any source other than Authorized Recruiting Vendors with a Valid Agreement in place who have been expressly invited to support a specific role. Any unsolicited resumes, incomplete submissions, or candidate data received through any means (including email or otherwise) will be considered the property of Brown & Brown. Brown & Brown will not pay any placement or related fees for unsolicited submissions or candidate data provided in violation of this policy. Such submissions may be used by Brown & Brown without any obligation to pay fees of any kind to Recruiting Vendors.

A Valid Agreement is defined as a written contract signed by an authorized representative of Brown & Brown. In the absence of a Valid Agreement, Brown & Brown assumes no liability under any legal theory, including but not limited to breach of contract, breach of implied contract, tortious interference, quantum meruit, any/or any other contractual or equitable claims in connection with candidates identified through unsolicited submissions made in violation of this policy.

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