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This is a client-facing project manager/auditor role responsible for coordinating, managing, tracking, reviewing, researching, and resolving multiple complex audit activities initiated by CMS/States. The role requires working knowledge around pharmacy claim adjudication principles and identifying process enhancement opportunities to reduce audit exceptions.
Job Responsibility:
work directly with the government auditors, the client, and internal business areas involved in the audit
manage the workload successfully across many competing priorities
coordinate, manage, and track audits from start to closure
review and research questions from the auditor and client
resolve alleged issues strategically and achieve results
respond back to the auditor/client
raise appropriate at-risk items to the Director timely
document correspondence with internal partners, clients, and auditors
track all audit progress to ensure deliverables are provided by due dates
Requirements:
3+ years of prior relevant experience in audit and/or project management
BS/BA required or equivalent years of education and experience
proficiency in Microsoft Word, Excel, PowerPoint
PBM experience
CPA, CIA, or MBA
Nice to have:
project management experience
ability to interact effectively with Government Auditors and Clients while under pressure during an audit
strong tolerance for ambiguity and stress
strong ability to maintain attention to detail and organizational skills
strong ability to hold oneself and others accountable for mitigating risk and achieving results
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