Auditor - PBM Contracts

April 15

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EPIC Insurance Brokers & Consultants

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EPIC Insurance Brokers & Consultants is a leading insurance brokerage and consulting firm that specializes in providing comprehensive insurance solutions and risk management services to businesses and individuals. With a focus on innovation and customer service, EPIC leverages its expertise to help clients navigate the complex insurance landscape and ensure they have the right coverage for their needs. The firm operates with a commitment to its core values of integrity, excellence, and teamwork, striving to deliver exceptional value to every client.

Risk Management Services • Employee and Executive Benefits Consulting • Property & Casualty Insurance Brokering • Private Client Services and Individual Risk Management • Claims Management and Advocacy

1001 - 5000 employees

🤝 B2B

💰 Seed Round on 2007-01

📋 Description

• Conduct audits on behalf of clients, reviewing PBM contracts and claims for accuracy. • Subject matter expert in PBM contracts, calculating financial guarantees and admin fees. • Ensure compliance with requirements and document audit findings. • Collaborate with management to present results and assist in negotiations.

🎯 Requirements

• Bachelor’s degree in Business, Finance, or other health-related field • At least 5 years of either pharmacy benefit audit or claim adjudication research experience on one or more PBM platforms • Working knowledge of the PBM industry and pharmacy benefit claims • Proficient in Microsoft Office, with extensive experience working with Excel • Strong analytical, problem-solving, organization, critical thinking, and time management skills • Excellent attention to detail and quality • Proficient in SQL to extract data and build queries • Strong written and verbal communication skills and discipline to multitask and prioritize projects to meet scheduled deadlines • Previous Medicare Part D experience preferred • Ability to interact with a diverse group of stakeholders including executives, managers, clients, and subject matter experts both technical and non-technical • Ability for some travel (5% - 10%)

🏖️ Benefits

• EPIC embraces diversity in all its various forms. • Committed to fostering a work community where every colleague feels welcomed, valued, respected and heard. • Diversity drives innovation and helps deliver the best outcome to our clients.