Pharmacist Consultant for PBM Audits & Compliance

Myers & Stauffer; Baltimore (MD); On-site; USD 110,000 - 160,000; Full time

Benefits offered by this job

Health, Dental, Vision insurance

Vacation and sick time

Paid holidays

401K with company matching

Tuition reimbursement and referralBonu

Mentor program and career development

Employee assistance program

Job summary

Myers and Stauffer LC in Baltimore, MD invites a Pharmacist Consultant to join our government PBM audit and consulting team, focusing on pricing adherence, formulary management, rebates and performance guarantees.

You will analyze claims data, perform audits, prepare client reports, participate in meetings, and collaborate across teams while upholding strict PHI security and professional confidentiality across engagements.

Qualifications

• Pharmacy degree from ACPE-accredited school.
• Active pharmacy license in any state.
• 6+ years of relevant work experience.
• Minimum of 3 years of PBM or prescription benefits management experience.
• Well organized with accuracy and attention to detail.
• Strong analytical and problem solving skills; SQL a plus.
• Excellent verbal and written communication; able to interact with all levels.
• Ability to travel overnight occasionally to client sites.

Responsibilities

• Perform pharmacy benefit related performance audits of government clients and health plans.
• Participate in client meetings to obtain key benefit facts and documentation for audits.
• Collaborate in a team-based environment to perform audits using analytical processes and claims data validation techniques.
• Examine and validate initial analysis output.
• Communicate and engage with the audited PBM to review findings and assess variances.
• Prepare and review reports and workbooks of audit outcomes for clients.
• Maintain security and confidentiality of PHI encountered during audits.
• Participate in meetings and team projects with clients.
• Collaborate with staff and communicate effectively.
• Additional responsibilities as assigned.

Skills

Analytical skills

Communication skills

Multi-tasking

SQL knowledge

Team collaboration

Education

Pharmacy degree ACPE-accredited

Active pharmacy license (any state)

High school diploma or GED

Tools

Microsoft Word

Excel

PowerPoint

Job description

Myers and Stauffer LC in Baltimore, MD invites a Pharmacist Consultant to join our government PBM audit and consulting team, focusing on pricing adherence, formulary management, rebates and performance guarantees.

You will analyze claims data, perform audits, prepare client reports, participate in meetings, and collaborate across teams while upholding strict PHI security and professional confidentiality across engagements.