Impress employers and recruiters.
Choose from hundreds of resume examples.
Impress employers and recruiters.
Choose from hundreds of resume examples.
Tailor your resume to this Pharmacy Audit Lead Consultant role.
Rezi rewrites your resume against Marsh McLennan's job description. Free.
Tailor your resume to this Pharmacy Audit Lead Consultant role.
Rezi rewrites your resume against Marsh McLennan's job description. Free.
Don't guess if your resume is good enough.
See how it scores against the Pharmacy Audit Lead Consultant posting at Marsh McLennan — free, in seconds.
Don't guess if your resume is good enough.
See how it scores against the Pharmacy Audit Lead Consultant posting at Marsh McLennan — free, in seconds.
About the Role
As a Pharmacy Audit Lead Consultant, you will lead complex pharmacy claims and rebate audits from planning through final report, applying deep expertise in pharmacy benefits, PBM contracts, and rebate economics. You will act as the primary consultant and pharmacy audit subject-matter expert for our clients, partnering closely with internal consultants to deliver clear, defensible findings while driving growth and innovation across the practice.
Responsibilities
- Lead end-to-end pharmacy claims and rebate audits for complex, high-visibility clients, applying deep working knowledge of pharmacy claims data and every claim field and component to identify mispriced, misadjudicated, or non-compliant claims.
- Translate PBM contracts, pricing guarantees, formulary terms, and rebate agreements into audit scope and defensible sample selection using analytics/SaaS tools.
- Oversee claim and rebate review activity, ensuring consistent methodology, sound judgment, and clear documentation.
- Quantify financial impact, evaluate vendor responses, and drive issues to final resolution.
- Serve as primary client contact, presenting methodology, findings, and recommendations with clarity and confidence.
- Partner with internal consultants as the pharmacy audit subject-matter expert.
- Identify opportunities to expand services and support new business development, while driving innovation in audit methodology, tools, and practice capabilities.
- Mentor team members and serve as a key quality checkpoint for audit work.
- Thrive and be motivated by an environment that embraces AI and technology-enabled tools.
Requirements
- Bachelor's degree in pharmacy, healthcare, business, finance, analytics, or related field.
- Minimum of 8 years of experience in pharmacy claims auditing, PBM operations, pharmacy benefit consulting, or health plan administration.
- Excellent knowledge of pharmacy benefits, claims adjudication, formulary administration, and specialty pharmacy, including strong command of pharmacy claim fields and data elements.
- Strong knowledge of PBM contract terms, pricing methodologies, and pharmacy rebate structures.
- Client-facing experience in a consulting environment, with the ability to partner effectively with internal consultants.
Skills
- Pharmacy claims auditing
- PBM operations
- Pharmacy benefit consulting
- Health plan administration
- Pharmacy claims data analysis
- PBM contract analysis
- Rebate economics
- Client consulting
- Analytics/SaaS tools
- AI and technology-enabled tools
Location
- US Offices
Work Type
- Hybrid
- Full-time
Experience Level
- 8+ years of experience
Education Level
- Bachelor's degree
- Advanced degree, PharmD, RPh, MBA, CPA, or other relevant credential
Salary/Compensations
- $102,500 to $204,500
- Potential for performance-based incentives
Benefits
- Health and welfare benefits
- Tuition assistance
- 401K savings and other retirement programs
- Employee assistance programs
- Professional development opportunities
About the Company
- Marsh (NYSE: MRSH) is a global leader in risk, reinsurance and capital, people and investments, and management consulting, advising clients in 130 countries.
- With annual revenue of over $27 billion and more than 95,000 colleagues, Marsh helps build the confidence to thrive through the power of perspective.
- We foster a vibrant and inclusive culture where you can work with talented colleagues to create new solutions and have an impact for colleagues, clients, and communities.
- Our scale enables us to provide a range of career opportunities, as well as benefits and rewards to enhance your well-being.
Equal Opportunity
- Marsh is committed to embracing a diverse, inclusive and flexible work environment.
- We aim to attract and retain the best people and embrace diversity of age background, disability, ethnic origin, family duties, gender orientation or expression, marital status, nationality, parental status, personal or social status, political affiliation, race, religion and beliefs, sex/gender, sexual orientation or expression, skin color, veteran status (including protected veterans), or any other characteristic protected by applicable law.
- If you have a need that requires accommodation, please let us know by contacting reasonableaccommodations@marsh.com.
- Marsh is committed to hybrid work, which includes the flexibility of working remotely and the collaboration, connections and professional development benefits of working together in the office.
- All Marsh colleagues are expected to be in their local office or working onsite with clients at least three days per week.
- Office-based teams will identify at least one “anchor day” per week on which their full team will be together in person.