Assistant Manager, Healthcare Third Party Audits

Assistant Manager, Healthcare Third Party Audits role based in Boise, ID or Itasca, IL with a hybrid work arrangement (4 days in-office, 1 day remote). Lead and coordinate reports, edits, training, and communications with Managed Care teams and vendors; manage vendor relationships; ensure pharmacy processing through switch vendor; review direct reports’ work for accuracy; optimize department processes for efficiency; provide management with staff performance updates; identify editing opportunities to maximize margin and reduce loss via vendor systems; identify potential vendor system enhancements for reporting; confirm reimbursements based on contracted rates and follow up on noncompliance with PBM/Plan contacts; review legal and audit risks from vendor system reporting; communicate with various business areas and external contacts; drive pharmacy compliance with PBM requirements to prevent future audit recoupments; required skills include MS Office, teamwork, strong communication, time management, attention to detail, and knowledge of third-party processing and NCPDP standards.