Pharmacy Benefit Audit Manager

Job Description
The Pharmacy Benefit Audit Manager works in a team environment on government client pharmacy benefit manager (PBM) audits and audit related consulting engagements to manage the validation of the integrity and accuracy of the administration of pharmacy benefit programs.This includes all aspects of contracted services including pricing adherence, formulary management, performance guarantees, rebate administration, and operational functions of the PBM.
Essential Functions
Manage staff responsible for contributing to engagements and assign and review analysts’ deliverables
Coordinate schedules and work assignments of engagement staff
Schedule and hold meetings with clients and their PBMs
Assist in the development of criteria and creation of programs with the program design team used to analyze pharmacy claims data
Review and analyze pharmacy claims data output provided by staff and interpret and qualify results
Work with and review spreadsheet applications to manipulate and format data for ease of use by team members and clients
Interface with multi-disciplinary teams in multiple office locations
Maintain security and confidentiality of all protected health information when analyzing material and ensure documentation is qualified and retained
Ensure documentation is qualified and retained in a centralized tracking application
Deliver high-quality accurate work products to clients within deadlines and contribute to business development and retention initiatives
Preferred Qualifications
Bachelor’s degree
Experience managing project oriented deliverables and staff-level employees
Proficient use of applicable software programs, including Microsoft Office suite (Excel, Word, and PowerPoint)
Familiarity with database (SQL) applications is beneficial, with a minimum aptitude to learn basic SQL functions
Strong analytical and problem solving skills
Well organized with a high degree of accuracy and attention to detail
Must be able to manage multiple deadlines and prioritize staff assignments
Very strong verbal and written communication, report and proposal writing, presentation, and business development skills.
Minimum of 3 years of experience working for a PBM, health plan, pharmacy claims processor, or health claims auditor
Familiarity with pharmacy benefit design contracts and PBM auditing guidelines
Client audit experience desirable
May require occasional overnight travel
Minimum Qualifications
High school diploma or GED
About Us
Myers and Stauffer LC is a certified public accounting and health and human services consulting firm, specializing in audit, accounting, data management and consulting services to government-sponsored health care programs (primarily state Medicaid agencies, and the federal Center for Medicare & Medicaid Services). We have 45+ years of experience assisting our government clients with complex health care reimbursement and provider compliance issues, operate 21 offices and have over 900 associates nationwide.
At Myers and Stauffer, you will have a career that is rewarding while also supporting our state and federal government health and human service clients that focus on those in need. We are committed to providing our employees with professional growth and development opportunities, a diverse, dynamic, challenging work environment, and a strong and visionary leadership team. Our firm takes pride in the welcoming and collaborative culture we have throughout our offices. We are always willing to discuss potential flexibility that an employee may need to better suit their work-life wellbeing.
What We Offer
Health, Dental, and Vision insurance along with other competitive employee benefits for eligible associates
Vacation time, sick time, and paid holidays
Paid Parental Leave and available support resources
401K with company matching for eligible employees
Tuition reimbursement, referral bonuses, paid volunteer community service time, mentor program, and a variety of other employee programs and perks
A combination of technical and leadership development training at each career milestone
Up to six counseling sessions per year for eligible employees through our Employee Assistance Program
We understand that changing or learning a new industry can discourage strong candidates from applying. Please do not hesitate to apply, as you may be the right fit for this position or another position we have open.

Work arrangement
Yes