Associate, Audits - Health Data Informatics - Remote
At a glance
Location: US-NY-New York Map
Posted: 01/11/2022
Closing: 02/10/2022
Degree: 4 Year Degree
Type: Full-Time
Experience: At least 1 year(s)
Job description

Are you passionate about delivering trusted advice that improves lives?

Come join our team!

Our Associate, Audits will have the opportunity to be a key contributor in a segment of our employee benefits business that is undergoing significant growth and is integral to the Company26rsquo;s client value proposition. Primary responsibilities will involve analyzing health and pharmacy benefits claims data, client-based products and services to enhance consulting capabilities, deliverables and services on a national level.

Key Responsibilities:

  • Utilizing tools and techniques to audit both the health and pharmacy claims of our clients as well as to measure effectiveness of clinical adherence and adherence to plan documents.
  • Assisting with technical review and analysis of claims data, contracts, plan documents, financial arrangements and program effectiveness.
  • Collaborating with the lead consultant on client assignments and managing client projects and service delivery initiatives (e.g., proposals, audits, negotiations, analytical reviews, etc.).
  • Supporting Benefit Audit Solutions initiatives on a national level in order to grow Segal26rsquo;s claims auditing business by working with others to assist with sales and marketing initiatives, including proposal writing.
  • At least one year of basic SQL coding or other large data set manipulation experience
  • Advanced knowledge of Microsoft products such as Excel, Word and PowerPoint is required. Knowledge of Python is extremely helpful
  • 0 to 3 years of financial experience within a PBM and/or benefits consulting environment providing technical review and analysis of PBM data, contracts, financial arrangements and PBM program effectiveness is helpful but not required
  • Knowledge of PBM providers, products, services, financial, data reporting, contracting and negotiating elements and processes is helpful but not required
  • Bachelor26rsquo;s degree in science, actuarial science, mathematics or a related discipline
  • Graduate degree in healthcare informatics highly preferred
  • Strong technical/analytical and creative problem solving skills. Ability to look into the data with curiosity in order to identify patterns and solutions
  • Demonstrated detailed-oriented project management and multi-tasking abilities. Effective communication, interpersonal and negotiation skills
  • Previous internships in industry and knowledge of pharmacy or PBM industry a plus.

Physical Requirements:

  • 0-10 travel, significant amount of time spent working at a desk or workstation on the computer and phone, occasional need for light lifting

Diversity and Inclusion at Segal:

At Segal, we are committed to a culture of diversity and inclusiveness, as demonstrated through our recruitment, retention and employee development programs. We maintain an environment that respects and builds on the assets and talents of each person, valuing their differences. We also engage in good faith efforts to maintain an environment free from discrimination and harassment in strict compliance with applicable laws, and consider all qualified candidates for employment without regard to their race/ethnicity, national origin, color, religion, gender, sexual orientation, gender identity or expression, age, disability or medical condition, protected veteran or military status, criminal record history, marital status, or status in any group or class protected by applicable federal, state or local law. We also engage in affirmative action to employ and advance in employment qualified women, minorities, disabled individuals and protected veterans. Maintaining a diverse and inclusive workforce is a win/win, and provides Segal with the opportunity to leverage our top talent to provide innovative solutions to our clients.

Associate, Audits - Health Data Informatics - Remote