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Capital Rx logo
Capital Rx

Affordable Pharmacy Benefits, Powered by Modern Infrastructure.

Client Audit and Performance Analyst

AnalystAnalystFull TimeRemoteMid LevelTeam 501-1,000Since 2017H1B No SponsorCompany SiteLinkedIn

Location

Colorado + 1 moreAll locations: Colorado | New York

Posted

53 days ago

Salary

$80K - $100K / year

Seniority

Mid Level

Bachelor Degree2 yrs expEnglishPythonSQLTableau

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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