Audit Analyst (Remote)

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Our Newest Opportunity: 

Summary:

As an Audit Analyst, this individual will be responsible for reporting, auditing, and evaluating financial offers, as well as the development and maintenance of our analytic deliverables. Typical functions include, but are not limited to, gathering, manipulating and summarizing data for plan reviews, mid-year reports, benchmarking reports and providing ongoing analysis throughout the year. Analyzing claims data and reporting on possible future costs will be critical functions for this role. This position will project manage the development, preparation and interpretation of client audit deliverables. 

The analyst will attend client & broker meetings to communicate complex financial concepts and support the delivery of financial audit analysis to the client or prospect. The analyst will be an internal subject matter expert on complex financial concepts to include benefit underwriting and analytics.

The analyst will work independently and with the audit team each year to reach departmental goals. The analyst must regularly report progress on projects and organization initiatives to leadership.

Essential Duties and Responsibilities (include but are not limited to):

• Collect, analyze and interpret pharmacy data for client reports. Typical reports include: monthly claim reports, quarterly plan reviews, mid-year plan reviews, benchmarking reports, and post-renewal reports.

• Conduct plan performance analysis.

• Develop and improve client reports and other client deliverables.

• Provide proactive departmental leadership for client reporting deliverables and renewal negotiation practices.

• Provide continuous departmental leadership in identifying and maintaining the best data sources and analytical tools.

• Conduct qualitative and/or quantitative studies using spreadsheets, databases and customized applications.

• Conduct group and individual education sessions for the Consulting team, clients and prospects on complex financial concepts to include benefit underwriting and analytics.

• Partners with team members to resolve internal and external client escalations in a timely fashion.

• Participate in the development of department deliverables; contribute to efforts to steer the department in new and improved directions

Qualifications, Skills and Requirements:

• Strong attention to detail

• Strong verbal and written communication skills

• Ability to work independently as well as in a team environment

• Strong organizational skills

• Positive attitude

• Strong project management skills

• Ability to thrive in fast-paced environment

• Ability to establish and maintain collaborative working relationships with others of all levels

• Highly proficient in Microsoft suite and SQL Server

Education, Training and Experience:

• 3+ years of experience as a PBM underwriter or auditor for health and welfare plans.

• An earned bachelor’s degree in mathematics, actuarial, computer science or finance is preferred.

The typical base pay range for this role nationwide is $60,000 to $75,000 per year.  

Your base pay is dependent upon your skills, education, qualifications, professional experience, and location. In addition to base pay, some roles are eligible for variable compensation, commission, and/or annual bonus based on your individual performance and/or the company’s performance. We also offer eligible employees health, wellbeing, retirement, and other financial benefits, paid time off, overtime pay for non-exempt employees, and robust learning and development programs. You will receive reimbursement of job-related expenses per the company policy and may receive employee perks and discounts.
To learn more, visit: www.onedigital.com/careers

Thank you for your interest in joining the OneDigital team!