Area Asst. Vice President of PBM Consulting

Job Summary:

Responsible for leading complex pharmacy claim audits, ensuring compliance with client-specific requirements, and delivering advanced data analysis to identify trends, risks, and opportunities for improvement. This role involves managing high-risk audits, investigating fraud or discrepancies, and presenting comprehensive reports with actionable recommendations. The Senior Analyst/Auditor provides strategic insights through advanced data analysis, predictive modeling, and the development of sophisticated dashboards to support client decision-making and cost-saving initiatives. Acting as a trusted advisor, this role manages senior-level client relationships, leads discussions on audit findings, and collaborates on customized strategies to optimize pharmacy operations. Additionally, the position includes mentoring junior team members, reviewing deliverables, and driving team projects to enhance audit processes and tools. With expertise in regulatory compliance, including HIPAA, the Senior Analyst/Auditor ensures adherence to industry standards and provides guidance to clients and internal teams. This role also focuses on continuous improvement, innovation, and strategic initiatives to enhance client satisfaction, operational efficiency, and risk management.

Required:

• Typically requires a University Degree or equivalent experience and minimum 5 years of prior relevant experience.
• Proven experience in managing client relationships and delivering high-quality client services.
• Strong background in pharmacy benefit management (PBM) processes and systems.
• Extensive experience with data analysis tools (e.g., Excel, SQL, Tableau, Power BI).

Preferred:

• Degree in Healthcare Administration, Business, Data Analytics, or a related field.
• Advanced analytical and problem-solving skills with the ability to interpret complex data sets.
• Exceptional written and verbal communication skills, with the ability to present findings and recommendations to senior stakeholders.
• Strong project management skills, with the ability to manage multiple priorities and meet deadlines.
• Proficiency in Microsoft Office Suite (Excel, Word, PowerPoint) and data visualization tools.

Work Traits:

• Demonstrates in-depth knowledge of pharmacy operations, billing practices, and regulatory requirements.
• Strong leadership and mentoring skills, with the ability to inspire and develop team members.

At Gallagher, we believe supporting our colleagues goes far beyond the role itself. For more information, visit our Benefits page.

• Competitive compensation
• Comprehensive benefits programs designed to support your well-being 
• Career development opportunities and ongoing learning 
• A collaborative, people-first culture with accessible leadership 
• The opportunity to do meaningful work with global reach and local impact 

At Gallagher, we are dedicated to building an inclusive and authentic workplace. If your past experience doesn’t align perfectly, we encourage you to join our Talent Community to stay connected to additional career opportunities. At times, we will consider transferable skills from previous roles.

Gallagher is an affirmative action/equal opportunity employer (Minorities/Females/Veterans/Disabled)