Medical Audit Coordinator at Gallagher

Rolling Meadows, Illinois, United States -

Full Time

Start Date

Immediate

Expiry Date

21 Aug, 26

Salary

0.0

Posted On

23 May, 26

Experience

2 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

PBM Operations, Pharmacy Claims Data Analysis, Benefit Design, Contract Negotiation, Performance Monitoring, Project Management, Client Relationship Management, Microsoft Excel, Microsoft PowerPoint, Microsoft Word, Problem Solving, Written Communication, Verbal Communication, Formulary Management, Utilization Strategies, Strategic Planning

Industry

Insurance

Description

Introduction At Gallagher Benefit Services, you’re a trusted partner to organizations navigating some of their most important people decisions. We help clients build better workplaces, where people feel supported, empowered, and inspired to thrive. Whether it’s shaping benefit strategies, designing wellbeing programs, or advising on workforce challenges, the work you do here creates meaningful change for businesses and the people who power them. We’re a community of bold explorers, trusted experts, and compassionate partners; working side by side to solve problems, and shape the future of work. Here, curiosity is encouraged, collaboration is second nature, and your ideas have room to grow. If you’re looking for a place where your contribution matters and where you can help build a better world of work; think of Gallagher. How you'll make an impact Position Summary: Provides guidance and strategic solutions to clients, focusing on optimizing pharmacy benefit programs to align with client goals. This role involves analyzing pharmacy claims data to identify cost drivers and savings opportunities, evaluating plan performance, and recommending improvements in areas such as plan design, formulary management, and utilization strategies. The consultant oversees Pharmacy Benefit Manager PBM selection, contract negotiation, and performance monitoring to ensure optimal pricing, service levels, and compliance with contractual obligations. Additionally, the role requires staying informed on industry trends, regulations, and emerging innovations to provide clients with cutting-edge solutions. Collaboration with internal teams, clients, and external partners is essential to deliver tailored strategies and maintain strong relationships, ensuring exceptional service delivery and client satisfaction. About You Required: Typically requires a University Degree or equivalent experience and minimum 3 years of prior relevant experience. Strong knowledge of PBM operations, pharmacy claims data, and benefit design. Preferred: Degree in healthcare, business, or pharmacy. Advanced analytical and problem-solving skills. Excellent written and verbal communication abilities. Proficiency in Microsoft Office Suite (Excel, PowerPoint, Word). Work Traits: Demonstrates strong project management and organizational skills. Ability to build and maintain strong client relationships. Compensation and benefits We offer a competitive and comprehensive compensation package. The base salary range represents the anticipated low end and high end of the range for this position. The actual compensation will be influenced by a wide range of factors including, but not limited to previous experience, education, pay market/geography, complexity or scope, specialized skill set, lines of business/practice area, supply/demand, and scheduled hours. On top of a competitive salary, great teams and exciting career opportunities, we also offer a wide range of benefits. Below are the minimum core benefits you’ll get, depending on your job level these benefits may improve: Medical/dental/vision plans, which start from day one! Life and accident insurance 401(K) and Roth options Tax-advantaged accounts (HSA, FSA) Educational expense reimbursement Paid parental leave Other benefits include: Digital mental health services (Talkspace) Flexible work hours (availability varies by office and job function) Training programs Gallagher Thrive program – elevating your health through challenges, workshops and digital fitness programs for your overall wellbeing Charitable matching gift program And more... **The benefits summary above applies to fulltime positions. If you are not applying for a fulltime position, details about benefits will be provided during the selection process. We value inclusion and diversity Click Here to review our U.S. Eligibility Requirements Inclusion and diversity (I&D) is a core part of our business, and it’s embedded into the fabric of our organization. For more than 95 years, Gallagher has led with a commitment to sustainability and to support the communities where we live and work. Gallagher embraces our employees’ diverse identities, experiences and talents, allowing us to better serve our clients and communities. We see inclusion as a conscious commitment and diversity as a vital strength. By embracing diversity in all its forms, we live out The Gallagher Way to its fullest. Gallagher believes that all persons are entitled to equal employment opportunity and prohibits any form of discrimination by its managers, employees, vendors or customers based on race, color, religion, creed, gender (including pregnancy status), sexual orientation, gender identity (which includes transgender and other gender non-conforming individuals), gender expression, hair expression, marital status, parental status, age, national origin, ancestry, disability, medical condition, genetic information, veteran or military status, citizenship status, or any other characteristic protected (herein referred to as “protected characteristics”) by applicable federal, state, or local laws. Equal employment opportunity will be extended in all aspects of the employer-employee relationship, including, but not limited to, recruitment, hiring, training, promotion, transfer, demotion, compensation, benefits, layoff, and termination. In addition, Gallagher will make reasonable accommodations to known physical or mental limitations of an otherwise qualified person with a disability, unless the accommodation would impose an undue hardship on the operation of our business.

Responsibilities

The role focuses on optimizing pharmacy benefit programs by analyzing claims data to identify cost savings and recommending improvements in plan design. The coordinator also manages PBM selection, contract negotiations, and performance monitoring to ensure client satisfaction and compliance.