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Senior Client Audit Engineer – Pharmacy
Brown & Brown Insurance. Complete pharmacy claims audits to ensure compliance with PBM contracts .
Posted 9/29/2026full-timeRemote • Wisconsin • United StatesSenior💰 $85,000 - $100,000 per yearWebsite
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in pharmacy claims audits, data analysis, and compliance with PBM contracts. Proficient in database management, ETL processes, and developing automation transforms to enhance operational efficiency.
Highest-signal resume keywords
Pharmacy Claims Audit ExperienceOracle/SQL ProficiencyData Quality ChecksProject ManagementPython Programming
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Database Table CreationETL ProcessComplex SQL QueriesDimensional Model ManipulationData ReconciliationAudit Automation TransformsData AnalyticsAd-Hoc AnalysisQuality ChecksProblem-Solving
Soft Skills
Excellent Communication SkillsCollaborative Working RelationshipsProject OwnershipCritical ThinkingAdaptability
Tools & Technologies
OraclePythonPowerBISSRSGitBitbucket
Industry Keywords
PBM ContractsRegulatory ComplianceHIPAA RequirementsAudit StandardsPharmacy Claims Data
Tech Stack
Tools & technologiesETLNumpyOraclePandasPythonSQL
About the role
Key responsibilities & impact- Complete pharmacy claims audits to ensure compliance with PBM contracts
- Facilitate calls with PBMs and obtain claims audit data
- Perform data loading, data quality checks, and data reconciliation
- Run and analyze Oracle output reports and perform ad-hoc analysis
- Review PBM contracts and complete audit support documentation
- Work with the client support team to develop PBM and client deliverables
- Plan and develop audit approaches for assigned projects according to Remedy internal Audit Standards
- Work simultaneously on multiple audits with differing deadlines
- Analyze and quality-check master files, profiles, and table changes
- Maintain and improve audit automation transforms
- Track open audit observations and follow up on remediation efforts
- Draft audit reports communicating analysis results
- Perform daily/weekly ad-hoc data analytics requests
- Re-evaluate system functionality and identify operational efficiency improvements
- Develop tools, templates, and reporting for process improvement initiatives
- Aid in training new internal audit staff
- Comply with regulatory compliance areas, policies, procedures, 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
Requirements
What you’ll need- 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 demonstrating problem-solving, financial acumen, and analytical output
- Ability to thrive in a fast-paced environment, respond quickly to oversight, follow instruction closely, anticipate needs, and develop efficiencies on repeat tasks
- Excellent verbal and written communication skills
- Experience developing and maintaining effective, collaborative working relationships with clients and internal stakeholders
- Strong project ownership and ability to manage high project volume effectively
- Excellent problem-solving, critical thinking, and analytics skills with ability to work in a cross-functional team
- Ability to adapt to changes in direction and priorities in a project- and deadline-oriented environment
- 3-5 years of experience working with Pharmacy claims data (required)
- Pharmacy claims audit experience and/or knowledge of pharmacy claims data (required)
- Experience in Project Management (preferred but not required)
- Experience with version control (git, bitbucket) (preferred but not required)
- Familiarity with visualization tools (PowerBI/SSRS preferred) (preferred but not required)
- Proficiency in Python (pandas, NumPy, general data manipulation techniques) (preferred but not required)
- Familiarity with low code to no code solutions (preferred but not required)
Benefits
Comp & perks- Medical/Rx, Dental, Vision, Life Insurance, Disability Insurance
- ESPP
- 401k
- Student Loan Assistance
- Tuition Reimbursement
- Free Mental Health & Enhanced Advocacy Services
- Paid Time Off
- Holidays
- Preferred Partner Discounts