SQL Analyst
Dulles, VA ยท Remote
Remote We are seeking experienced SQL engineer with strong PBM (Pharmacy Benefit Management) Eligibility domain knowledge. The role requires hands-on expertise in SQL query development, data ...
Quick apply
Dulles, VA ยท Remote
Remote We are seeking experienced SQL engineer with strong PBM (Pharmacy Benefit Management) Eligibility domain knowledge. The role requires hands-on expertise in SQL query development, data ...
Quick apply
Dulles, VA ยท Remote
Remote We are seeking experienced SQL engineer with strong PBM (Pharmacy Benefit Management) Eligibility domain knowledge. The role requires hands-on expertise in SQL query development, data ...
$80K - $90K/yr
Validate testing results of PBM benefit configuration to ensure accuracy * Review claims post go ... In addition to base pay, some roles are eligible for variable compensation, commission, and/or ...
$80K - $90K/yr
Validate testing results of PBM benefit configuration to ensure accuracy * Review claims post go ... In addition to base pay, some roles are eligible for variable compensation, commission, and/or ...
$120K - $130K/yr
Collaborate regularly with PBM and other program vendors to enhance service and performance ... In addition to base pay, some roles are eligible for variable compensation, commission, and/or ...
$120K - $130K/yr
Collaborate regularly with PBM and other program vendors to enhance service and performance ... In addition to base pay, some roles are eligible for variable compensation, commission, and/or ...
Bloomington, IN ยท On-site +1
$100K - $231K/yr
... the PBM, providing input and recommendations for formulary strategies and positioning, and ... Remote/work from home would be considered based on experience. Required Qualifications: *10+ years ...
Bloomington, IN ยท On-site +1
$100K - $231K/yr
... the PBM, providing input and recommendations for formulary strategies and positioning, and ... Remote/work from home would be considered based on experience. Required Qualifications: *10+ years ...
Northbrook, IL ยท On-site +1
$100K - $231K/yr
... the PBM, providing input and recommendations for formulary strategies and positioning, and ... Remote/work from home would be considered based on experience. Required Qualifications: *10+ years ...
Northbrook, IL ยท On-site +1
$100K - $231K/yr
... the PBM, providing input and recommendations for formulary strategies and positioning, and ... Remote/work from home would be considered based on experience. Required Qualifications: *10+ years ...
Woonsocket, SD ยท On-site +1
$100K - $231K/yr
... the PBM, providing input and recommendations for formulary strategies and positioning, and ... Remote/work from home would be considered based on experience. Required Qualifications: *10+ years ...
Woonsocket, SD ยท On-site +1
$100K - $231K/yr
... the PBM, providing input and recommendations for formulary strategies and positioning, and ... Remote/work from home would be considered based on experience. Required Qualifications: *10+ years ...
Downers Grove, IL ยท On-site +1
$100K - $231K/yr
... the PBM, providing input and recommendations for formulary strategies and positioning, and ... Remote/work from home would be considered based on experience. Required Qualifications: *10+ years ...
Downers Grove, IL ยท On-site +1
$100K - $231K/yr
... the PBM, providing input and recommendations for formulary strategies and positioning, and ... Remote/work from home would be considered based on experience. Required Qualifications: *10+ years ...
Gaithersburg, MD ยท Remote
$150K - $200K/yr
... plan or PBM. * Strong experience managing external audit vendors during audits * Strong ... The amount and availability of any bonus, commission, or any other form of compensation that are ...
Gaithersburg, MD ยท Remote
$150K - $200K/yr
... plan or PBM. * Strong experience managing external audit vendors during audits * Strong ... The amount and availability of any bonus, commission, or any other form of compensation that are ...
$150K - $200K/yr
... plan or PBM. * Strong experience managing external audit vendors during audits * Strong ... The amount and availability of any bonus, commission, or any other form of compensation that are ...
$150K - $200K/yr
... plan or PBM. * Strong experience managing external audit vendors during audits * Strong ... The amount and availability of any bonus, commission, or any other form of compensation that are ...
$150K - $200K/yr
... plan or PBM. * Strong experience managing external audit vendors during audits * Strong ... The amount and availability of any bonus, commission, or any other form of compensation that are ...
$150K - $200K/yr
... plan or PBM. * Strong experience managing external audit vendors during audits * Strong ... The amount and availability of any bonus, commission, or any other form of compensation that are ...
Ohio, IL ยท Remote
$150K - $200K/yr
... plan or PBM. * Strong experience managing external audit vendors during audits * Strong ... The amount and availability of any bonus, commission, or any other form of compensation that are ...
Ohio, IL ยท Remote
$150K - $200K/yr
... plan or PBM. * Strong experience managing external audit vendors during audits * Strong ... The amount and availability of any bonus, commission, or any other form of compensation that are ...
New Hampshire, OH ยท Remote
$150K - $200K/yr
... plan or PBM. * Strong experience managing external audit vendors during audits * Strong ... The amount and availability of any bonus, commission, or any other form of compensation that are ...
New Hampshire, OH ยท Remote
$150K - $200K/yr
... plan or PBM. * Strong experience managing external audit vendors during audits * Strong ... The amount and availability of any bonus, commission, or any other form of compensation that are ...
$150K - $200K/yr
... plan or PBM. * Strong experience managing external audit vendors during audits * Strong ... The amount and availability of any bonus, commission, or any other form of compensation that are ...
