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Associate Auditor more...
Location:Saint Louis, MO
Company:Express Scripts
First posted:June 03, 2017
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Schedule: Full-time
Job ID: REQ20005985

POSITION SUMMARY

 

The Associate Auditor is responsible to identify pharmacy audit risks using analytical skills and audit tools and develop and execute audit plans and scope of procedures determined necessary to address those risks. This position will complete investigational audits in order to correct risks identified and present findings to Sr. Audit Manager. The Associate Auditor must thoroughly read, interpret and fully understand the key elements of each specific contract.

ESSENTIAL FUNCTIONS

  • Utilize current programs and analytical procedures and existing tools, including Access, Excel, etc., while utilizing personal knowledge of medications to identify clients, members and claims representing financial risks.

  • Responsibility for reprocessing claims identified that have been previously processed in order to capture additional revenue from drugs with recent AWP increases.

  • Perform efficient and effective investigational audits to produce results consistent with departmental policies and critical corporate goals while meeting or exceeding personal production goals. Performance of audits includes obtaining, analyzing, and appraising evidentiary data on which to base an informed, objective opinion on the accuracy and legitimacy of claims audited. 

  • Analyzes audit findings to determine validity of any identified discrepancies. Has full responsibility for handling/researching complex issues identified during an audit. Prepare formal and thorough written reports providing opinions on the findings of the audits performed, client impact, ESI risk, etc. as needed. Submit findings to Sr. Auditors and Sr. Audit Manager for review.

  • Responsibility for providing ad hoc reports to key business owners.

  • Special projects as assigned and as needed.

QUALIFICATIONS

  • BA/BS degree
  • 0-2 years relevant experience; PBM, healthcare, financial analysis, accounting or auditing experience preferred
  • Certified Pharmacy Technician preferred
  • Highly proficient in data warehousing, database and spreadsheet applications; Proficiency in Curascript proprietary systems preferred
  • Excellent organizational and interpersonal skills
  • Excellent verbal and written communication skills
  • Excellent interpersonal skills and the ability to effectively communicate with all levels of management
  • Ability to work cross functional departments to research and resolve issues using innovative solutions
  • Demonstrated ability to meet multiple deadlines and manage a dynamic workload
  • Ability to work a flexible schedule to accommodate project deadlines
  • Ability to present audit findings and recommendations to business owners
  • Demonstrated analytical and problem solving skills
  • Ability to use judgment in analysis of findings and ability to outline recommendations for specific outcomes
  • Ability to handle sensitive or confidential information is critical to success of the role

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ABOUT THE DEPARTMENT

Finance's primary responsibilities include financial reporting & analysis, corporate taxes, accounts payable, billing and collections, financial planning and monitoring, underwriting, cash management, risk management, SEC reporting, Sarbanes-Oxley compliance, mergers and acquisitions activity, internal audit, client audit, pharmacy audit and investor relations.

ABOUT EXPRESS SCRIPTS

Advance your career with the company that makes it easier for people to choose better health.
Express Scripts is a leading healthcare company serving tens of millions of consumers. We are looking for individuals who are passionate, creative and committed to creating systems and service solutions that promote better health outcomes.
Join the company that Fortune magazine ranked as one of the 'Most Admired Companies' in the pharmacy category. Then, use your intelligence, creativity, integrity and hard work to help us enhance our products and services.
We offer a highly competitive base salary and a comprehensive benefits program, including medical, prescription drug, dental, vision, 401(k) with company match, life insurance, paid time off, tuition assistance and an employee stock purchase plan.
Express Scripts is committed to hiring and retaining a diverse workforce. We are an Equal Opportunity Employer, making decisions without regard to race, color, religion, sex, national origin, age, veteran status, disability, or any other protected class. Applicants must be able to pass a drug test and background investigation.
Express Scripts is a VEVRAA Federal Contractor.

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