ECLARO ยท 1 day ago
Auditor
Albany, NY
Contract
Onsite
Mid LevelECLARO is seeking an Auditor for their client in Albany, NY, who aims to enhance public services and promote sustainable resource management. The role involves auditing PBMs, health plans, insurers, or third-party administrators with an emphasis on drug pricing, rebates, and claims adjustments.
Staffing & Recruiting
Responsibilities
The ideal consultant will have experience auditing PBMs, health plans, insurers, or third-party administrators, with a strong understanding of drug pricing, rebates, and claims adjustments
Have knowledge of Generally Accepted Accounting Principles (GAAP) and Statements of Statutory Accounting principles (SSAP)
Research and consistently apply state laws, department regulations, National Association of Insurance Commissioners (NAIC) statutory accounting practices, and Federal Deposit Insurance Corporation (FDIC) regulations and practices
Knowledge of exam planning procedures, internal controls, sampling techniques, testing procedures, work paper preparation / documentation -Review procedures and report writing
Knowledge of financial analysis techniques and ratios
Understand and evaluate enterprise risk management, functions of insurers and pharmacy benefit managers
Think critically and make decisions based on reasonable and timely analysis
Understand and evaluate risks as well as risk mitigation strategies and controls
Multi-task and manage time effectively
Work and contribute to a team environment
Strong communication skills (both written and verbal)
Participate in presentations, discussions of examination findings
Adapt to complex and rapidly changing expectations and environments
Proficiency in MS Excel, Word and Outlook and MS Teams
Have familiarity with pharmacy benefit managers and / or health plans
Ability to review and test contracts between pharmacy benefit managers, insurers, health plans, pharmacies and manufacturers
Ability to analyze pharmacy and medical claims to identify discrepancies, risk and non-compliance
Stay current on regulatory developments affecting pharmacy benefits, health insurance, and managed care
Qualification
Required
Have knowledge of Generally Accepted Accounting Principles (GAAP) and Statements of Statutory Accounting principles (SSAP)
Research and consistently apply state laws, department regulations, National Association of Insurance Commissioners (NAIC) statutory accounting practices, and Federal Deposit Insurance Corporation (FDIC) regulations and practices
Knowledge of exam planning procedures, internal controls, sampling techniques, testing procedures, work paper preparation / documentation -Review procedures and report writing
Knowledge of financial analysis techniques and ratios
Understand and evaluate enterprise risk management, functions of insurers and pharmacy benefit managers
Think critically and make decisions based on reasonable and timely analysis
Understand and evaluate risks as well as risk mitigation strategies and controls
Multi-task and manage time effectively
Work and contribute to a team environment
Strong communication skills (both written and verbal)
Participate in presentations, discussions of examination findings
Adapt to complex and rapidly changing expectations and environments
Proficiency in MS Excel, Word and Outlook and MS Teams
Have familiarity with pharmacy benefit managers and / or health plans
Ability to review and test contracts between pharmacy benefit managers, insurers, health plans, pharmacies and manufacturers
Ability to analyze pharmacy and medical claims to identify discrepancies, risk and non-compliance
Stay current on regulatory developments affecting pharmacy benefits, health insurance, and managed care
Benefits
401k Retirement Savings Plan administered by Merrill Lynch
Commuter Check Pretax Commuter Benefits
Eligibility to purchase Medical, Dental & Vision Insurance through ECLARO
Company
ECLARO
ECLARO is an award-winning professional services firm headquartered in New York City and operating in the U.S., Canada and the Philippines.
Founded in 1999
1001-5000 employees
H1B Sponsorship
ECLARO has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (1)
2024 (1)
2023 (1)
2022 (2)
2020 (1)
Funding
Current Stage
Late StageLeadership Team
Nicholas Butcher
QA CTO Label Specialist
Dan Broderick
Chief Delivery Officer
Company data provided by crunchbase