Remote Client Audit Specialist – PBM Compliance

Prime Therapeutics; Lansing (MI); Remote; USD 66,000 - 106,000; Full time

Job summary

Prime Therapeutics LLC is seeking a Client Audit Specialist to manage regulatory and client-initiated audits. The role covers end-to-end audit activities, from scoping to deliverable submission, with collaboration across Compliance and Operations subject matter experts.

Ideal candidates will have strong verbal and written communication, problem-solving, and project-management skills, plus experience in regulated environments and with Medicare/Medicaid or commercial drug benefit audits.

Qualifications

• Bachelor's degree in Business, Health Care Services or related area; or equivalent experience.
• 2 years of relevant work experience in audit, compliance or operations in a regulated environment.
• Eligible to work in the United States without visa sponsorship.

Responsibilities

• Review and interpret audit requests to determine scope, stakeholders, and evidence needed.
• Present sample cases and act as SME for requirements, system specs, and regulations.
• Develop and maintain stakeholder relationships to provide audit consultation and drive efficiencies.
• Monitor progress, identify risks, and provide remediation recommendations.
• Perform quality reviews to ensure contractual and regulatory compliance.
• Ensure thorough audit records and clear communications to stakeholders.
• Lead audit strategy, deliverables, milestones, and accountability across projects.
• Support training and procedural material updates; perform other duties as assigned.

Skills

Audit management

Regulatory compliance

Verbal & written communication

Interpersonal skills

Critical thinking

Organization & prioritization

Agility & adaptability

Education

Bachelor's degree in Business/Health Care

HS diploma or GED

Tools

Microsoft Office

Job description

Prime Therapeutics LLC is seeking a Client Audit Specialist to manage regulatory and client-initiated audits. The role covers end-to-end audit activities, from scoping to deliverable submission, with collaboration across Compliance and Operations subject matter experts.

Ideal candidates will have strong verbal and written communication, problem-solving, and project-management skills, plus experience in regulated environments and with Medicare/Medicaid or commercial drug benefit audits.