Analyst, Client Audit and Performance
Posted 2026-05-06
Remote, USA
Full-time
Immediate Start
- Description:
- Research and analyze pharmacy claims to verify 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 and Python queries for audit reporting and performance monitoring
- Create audit deliverable reports, quantify financial impact of potential and confirmed 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, and provide ad-hoc analysis to support evolving business and audit needs
- Ensure adherence to the Capital Rx Code of Conduct, including reporting noncompliance
- Requirements:
- Bachelor’s degree in a quantitative or business-related field (e.g., Actuarial Science, Statistics, Economics, Finance, Data Analytics, 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, and Tableau
- Familiarity with Python and project management/version control tools (e.g., Jira, Confluence, GitHub)
- Experience with audit testing, internal controls, risk assessment, and reconciling large datasets
- Track record of leading cross-functional initiatives, meeting deadlines, and executing on deliverables
- Strong attention to detail, intellectual curiosity, passion for continuous improvement, and ability to shift priorities and stay highly organized
- Effective verbal and written communication with both technical and non-technical stakeholders
- Benefits:
- Salary range: $80,000 — $100,000 USD
- Opportunity to work on Judi’s enterprise health platform and with Capital Rx to impact pharmacy benefits and claims processes
- Company commitment to a diverse workplace and equal employment opportunities
- Flexible position description allowing management to assign or reassign duties to meet organizational goals