Senior Pharmacy Audit Lead — Client-Facing & Innovative

Marsh McLennan; Phoenix (AZ); Hybrid; USD 103,000 - 205,000; Full time

Job summary

Mercer is seeking a Pharmacy Audit Lead Consultant for our Health & Benefits team. This hybrid role can be based near any US office, with a requirement to work at least three days a week in the office.

You will lead complex pharmacy claims and rebate audits, translating contracts into audit scope, mentoring team members, and presenting findings to clients. Strong pharmacy benefits knowledge and client-facing consulting experience are required.

Qualifications

• Bachelor's degree in pharmacy, healthcare, business, analytics, or related field.
• 8+ years of experience in pharmacy claims auditing, PBM operations, or health plan administration.
• Strong knowledge of PBM contract terms, pricing methodologies, and pharmacy rebate structures.
• Client-facing experience in a consulting environment, with the ability to partner effectively with internal consultants.

Responsibilities

• Lead end-to-end pharmacy claims and rebate audits for complex, high-visibility clients.
• Translate PBM contracts, pricing guarantees, formulary terms, and rebate agreements into audit scope and defensible sample selection.
• Oversee claim and rebate review activity, ensuring consistent methodology and clear documentation.
• Quantify financial impact, evaluate vendor responses, and drive issues to final resolution.
• Serve as primary client contact, presenting methodology, findings, and recommendations with clarity and confidence.

Skills

Pharmacy audits

PBM operations

Client engagement

Leadership

Education

Bachelor's degree in pharmacy/healthcare or related field

Advanced degree (PharmD, MBA, CPA, etc.)

Job description

Mercer is seeking a Pharmacy Audit Lead Consultant for our Health & Benefits team. This hybrid role can be based near any US office, with a requirement to work at least three days a week in the office.

You will lead complex pharmacy claims and rebate audits, translating contracts into audit scope, mentoring team members, and presenting findings to clients. Strong pharmacy benefits knowledge and client-facing consulting experience are required.