[Hiring] Senior Client Audit Engineer @Brown & Brown Insurance

Role Description

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
• Performing 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
• Working with the client support team to develop PBM & client deliverables

How You Will Contribute:

• Plan and develop the audit approach for assigned projects consistent with guidelines established by Remedy internal Audit Standards
• Work simultaneously on multiple audits with differing deadlines while maintaining attention to detail within the appropriate timelines
• Analyze and perform quality checks of master files, profiles, and table changes to ensure all changes are appropriately accounted for
• Maintain and continuously improve upon current audit automation transforms based on audit findings, industry changes, and technology updates
• Track open audit observations and perform follow-up to evaluate the adequacy of remediation efforts with both PBM and Remedy account team
• Draft audit reports to effectively communicate the results of the analysis to Remedy account team
• Perform (daily/weekly) ad hoc data analytics requests as prioritized per Department Management
• Re-evaluate system functionality to identify opportunities for improving operational efficiencies
• Develop the necessary tools, templates and reporting required to support any/all process improvement initiatives
• Aid in the training of new internal audit staff
• Comply with and adhere to all regulatory compliance areas, policies, and procedures (including HIPAA requirements), and "leading practices"
• Complete quality checks for junior level auditors
• Develop audit automation transforms for new PBMs
• Collaborate with engineering and product teams to prototype solutions and validate data pipelines using Python and SQL

Qualifications

• Bachelor’s degree in computer science, engineering and/or similar discipline with analytical bias
• Highly proficient in database table creation/management, ETL process, complex Oracle/SQL queries, and code maintenance
• Dimensional Model understanding and experience manipulating models, developing, and executing on business logic
• Relevant experience that demonstrates problem-solving, financial acumen, and analytical output
• 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
• Excellent verbal and written communication skills to assemble data as applicable
• Experience developing and maintaining effective, collaborative working relationships with clients and internal stakeholders
• Strong sense of project ownership and the ability to manage high project volume effectively
• Excellent problem-solving, critical thinking and analytics skills with the ability to work in a cross-functional team
• Must be able to adapt to change in direction and priorities in a project and deadline-oriented environment

Requirements

• Experience in Project Management (preferred but not required)
• Experience with version control (git, bitbucket)
• Familiarity with Visualization tools (PowerBI/SSRS preferred)
• Proficiency in Python (pandas, NumPy, general data manipulation techniques)
• Familiarity with low code to no code solutions
• 3-5 years of experience working with Pharmacy claims data (required)
• Pharmacy claims audit experience &/or knowledge of pharmacy claims data (required)

Benefits

• 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

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.