
Quality Review and Audit Advisor
Posted 2 days ago

Posted 2 days ago
This is a fully remote position, open to applicants in Missouri.
• Lead the resolution of issues discovered during pharmaceutical audits or reviews of the Pharma Web Portal.
• Monitor the status of data deliverables and oversee contract terms to ensure proper data requests.
• Address troubleshooting queries and issues arising from pharmaceutical audits and the Pharma Web Portal.
• Collaborate cross-functionally with subject matter experts from Express Scripts and various internal departments.
• Develop data analytics and procure, verify, and organize electronic files and data.
• Engage in discussions on relevant issues with pharmaceutical manufacturers or their auditors while managing expectations.
• Act as the technical lead for the Pharma Web Portal and oversee routine pharmaceutical audits.
• Respond to information requests and provide continuous support to Client Audit and other subject matter experts.
• Identify opportunities for process improvements.
• Conduct systems analysis, SQL, and macro functions to enhance departmental efficiency.
• Assist with departmental workload requirements and special projects as assigned.
• Bachelor's degree in Finance, Business, Accounting, Economics, or a related field.
• Experience in supporting audits for pharmaceutical manufacturers, compliance reviews, or client audit activities.
• Proficient in reviewing and interpreting contract language while validating data requests against contractual obligations.
• Strong background in data analysis, including the collection, validation, and reconciliation of large datasets.
• Advanced skills in Microsoft Excel.
• Experience in healthcare, PBM, pharmaceutical manufacturing, pharmacy, or managed care industries.
• Knowledge of Express Scripts systems and operations is preferred.
• Prior experience in collaborating with cross-functional departments to investigate and resolve issues using innovative solutions.
• Proven ability to meet multiple deadlines and manage a dynamic workload.
• Highly organized.
• Demonstrated analytical and problem-solving abilities.
• Detail-oriented.
• Excellent verbal, written, and presentation skills.
• If working remotely, must have cable broadband or fiber optic internet service with speeds of at least 10Mbps download/5Mbps upload.
• Eligibility for an annual bonus plan.
• Medical, vision, and dental benefits.
• Well-being and behavioral health programs.
• 401(k) plan.
• Company-paid life insurance.
• Tuition reimbursement.
• A minimum of 18 days of paid time off per year.
• Paid holidays.
• Leaves of absence.
• Remote work arrangement available.
• Cable broadband or fiber optic internet service with minimum 10Mbps download/5Mbps upload required for home working.
Behavioral Health Works, Inc.
Sodexo
Sodexo
EVERSANA
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