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Gallagher Senior Pharmacy Auditor in Providence, Rhode Island

Gallagher is a global leader in insurance, risk management and consulting services. We help businesses grow, communities thrive and people prosper. We live a culture defined by The Gallagher Way, our set of shared values and guiding tenets. A culture driven by our people, over 30,000 strong, serving our clients with customized solutions that will protect them and fuel their futures.

Position Summary :

Primarily focused on the development, maintenance, and assurance of accurate and quality reporting, analysis of pharmacy and medical benefit utilization, and cost modeling. Key accountabilities include providing analytical expertise in the development of pharmacy focused reporting and assessment of the impacts of benefit design changes.

Essential responsibilities include:

  • Analyzing healthcare data from multiple sources

  • Tracking utilization and spend across services

  • Providing medication cost forecasting and trend analysis

  • Identifying high-risk members or groups for cost savings strategies, clinical interventions, and/or care management

  • Additional duties include may include:

  • Benchmarking clinical programs and initiatives

  • Reporting on quality measures

  • Developing databases for collection, tracking, and analysis

Required :

  • Bachelor's degree in quantitative field (e.g., Accounting, Computer Science, Finance, Math, Statistics)

  • 5 or more years related experience

  • Demonstrated, in-depth knowledge of Microsoft Excel and Access

  • Requires qualification as pharmacy technician

Desired :

  • Relevant advanced degree (e.g., MBA)

  • Experience with reporting tools such as SAS BI, SQL Server, Oracle and Greenplum highly desirable.

Work Traits :

  • Must be highly analytical and detail-oriented

  • Strong communication and decision making skills.

U.S. Eligibility Requirements :

  • Interested candidates must submit an application and resume/CV online to be considered

  • Must be 18 years of age or older

  • Must be willing to submit to a background investigation; any offer of employment is conditioned upon the successful completion of a background investigation

  • Must have unrestricted work authorization to work in the United States. For U.S. employment opportunities, Gallagher hires U.S. citizens, permanent residents, asylees, refugees, and temporary residents. Temporary residence does not include those with non-immigrant work authorization (F, J, H or L visas), such as students in practical training status. Exceptions to these requirements will be determined based on shortage of qualified candidates with a particular skill. Gallagher will require proof of work authorization

  • Must be willing to execute Gallagher's Employee Agreement or Confidentiality and Non-Disclosure Agreement, which require, among other things, post-employment obligations relating to non-solicitation, confidentiality and non-disclosure

Gallagher offers competitive salaries and benefits, including: medical/dental/vision plans, life and accident insurance, 401(K), employee stock purchase plan, educational expense reimbursement, employee assistance program, flexible work hours (availability varies by office and job function) training programs, matching gift program, and more.

Gallagher believes that all persons are entitled to equal employment opportunity and does not discriminate against nor favor any applicant because of race, sex, color, disability, national origin, religion, creed, age, marital status, citizenship, veteran status, gender, gender identity / expression, actual or perceived sexual orientation, or any other protected characteristic. Equal employment opportunity will be extended in all aspects of the employer-employee relationship, including, but not limited to, recruitment, hiring, training, promotion, transfer, demotion, compensation, benefits, layoff, and termination. In addition, Gallagher will make reasonable accommodations to known physical or mental limitations of an otherwise qualified applicant with a disability, unless the accommodation would impose an undue hardship on the operation of our business.

Job: Client Service/Account Management

Organization: GBS - Operations

Title: Senior Pharmacy Auditor

Location: Rhode Island-Providence

Requisition ID: 70946