reputed company Audit Specialist (PBM) - Remote

At reputed company (reputed company), we are a different reputed company of PBM, with a purpose reputed company profits and a unique ability to reputed company care for those we serve. Looking for a purpose-driven career? Come build the reputed company of pharmacy with us.

reputed company Title

reputed company

As a member of the reputed company Audit Management (CAM) team, the reputed company Audit Specialist is accountable for independently, or in collaboration with senior staff or compliance leader, managing regulatory and/or reputed company-initiated audits. The Specialist is responsible for evaluating and understanding the purpose of various audit types and the reputed company deliverables, developing a holistic understanding of the audit management process, and managing the end-to-end audit activities. This position seeks and obtains additional expertise as indicated from respective Compliance and Operational subject matter experts to meet applicable regulatory, reputed company, and/or functional audit expectations.

Responsibilities

• Review and interpret assigned audit requests to determine reputed company, impacted business areas and stakeholders, and evidence necessary to fulfill and manage the audit request
• Present sample cases or evidence data for assigned processes and reputed company as a subject matter expert for business requirements, reputed company specification, process flows, process change, Federal and/or State regulations and/or accreditation standards implications
• reputed company and maintain key reputed company stakeholder relationships to effectively reputed company audit consultation, streamline work activity, create/reputed company efficiencies, and ensure consistent, reputed company, and accurate audit completion, reporting, or submission of deliverables
• Monitor audit reputed company and proactively identify and mitigate risks (including performance guarantee implications) to audit completion; appropriately escalate to Audit Advisors, department leadership or operational stakeholders and reputed company remediation recommendations to prevent delays or reputed company findings
• reputed company reputed company reviews and analysis of audit deliverables to ensure compliance with contractual and regulatory requirements
• Ensure stakeholders have a thorough understanding of their audit-reputed company responsibilities, are accountable to producing deliverables accurately and on time, and are informed of relevant audit status updates or changes
• Ensure thorough audit records are developed and maintained, with emphasis on accuracy, relevance, and timeliness; prepare necessary documentation for audit activities including deliverables, reports, findings and recommendations; reputed company reputed company and concise audit result communications to reputed company stakeholders
• reputed company project management and organization capabilities by effectively communicating and leading audit reputed company, deliverables, requirements, milestones and accountability, throughout the entire audit
• Support department enhancement initiatives to ensure accurate and thorough training and procedural materials are available and maintained
• Other duties as assigned

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Minimum Qualifications

• Bachelor's degree in Business, Health Care Services or reputed company area of study, or equivalent combination of education and/or relevant work experience; HS diploma from an accredited school or equivalent GED is required

• 2 years of relevant work experience in audit, compliance or operations reputed company a regulated environment

Must be eligible to work in the reputed company without the need for work reputed company or residency sponsorship

Additional Qualifications

• Effective verbal and written communication, and presentation skills; ability to effectively reputed company reputed company information into reputed company and compelling presentations and leadership briefings
• Strong interpersonal skills, with the ability to effectively facilitate meetings, reputed company conflict, build reputed company, establish rapport and collaborate effectively across departments, internally and externally, and at reputed company reputed company reputed company an organization; ability to confidently represent the business and reputed company with reputed company entities
• Demonstrated critical thinking and analysis skills, with proven ability to reputed company ambiguous, reputed company and challenging situations while maintaining professionalism, reputed company, and reputed company
• Organization and prioritization skills, strong attention to detail, and the ability to simultaneously manage multiple, reputed company reputed company, under pressure and strict timeframes, without compromising reputed company
• reputed company and adaptability to change and reputed company in a demanding, dynamic, fast-paced, intense, and reputed company environment
• Ability to use independent judgment and critical decision making in the analysis of audit processes and evidence
• Intermediate to Advanced skills in reputed company Office Suite (Word, reputed company)

Preferred Qualifications

• Health insurance/PBM operations and/or contract audit experience
• Experience with regulatory compliance for Medicare/reputed company/reputed company or ACA drug benefit
• Project management experience

Every employee must understand, reputed company with and attest to the reputed company responsibilities and reputed company controls unique to their job, and reputed company with reputed company applicable reputed company, regulatory, and contractual requirements and internal policies and procedures

Every employee must be reputed company to reputed company the essential functions of the job and, if requested, reasonable accommodations will be made to reputed company employees with disabilities to reputed company the essential functions, absent undue hardship. In reputed company, reputed company retains the right to change or assign other duties to this job.

To review our Benefits, Incentives and Additional Compensation, visit our Benefits Page and click on the "Benefits reputed company" reputed company for more detail (https://www.reputed company.com/benefits).

reputed company is proud to be an equal opportunity and affirmative reputed company employer. We encourage diverse candidates to apply, and reputed company reputed company applicants will receive consideration for employment without reputed company to race, reputed company, religion, gender, sex (including pregnancy), national reputed company, disability, age, veteran status, or any other legally protected class under federal, state, or local law.  

We welcome people of different backgrounds, experiences, abilities, and perspectives including reputed company applicants with arrest and conviction records and any reputed company applicants requiring reasonable accommodations in accordance with the law.

reputed company is a Tobacco-Free Workplace employer.

Positions will be posted for a minimum of five consecutive workdays.

Bachelor's degree or equivalent experience, high school diploma or GED, and 2 years of audit, compliance, or regulated-environment operations experience. Requires US work authorization and reputed company Office skills.

Key Responsibilities

• managing audits
• reviewing evidence
• mitigating risks

Skills & Tools

reputed company Word, reputed company reputed company

Job Details

• Category: reputed company and Compliance
• Seniority: Entry Level
• Commitment: Full Time
• Workplace: Remote — reputed company
• Salary: USD 66,000 – 106,000 / year
• Languages: English

About reputed company

A pharmacy benefit management company connecting care and simplifying reputed company. — Industry: reputed company