Pharmacy Benefit Audit Analyst Expert

3 days ago


Miami, Florida, United States Secure Eclaims LLC Full time
Job Summary

We are seeking a highly skilled Pharmacy Benefit Audit Analyst to join our team at Secure Eclaims LLC. This role involves conducting thorough audits of pharmacy benefit management contracts to ensure compliance and accuracy.

The ideal candidate will have a strong background in pharmacy benefit auditing, with experience working with PBM platforms and a solid understanding of the healthcare industry.

We offer a competitive salary of $70,000 - $90,000 per year, depending on experience, and a comprehensive benefits package.

Key Responsibilities:

  • Conduct detailed audits of PBM contracts to identify areas for improvement
  • Analyze data to determine contractual financial guarantees, admin fees, rebates, and other terms
  • Assemble audit reports and summarize findings
  • Collaborate with account management and pharmacy consultants to discuss results with clients and vendors

Requirements:

  • Bachelor's degree in Business, Finance, or related field
  • At least 3 years of experience in pharmacy benefit auditing or claim adjudication research
  • Working knowledge of the PBM industry and pharmacy benefit claims

Benefits:

  • Competitive salary


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