Pharmacy Auditor
Gallagher, Rolling Meadows, IL, United States
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.
Position Summary
Responsible for conducting detailed audits of pharmacy claims, ensuring compliance with client-specific requirements, and analyzing pharmacy data to identify discrepancies, trends, and opportunities for improvement. This role involves auditing claims to detect fraud, waste, or abuse, preparing comprehensive audit reports with actionable recommendations, and collaborating with clients and internal teams to resolve findings and implement corrective measures. The Analyst/Auditor also analyzes claims data to uncover trends and risks, develops client-specific dashboards and reports, and provides insights to support decision‑making and cost‑saving initiatives. Acting as the primary client contact for audit and compliance matters, this role ensures adherence to regulatory standards, including HIPAA, and supports clients in meeting compliance requirements. Additionally, the position emphasizes collaboration with internal teams, continuous improvement of audit processes, and participation in strategic initiatives to enhance client satisfaction and operational efficiency.
Required Qualifications
University degree or equivalent experience and minimum 3 years of prior relevant experience.
Preferred Qualifications
Degree in Healthcare Administration, Business, Data Analytics, or a related field.
Certified Pharmacy Technician (CPhT) or equivalent certification.
Experience working with clients in a consulting or service‑oriented role.
Familiarity with pharmacy benefit management (PBM) processes and systems.
Experience with data analysis tools (e.g., Excel, SQL, Tableau).
Strong attention to detail and organizational skills.
Basic analytical and problem‑solving abilities.
Proficiency in Microsoft Office Suite (Excel, Word, PowerPoint).
Strong written and verbal communication skills.
Work Traits
Willingness to learn and adapt in a fast‑paced environment.
Ability to work collaboratively as part of a team.
Interest in pharmacy operations, compliance, and data analysis.
Compensation & 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.
Minimum Core Benefits
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
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 full‑time positions. If you are not applying for a full‑time position, details about benefits will be provided during the selection process.
Inclusion, Diversity, and EEO Statement
Inclusion and diversity (I&D) is a core part of our business, and it’s embedded into the fabric of our organization. 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 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.
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Position Summary
Responsible for conducting detailed audits of pharmacy claims, ensuring compliance with client-specific requirements, and analyzing pharmacy data to identify discrepancies, trends, and opportunities for improvement. This role involves auditing claims to detect fraud, waste, or abuse, preparing comprehensive audit reports with actionable recommendations, and collaborating with clients and internal teams to resolve findings and implement corrective measures. The Analyst/Auditor also analyzes claims data to uncover trends and risks, develops client-specific dashboards and reports, and provides insights to support decision‑making and cost‑saving initiatives. Acting as the primary client contact for audit and compliance matters, this role ensures adherence to regulatory standards, including HIPAA, and supports clients in meeting compliance requirements. Additionally, the position emphasizes collaboration with internal teams, continuous improvement of audit processes, and participation in strategic initiatives to enhance client satisfaction and operational efficiency.
Required Qualifications
University degree or equivalent experience and minimum 3 years of prior relevant experience.
Preferred Qualifications
Degree in Healthcare Administration, Business, Data Analytics, or a related field.
Certified Pharmacy Technician (CPhT) or equivalent certification.
Experience working with clients in a consulting or service‑oriented role.
Familiarity with pharmacy benefit management (PBM) processes and systems.
Experience with data analysis tools (e.g., Excel, SQL, Tableau).
Strong attention to detail and organizational skills.
Basic analytical and problem‑solving abilities.
Proficiency in Microsoft Office Suite (Excel, Word, PowerPoint).
Strong written and verbal communication skills.
Work Traits
Willingness to learn and adapt in a fast‑paced environment.
Ability to work collaboratively as part of a team.
Interest in pharmacy operations, compliance, and data analysis.
Compensation & 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.
Minimum Core Benefits
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
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 full‑time positions. If you are not applying for a full‑time position, details about benefits will be provided during the selection process.
Inclusion, Diversity, and EEO Statement
Inclusion and diversity (I&D) is a core part of our business, and it’s embedded into the fabric of our organization. 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 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.
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