$150K - $200K/yr
... plan or PBM. * Strong experience managing external audit vendors during audits * Strong ... The amount and availability of any bonus, commission, or any other form of compensation that are ...
Florida, NY ยท Remote
$150K - $200K/yr
... plan or PBM. * Strong experience managing external audit vendors during audits * Strong ... The amount and availability of any bonus, commission, or any other form of compensation that are ...
Florida, NY ยท Remote
$150K - $200K/yr
... plan or PBM. * Strong experience managing external audit vendors during audits * Strong ... The amount and availability of any bonus, commission, or any other form of compensation that are ...
California, MD ยท Remote
$150K - $200K/yr
... plan or PBM. * Strong experience managing external audit vendors during audits * Strong ... The amount and availability of any bonus, commission, or any other form of compensation that are ...
California, MD ยท Remote
$150K - $200K/yr
... plan or PBM. * Strong experience managing external audit vendors during audits * Strong ... The amount and availability of any bonus, commission, or any other form of compensation that are ...
OR ยท Remote
$150K - $200K/yr
... plan or PBM. * Strong experience managing external audit vendors during audits * Strong ... The amount and availability of any bonus, commission, or any other form of compensation that are ...
OR ยท Remote
$150K - $200K/yr
... plan or PBM. * Strong experience managing external audit vendors during audits * Strong ... The amount and availability of any bonus, commission, or any other form of compensation that are ...
$150K - $200K/yr
... plan or PBM. * Strong experience managing external audit vendors during audits * Strong ... The amount and availability of any bonus, commission, or any other form of compensation that are ...
$150K - $200K/yr
... plan or PBM. * Strong experience managing external audit vendors during audits * Strong ... The amount and availability of any bonus, commission, or any other form of compensation that are ...
Chicago, IL ยท Remote
$150K - $200K/yr
... plan or PBM. * Strong experience managing external audit vendors during audits * Strong ... The amount and availability of any bonus, commission, or any other form of compensation that are ...
Chicago, IL ยท Remote
$150K - $200K/yr
... plan or PBM. * Strong experience managing external audit vendors during audits * Strong ... The amount and availability of any bonus, commission, or any other form of compensation that are ...
$150K - $200K/yr
... plan or PBM. * Strong experience managing external audit vendors during audits * Strong ... The amount and availability of any bonus, commission, or any other form of compensation that are ...
$150K - $200K/yr
... plan or PBM. * Strong experience managing external audit vendors during audits * Strong ... The amount and availability of any bonus, commission, or any other form of compensation that are ...
$150K - $200K/yr
... plan or PBM. * Strong experience managing external audit vendors during audits * Strong ... The amount and availability of any bonus, commission, or any other form of compensation that are ...
$150K - $200K/yr
... plan or PBM. * Strong experience managing external audit vendors during audits * Strong ... The amount and availability of any bonus, commission, or any other form of compensation that are ...
$67K - $78.6K
4% of jobs
$78.6K - $90.2K
5% of jobs
$90.2K - $101.8K
9% of jobs
$106.5K is the 25th percentile. Wages below this are outliers.
$101.8K - $113.4K
15% of jobs
$113.4K - $125K
13% of jobs
The median wage is $129.5K / yr.
$125K - $136.5K
9% of jobs
$136.5K - $148.1K
11% of jobs
$156.1K is the 75th percentile. Wages above this are outliers.
$148.1K - $159.7K
13% of jobs
$159.7K - $171.3K
9% of jobs
$171.3K - $182.9K
6% of jobs
$182.9K - $194.5K
5% of jobs
$67K
$134.2K
$194.5K
Contractor
Posted 14 days ago
Hi,
Please find the job description below
Role: SQL Analyst
Location: Remote
Job Description
We are seeking experienced SQL engineer with strong PBM (Pharmacy Benefit Management) Eligibility domain knowledge. The role requires hands-on expertise in SQL query development, data validation, and issue analysis. The candidate will be responsible for manually validating eligibility files prior to ingestion and collaborating closely with the Customer EDI Team to analyze and report data issues.
Key Responsibilities
- Develop, optimize, and execute complex SQL queries to validate eligibility and related PBM data
- Perform manual validation of eligibility files before they are loaded into downstream systems
- Analyze data discrepancies, eligibility errors, and file-related issues
- Document findings clearly and report issues to the Customer EDI Team in a timely manner
- Support root cause analysis for eligibility failures or mismatches
- Ensure data accuracy, completeness, and compliance with PBM eligibility requirements
- Work closely with EDI, operations, and technical teams to resolve data issues
Qualifications
Required Skills and Qualifications
- Strong hands-on experience with SQL (complex joins, subqueries, aggregations, validations)
- Proven experience in PBM Eligibility processing and validation
- Solid understanding of eligibility file formats and data flows in PBM environments
- Experience performing manual data validation and reconciliation
- Strong analytical and problem-solving skills
- Ability to clearly communicate issues and findings to technical and business teams
Preferred Qualifications
- Prior experience working with EDI teams, especially PBM-related EDI processes
- Familiarity with eligibility file standards (e.g., 834 or PBM-specific formats)
- Experience supporting healthcare or pharmacy benefit systems
- Attention to detail and ability to work with large datasets
Soft Skills
- Strong communication and documentation skills
- Ability to work independently and manage priorities
- Collaborative mindset when working with cross-functional teams