Senior Client Audit Engineer - Pharmacy

Brown & Brown, Inc.; Northern (KY); Hybrid; USD 85,000 - 100,000; Full time

Benefits offered by this job

Health Benefits

401k Plan

Tuition Reimbursement

Student Loan Assistance

Paid Time Off

Job summary

Brown & Brown Remedy Analytics seeks a Senior Client Audit Engineer - Pharmacy to perform pharmacy claims audits, validate data quality, and support PBM contract compliance. You will work with PBMs, clients, and Remedy teams to ensure accurate deliverables and robust data pipelines.

The role emphasizes ETL, Oracle/SQL, Python, and analytics, with a focus on maintaining HIPAA compliance and creating efficient audit automation. Remote work options for Wisconsin-based operations are available.

Qualifications

• Bachelor's degree in CS/engineering or similar with analytical bias.
• Highly proficient in database creation/management, ETL, Oracle/SQL queries.
• Dimensional modeling understanding and data workflow development.
• 3–5 years of Pharmacy claims data experience.
• Proficient in Python (pandas, NumPy) and data manipulation.
• Strong communication to present findings to clients and teams.

Responsibilities

• Complete pharmacy claims audits for PBM contracts.
• Facilitate calls with PBMs, obtain and validate audit data.
• Load data, perform quality checks, reconcile datasets.
• Run Oracle outputs and ad-hoc analyses; draft audit reports.
• Develop and maintain audit automation transforms and tools.
• Train junior staff and collaborate with product/engineering teams.

Skills

Bachelor's degree in CS/Engineering

SQL queries

ETL processes

Dimensional modeling

Python (pandas/NumPy)

Data analytics

Communication skills

Education

Bachelor's degree in CS/Engineering or similar

Tools

Git

PowerBI/SSRS

Python

SQL

Oracle

Job description

## Senior Client Audit Engineer - PharmacyApply: Remote: Remote - Wisconsin: Full time: Posted Today: R26\\_0000003426Built on meritocracy, our unique company culture rewards self-starters and those who are committed to doing what is best for our customers.**Brown & Brown \\ Remedy Analytics** is looking for a full-time experienced **Senior Client Audit Engineer - Pharmacy.** The Senior Client Audit Engineer will be responsible for completing pharmacy claims audits to ensure compliance to PBM contracts. This role will involve facilitating calls with PBMs, obtaining claims audit data, perform data loading and data quality checks, data reconciliation, running and analyzing Oracle output reports, running ad-hoc analysis, reviewing PBM contracts, completing audit support documentation and working with the client support team to develop PBM & client deliverables.**How You Will Contribute:**o Plan and develop the audit approach for assigned projects consistent with guidelines established by Remedy internal Audit Standardso Work simultaneously on multiple audits with differing deadlines while maintaining attention to detail within the appropriate timelineso Analyze and perform quality checks of master files, profiles, and table changes to ensure all changes are appropriately accounted foro Maintain and continuously improve upon current audit automation transforms based on audit findings, industry changes, and technology updateso Track open audit observations and perform follow-up to evaluate the adequacy of remediation efforts with both PBM and Remedy account teamo Draft audit reports to effectively communicate the results of the analysis to Remedy account teamo Perform (daily/weekly) ad hoc data analytics requests as prioritized per Department Managemento Re-evaluate system functionality to identify opportunities for improving operational efficiencies.o Develop the necessary tools, templates and reporting required to support any/all process improvement initiativeso Aid in the training of new internal audit staffo Comply with and adhere to all regulatory compliance areas, policies, and procedures (including HIPAA requirements), and \"leading practices\".o Complete quality checks for junior level auditorso Develop audit automation transforms for new PBMso Collaborate with engineering and product teams to prototype solutions and validate data pipelines using Python and SQL **Skills & Experience to be Successful:**o Bachelor’s degree in computer science, engineering and/or similar discipline with analytical biaso Highly proficient in database table creation/management, ETL process, complex Oracle/SQL queries, and code maintenanceo Dimensional Model understanding and experience manipulating models, developing, and executing on business logico Relevant experience that demonstrates problem-solving, financial acumen, and analytical outputo Ability to thrive in a fast-paced environment, responding quickly to oversight and following instruction closely, while anticipating needs and developing efficiencies on repeat taskso Excellent verbal and written communication skills to assemble data as applicableo Experience developing and maintaining effective, collaborative working relationships with clients and internal stakeholderso Strong sense of project ownership and the ability to manage high project volume effectivelyo Excellent problem-solving, critical thinking and analytics skills with the ability to work in a cross-functional team.o Must be able to adapt to change in direction and priorities in a project and deadline-oriented environment.**Preferred but not required**o Experience in Project Managemento Experience with version control (git, bitbucket)o Familiarity with Visualization tools (PowerBI/SSRS preferred)o Proficiency in Python (pandas, NumPy, general data manipulation techniques)o Familiarity with low code to no code solutionso 3-5 years of experience working with Pharmacy claims data (required)o Pharmacy claims audit experience &/or knowledge of pharmacy claims data (required)**Pay Range**$85,000 - $100,000 Annual*The pay range provided above is made in good faith and based on our lowest and highest annual salary or hourly rate paid for the role and takes into account years of experience required, geography, and/or budget for the role.***Teammate Benefits & Total Well-Being**We go beyond standard benefits, focusing on the total well-being of our teammates, including:* *Health Benefits*: Medical/Rx, Dental, Vision, Life Insurance, Disability Insurance* *Financial Benefits*: ESPP; 401k; Student Loan Assistance; Tuition Reimbursement* *Mental Health & Wellness*: Free Mental Health & Enhanced Advocacy Services* *Beyond Benefits*: Paid Time Off, Holidays, Preferred Partner Discounts and more.*Not reflective of all benefits. Enrollment waiting periods or eligibility criteria may apply to certain benefits. Benefit details and offerings may vary for subsidiary entities or in specific geographic locations.* **Recruiting Vendor Disclosure Statement**Brown & Brown does not accept unsolicited resumes from external recruiters, recruitment vendors or employment agencies (\"Recruiting Vendors\"). Recruiting Vendors must have a valid written agreement and received prior written authorization from an authorized Brown & Brown representative before submitting candidates for any publicly posted role. Any unsolicited resumes submitted to Brown & Brown or its employees become the property of Brown & Brown, and no fees will be paid for such submissions. Additional information regarding this policy can be found on our careers page.**The Power To Be Yourself** As an Equal Opportunity Employer, we are committed to fostering an inclusive environment comprised of people from all backgrounds, with a variety of experiences and perspectives, guided by our Diversity, Inclusion & Belonging (DIB) motto, “The Power to Be Yourself”.