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Affordable Pharmacy Benefits, Powered by Modern Infrastructure.
Client Audit and Performance Analyst
Location
Colorado + 1 moreAll locations: Colorado | New York
Posted
53 days ago
Salary
$80K - $100K / year
Seniority
Mid Level
Job Description
Client Audit and Performance Analyst
Capital Rx
• Research and analyze pharmacy claims to ensure accuracy and contractual compliance across benefit setup, pricing, and guarantees • Perform audit risk assessments, annual logic reviews and ongoing monitoring activities • Analyze, reconcile and validate large datasets across multiple internal systems; develop and maintain SQL/Python queries for audit reporting and performance monitoring • Create audit deliverable reporting, quantify financial impact of potential and confirmed audit findings, and build dashboards to identify trends and risks • Identify and implement automation and process improvements across audit, reporting, and reconciliation workflows • Maintain and enhance code, reporting tools, and dashboards to improve reliability, efficiency, and scalability • Define and document technical requirements, data specifications, and methodologies to support transparency and repeatability • Collaborate with internal and technology teams to improve data quality, workflows, and controls • Provide ad-hoc analysis to support evolving business and audit needs • Responsible for the adherence to the Capital Rx Code of Conduct including reporting of noncompliance
Job Requirements
- Bachelor’s degree in a quantitative or business-related field (e.g., Actuarial Science, Statistics, Economics, Finance, Data Analytics, or Business Administration)
- 2+ years of experience in data analytics, audit, or a related role
- Experience in healthcare, PBM, or pharmacy claims; knowledge of pharmacy benefits, pricing, guarantees, and pharmacy claims analysis preferred
- Proficiency with SQL (Snowflake preferred), Excel, Tableau
- Familiarity with Python and project management/version control tools (e.g., Jira, Confluence, GitHub)
- Strong attention to detail with an intellectual and professional curiosity along with a passion for continuous improvement
- Track record of leading cross-functional initiatives, driving high performance, meeting deadlines, and executing on deliverables
- Effective communicator with both technical and non-technical stakeholders
- Extremely flexible, highly organized, and able to shift priorities easily
Benefits
- Health insurance
- Retirement plans
- Paid time off
- Flexible work arrangements
- Professional development
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