Pharmacy Benefit Manager Auditor Services
Location:
Minnesota, United States
Posted on:
Deadline:
Summary:
Minnesota seeks a vendor to audit its pharmacy benefit manager, ensuring proper administration, compliance, and effective cost control for state employee insurance programs.
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The government authority in Minnesota is seeking a vendor to provide pharmacy benefit manager (PBM) auditor services. The selected firm will be responsible for conducting comprehensive auditing of the State’s PBM to ensure accurate administration of the State Employee Group Insurance Program (SEGIP) and the Public Employees Insurance Program (PEIP) pharmacy benefits.
Scope of work includes performing traditional audit services, manufacturer-derived revenue (rebate) audits, detailed analyses, and reporting. The auditor must verify that all financial and pricing terms in the State's PBM contract are correctly applied, appropriate and effective controls are in place, and that cost-containment measures are included and operational within the PBM contract. The contract term is for one year.
Best-fit vendors:
• Expertise in pharmacy benefit management audit services
• Experience with public sector insurance programs
• Proven track record in financial and compliance audits
• Ability to conduct manufacturer rebate analyses
• Familiarity with state-level healthcare benefit regulations
