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Pbm Analyst Jobs in Florida (NOW HIRING)

Pharmacy Careers

Formulary Management Pharmacist

Miami, FL · On-site

$55.75 - $67/hr

Managed care, PBM, or health-plan ideal. All pharmacists interested in formulary and policy work are encouraged to apply. * Skills: Strong analytical ability, interpretation of clinical research, and ...

WELLDYNE

Manager, Financial Planning and Analysis

Lakeland, FL · On-site

$98K - $128K/yr

Lead multiple analyst-level associates - who in the assembly of forecasts, budgets and plans for ... Pharmacy Benefit Management (PBM) or other Pharmacy experience strongly preferred * Strong Excel ...

WellDyne

Manager, Financial Planning and Analysis

Lakeland, FL · On-site

$98K - $128K/yr

Lead multiple analyst-level associates - who in the assembly of forecasts, budgets and plans for ... Pharmacy Benefit Management (PBM) or other Pharmacy experience strongly preferred * Strong Excel ...

EmpiRx Health, LLC

Clinical Pharmacist

Orlando, FL · On-site

$102K - $147K/yr

We place more emphasis on member care than any other PBM by focusing on health outcomes first. Our ... Proficiently utilize Microsoft Office tools to support analysis and reporting. * Utilize external ...

Msmc

Office Coordinator Medicare Part D

Hialeah, FL

$16.25 - $21.75/hr

Assists with all Part D activities including: annual bid, Fraud Waste and Abuse Plan, PBM claims ... collecting, analyzing and reporting identifying measures. Schedules, attends and presents ...

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Pbm Analyst information

What is a PBM analyst?

A PBM Analyst is a professional who works within the pharmacy benefit management (PBM) industry, focusing on analyzing data related to prescription drug benefits, costs, and utilization. Their role typically involves evaluating pharmacy claims, identifying trends, and generating reports to help optimize drug benefit plans for employers, insurers, or PBM companies. PBM Analysts play a critical role in controlling costs, ensuring compliance with regulations, and improving patient outcomes by providing actionable insights based on data. They often work with cross-functional teams, including pharmacists, IT specialists, and healthcare providers. Strong analytical skills and knowledge of healthcare data and pharmacy operations are essential for this role.

What are the key skills and qualifications needed to thrive as a PBM analyst, and why are they important?

To thrive as a PBM Analyst, you need strong analytical skills, knowledge of pharmacy benefit management processes, and a background in healthcare or pharmacy, often supported by a relevant degree. Familiarity with data analysis tools like SQL, Excel, and pharmacy claims processing systems is typically required. Attention to detail, effective communication, and problem-solving abilities help you excel in collaborating with stakeholders and interpreting complex data. These skills ensure accurate analysis, compliance, and the optimization of pharmacy benefit programs for clients and members.

What are some common challenges PBM analysts face when working with large healthcare data sets?

PBM Analysts often work with complex and highly sensitive healthcare data, which can pose challenges in terms of data integrity, accuracy, and privacy. Ensuring data is consistently clean and up to date requires strong attention to detail and proficiency with analytical tools. Additionally, analysts must regularly collaborate with cross-functional teams, such as clinical staff and IT, to reconcile data discrepancies and implement effective solutions, making communication skills essential for success.

What is the difference between Pbm Analyst vs Pbm Coordinator?

AspectPbm AnalystPbm Coordinator
CredentialsTypically requires a bachelor's degree in healthcare, pharmacy, or related field; certifications like CPC or CPhT are commonSimilar educational background; may also hold certifications but often less specialized
Work EnvironmentWorks in healthcare or pharmacy benefit management companies, analyzing data and optimizing formulariesSupports daily operations, manages provider and client communications within healthcare settings
Employer & Industry UsageUsed in pharmacy benefit management, health insurance, and healthcare organizationsCommon in healthcare administration, pharmacy services, and insurance companies

The Pbm Analyst and Pbm Coordinator roles share similar educational backgrounds and work environments within healthcare and pharmacy benefit management. However, Pbm Analysts focus more on data analysis and formulary optimization, while Pbm Coordinators handle operational support and client communications. Both roles are essential in healthcare organizations but differ in their primary responsibilities.

What are popular job titles related to Pbm Analyst jobs in Florida?

For Pbm Analyst jobs in Florida, the most frequently searched job titles are:

What job categories do people searching Pbm Analyst jobs in Florida look for?

The top searched job categories for Pbm Analyst jobs in Florida are:

What cities in Florida are hiring for Pbm Analyst jobs?

Cities in Florida with the most Pbm Analyst job openings:

Pbm Analyst jobs near you
Infographic showing various Pbm Analyst job openings in Florida as of August 2026, with employment types broken down into 100% Full Time. Highlights an 65% In-person, and 35% Remote job distribution.

Pharmacy Benefit Audit Analyst

Secure Eclaims LLC

Miami, FL

Full-time

Re-posted 15 days ago

Job description

Specific job functions include:

· Review and understand PBM contracts for all relevant pricing terms

· Review and understand plan design documents provided by PBM or client

· Utilize company’s proprietary Compliance Model

· Calculate client contractual financial guarantees, admin fees, rebates and other terms as required by client contract

· Assemble audit reports and summarize findings

· Document all potential issues and track decisions

· Collaborate with account management and pharmacy consultants to discuss results with clients and vendors

· Provide documentation during follow-up negotiations and discussions

· Work with IT to further develop Compliance Model logic and capabilities

· Assist in other financial projects as needed

Requirements:

· Bachelor’s degree in Business, Finance, or other health related field

· At least 3 years of either a) pharmacy benefit audit or b) claim adjudication research experience on one or more PBM platforms

· Working knowledge of the PBM industry and pharmacy benefit claims

Desired Skills:

· Proficient in Microsoft Office, with extensive experience working with Excel

· Basic SQL query building

· Strong verbal and written communication skills

· Detail-oriented

· Solid, independent worker (this position will likely be based in the applicant’s home)

· Pharmacy Technician Certification (preferred)

Company Description

Leading specialty benefits management company in Puerto Rico and South Florida. Our innovative care management model integrates the needs of providers, payors and members to ensure the delivery of high quality, cost effective care while realizing substantial millions of dollars savings that keep the cost of healthcare down.

We are building a model for managing care delivery that embodies traditional values, promises reliability, and embraces flexibility and technology. Through our experience in the healthcare industry, the company aims to improve healthcare outcomes, achieve cost savings and serve as a single point of contact to move into value-based care.