Auditor Jobs

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Pharmacy Auditor

GallagherRolling Meadows, IL

About The Position

Position Summary: Responsible for conducting detailed audits of pharmacy claims, ensuring compliance with client-specific requirements, and analyzing pharmacy data to identify discrepancies, trends, and opportunities for improvement. This role involves auditing claims to detect fraud, waste, or abuse, preparing comprehensive audit reports with actionable recommendations, and collaborating with clients and internal teams to resolve findings and implement corrective measures. The Analyst/Auditor also analyzes claims data to uncover trends and risks, develops client-specific dashboards and reports, and provides insights to support decision-making and cost-saving initiatives. Acting as the primary client contact for audit and compliance matters, this role ensures adherence to regulatory standards, including HIPAA, and supports clients in meeting compliance requirements. Additionally, the position emphasizes collaboration with internal teams, continuous improvement of audit processes, and participation in strategic initiatives to enhance client satisfaction and operational efficiency.

Requirements

  • Typically requires a University Degree or equivalent experience and minimum 3 years of prior relevant experience.
  • Strong attention to detail and organizational skills.
  • Basic analytical and problem-solving abilities.
  • Proficiency in Microsoft Office Suite (Excel, Word, PowerPoint).
  • Strong written and verbal communication skills.
  • Willingness to learn and adapt in a fast-paced environment.
  • Ability to work collaboratively as part of a team.
  • Interest in pharmacy operations, compliance, and data analysis.

Nice To Haves

  • Degree in Healthcare Administration, Business, Data Analytics, or a related field.
  • Certified Pharmacy Technician (CPhT) or equivalent certification is a plus.
  • Experience working with clients in a consulting or service-oriented role is preferred.
  • Familiarity with pharmacy benefit management (PBM) processes and systems is a plus.
  • Experience with data analysis tools (e.g., Excel, SQL, Tableau) is preferred.

Responsibilities

  • Conducting detailed audits of pharmacy claims
  • Ensuring compliance with client-specific requirements
  • Analyzing pharmacy data to identify discrepancies, trends, and opportunities for improvement
  • Auditing claims to detect fraud, waste, or abuse
  • Preparing comprehensive audit reports with actionable recommendations
  • Collaborating with clients and internal teams to resolve findings and implement corrective measures
  • Analyzing claims data to uncover trends and risks
  • Developing client-specific dashboards and reports
  • Providing insights to support decision-making and cost-saving initiatives
  • Acting as the primary client contact for audit and compliance matters
  • Ensuring adherence to regulatory standards, including HIPAA
  • Supporting clients in meeting compliance requirements
  • Collaboration with internal teams
  • Continuous improvement of audit processes
  • Participation in strategic initiatives to enhance client satisfaction and operational efficiency

Benefits

  • 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
  • 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

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What This Job Offers

Job Type

Full-time

Career Level

Mid Level

Number of Employees

501-1,000 employees

Career Resources

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