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Contract Pbm Business Analyst Jobs (NOW HIRING)

E-Solutions

PBM Business Analyst

Encino, CA · On-site

Senior Business Analyst We are looking to onboard a Senior Business Analyst in Manager role or Individual contributor depending on experience level. This person will have deep PBM domain expertise ...

Techstra Solutions

PBM Business Analyst

Pittsburgh, PA · On-site

Role Overview The Business Analyst partners with business and technology stakeholders to modernize legacy PBM platforms, translate complex business needs into clear requirements, and support end-to ...

InstantServe LLC

IT Senior Pharmacy BA Specialist

Raleigh, NC · On-site

$83.60K - $111.80K/yr

The PBM Business Analyst works with the Product owner, business users, vendors, multiple stakeholders, and executives to analyze and gather detailed business requirements, document processes in ...

WellDyne

PBM Senior Counsel

$142.80K - $194K/yr

... contracts and regulatory compliance. The Senior Counsel will provide input on a variety of legal ... Reviewing and advising business leaders on regulatory issues, particularly those relating to ...

WELLDYNE

PBM Senior Counsel

$142.80K - $194K/yr

... contracts and regulatory compliance. The Senior Counsel will provide input on a variety of legal ... Reviewing and advising business leaders on regulatory issues, particularly those relating to ...

Nava Software Solutions

Sr. Business Analyst

Chicago, IL · On-site

$95.40K - $123.20K/yr

NAVA Software solutions is looking for a Sr. Business Analyst Details: Sr. Business Analyst ... Strong knowledge of PBM (Pharmacy Business Management) business processes which ensure smooth ...

NAVA Software Solutions

Sr. Business Analyst

Chicago, IL · On-site

$95.40K - $123.20K/yr

NAVA Software solutions is looking for a Sr. Business Analyst Details: Sr. Business Analyst ... Strong knowledge of PBM (Pharmacy Business Management) business processes which ensure smooth ...

Omni Inclusive

Business Analyst

Dallas, TX · On-site

Top 3 skillsets: 1) Strong Healthcare and PBM experience with data migration experience 2) Strong BA experience creating Source to Target Mapping docs, UML diagrams, workflows is must. 3) Cloud ...

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How much do contract pbm business analyst jobs pay per hour?

As of May 28, 2026, the average hourly pay for contract pbm business analyst in the United States is $47.43, according to ZipRecruiter salary data. Most workers in this role earn between $35.58 and $59.38 per hour, depending on experience, location, and employer.

What is the difference between Contract Pbm Business Analyst vs Contract Pbm Data Analyst?

AspectContract Pbm Business AnalystContract Pbm Data Analyst
Required CredentialsBachelor's in Business, Healthcare, or related field; certifications like CCBA or CBAPBachelor's in Data Science, Statistics, or related; certifications like CAP or PCAP
Work EnvironmentHealthcare plans, insurance companies, consulting firmsHealthcare analytics, data-focused teams within healthcare organizations
Employer & Industry UsageUsed in healthcare benefit management, pharmacy benefit managementUsed in healthcare data analysis, reporting, and insights

The Contract Pbm Business Analyst focuses on analyzing healthcare benefit processes and requirements, bridging business needs with technical solutions. In contrast, the Contract Pbm Data Analyst primarily handles healthcare data, performing analysis and reporting. Both roles require healthcare industry knowledge but differ in their core functions—business analysis versus data analysis.

What cities are hiring for Contract Pbm Business Analyst jobs? Cities with the most Contract Pbm Business Analyst job openings:
What are the most commonly searched types of Pbm Business Analyst jobs? The most popular types of Pbm Business Analyst jobs are:
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Contract Pbm Business Analyst jobs near you
PBM Business Analyst

PBM Business Analyst

E-Solutions

Encino, CA • On-site

Other

This job post has expired today. Applications are no longer accepted.

Job description

Senior Business Analyst

We are looking to onboard a Senior Business Analyst in Manager role or Individual contributor depending on experience level. This person will have deep PBM domain expertise and who will help guide the roadmap and feature enhancements for the Conduent PBM product suite. This person will serve as a bridge between the Business users and/or Clinical end users (Pharmacists) and the Technical team (Developers and Testers primarily).

Minimum Qualifications:

  • Experience Level: Ideally 10+ years experience working in PBM domain (Claims processing related). Willing to consider less experienced candidates who can demonstrate depth in understanding PBM area.
  • PBM Subject Matter Expertise: Candidate should have deep understanding of Pharmacy Benefit Management (PBM) business processes – including Claims Adjudication, Data related processes (e.g. Eligibility data, Provider data, Drug data, Formulary data, Drug Utilization reviews) and their interconnections. Strong plus if candidate has experience with Electronic Prescriptions and Prior-Authorizations related standards. Deep understanding of related PBM standards from NCPDP. Strong plus if candidate also understands CMS regulations related to state Medicaid Pharmacy programs.
  • Candidate should have deep understanding of First Data Bank (FDB) Drug nomenclature and how to use FDB nomenclature in designing / configuring drug coverage (inclusions/exclusions/PA Criteria) or building Formulary / Preferred Drug Lists. In lieu of FDB, MEDISPAN data experience will be acceptable.
  • Candidate should be well informed about current industry trends and evolving standards.
  • College degree is preferred. Industry experience can be considered as substitute.
  • Candidates who have strong Clinical background (e.g. Pharmacists) and some BA background are welcome to apply (provided they are willing to switch to being a full-fledged BA with inhouse training).

Non-Domain Expertise:

  • Must understand Software Development Life Cycle - including requirements management.
  • Must be able to capture requirements, document requirements and manage requirements using requirements management tools.
  • Must be able to document business processes using a combination of tools - Visio, Powerpoint, Excel and Word formats depending on the context and synthesize requirements into user stories, decision tables or other pertinent formats.
  • Experience with SQL queries and understanding Data Models is a strong plus.

Job Responsibilities:

  • Provide PBM Subject Matter Expertise for both Conduent (Development and Testing team) and non-Conduent stakeholders (e.g. Customers)
  • Own responsibility for creating requirements specifications / design documents (e.g. wire-frames, decision tables) to help developers produce technical specifications.
  • Own responsibility for configuring drug plan benefits (e.g. Covered drugs, Pricing configuration, PA requirements) using Conduent PBM system.
  • Interact with business and clinical users to elicit and understand business requirements, Translate the requirements into appropriate format for consumption by Development and Testing team.
  • Good working knowledge on creating Process workflow or Use Cases, Powerpoint slides, Wireframes, Workflows using Microsoft Visio, Analyze data using Microsoft Excel is needed to be effective at Requirements management, Translating and simplifying requirements.

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