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Auditor of Pharmacy Benefit Management - Remote

Gallagher

At Gallagher Benefit Services, you join a team dedicated to building better workplaces by shaping benefit strategies, designing wellbeing programs, and advising on workforce challenges. Job Summary Responsible for leading complex pharmacy claim audits, ensuring compliance with client‑specific requirements, and delivering advanced data analysis to identify trends, risks, and opportunities for improvement. This role involves managing high‑risk audits, investigating fraud or discrepancies, and presenting comprehensive reports with actionable recommendations. The auditor provides strategic insights through advanced data analysis, predictive modeling, and the development of sophisticated dashboards to support client decision‑making and cost‑saving initiatives. Acting as a trusted advisor, this role manages senior‑level client relationships, leads discussions on audit findings, and collaborates on customized strategies to optimize pharmacy operations. It also focuses on continuous improvement, innovation, and strategic initiatives to enhance client satisfaction, operational efficiency, and risk management. Qualifications B.S. degree 3–5 years of experience Experience as a Pharmacy Technician and project management within PBMs (ideal) Compensation and Benefits We offer a competitive and comprehensive compensation package. The base salary range represents the anticipated low end and high end of the range for this position. The actual compensation will be influenced by a wide range of factors, including, but not limited to, previous experience, education, pay market/geography, complexity or scope, specialized skill set, lines of business/practice area, supply/demand, and scheduled hours. Below are the minimum core benefits you’ll receive, depending on your job level these benefits may improve: Medical/dental/vision plans, which start from day one Life and accident insurance 401(k) and Roth options Tax‑advantaged accounts (HSA, FSA) Educational expense reimbursement Paid parental leave Other benefits include: Digital mental health services (Talkspace) Flexible work hours (availability varies by office and job function) Training programs Gallagher Thrive program – elevating your health through challenges, workshops and digital fitness programs for your overall wellbeing Charitable matching gift program And more EEO and Inclusion Statement Inclusion and diversity (I&D) is a core part of our business, and it’s embedded into the fabric of our organization. Gallagher believes that all persons are entitled to equal employment opportunity and prohibits any form of discrimination by its managers, employees, vendors or customers based on race, color, religion, creed, gender (including pregnancy status), sexual orientation, gender identity, gender expression, hair expression, marital status, parental status, age, national origin, ancestry, disability, medical condition, genetic information, veteran or military status, citizenship status, or any other characteristic protected by applicable federal, state, or local laws. Equal employment opportunity will be extended in all aspects of the employer‑employee relationship, including, but not limited to, recruitment, hiring, training, promotion, transfer, demotion, compensation, benefits, layoff, and termination. Gallagher will make reasonable accommodations to known physical or mental limitations of an otherwise qualified person with a disability, unless the accommodation would impose an undue hardship on the operation of our business. #J-18808-Ljbffr Gallagher

Vacancy posted 1 day ago
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