• Conducts Data Analysis for pharmacy benefit and contractual audits surrounding pharmacy claims. • PBM audits can include, but are not limited to pricing, plan design, rebates, eligibility, CMS Data Validation, Fraud, Waste & Abuse and performance guarantee review. • Includes gathering, implementing, executing, and finalizing audit rules and requirements from clients and PBMs into proprietary systems. • Assists with review of PBM contract(s) and contribute suggestions for improvement, based on knowledge of industry • Leverages the company’s reporting systems to conceptualize, design, and distribute both operational and analytical reports focused on pharmacy utilization and cost • Assists with developing, documenting, and evaluating the business requirements associated with data flows to and from the PBM and other vendors • Identifying issues and resolutions, and consulting management on potential solutions to facilitate critical decisions. • Generate audit reports and consult with client on the findings. • Works effectively on multiple client assignments or projects simultaneously • Plan, schedule, and track project timelines, milestones, and deliverables.