$60 - $80/hr
POSITION SUMMARY The Analyst, PBM RFP Management, plays a key supporting role in helping clients evaluate and select pharmacy benefit managers (PBMs). Working closely with senior team members, this ...
$60 - $80/hr
POSITION SUMMARY The Analyst, PBM RFP Management, plays a key supporting role in helping clients evaluate and select pharmacy benefit managers (PBMs). Working closely with senior team members, this ...
$150 - $200/hr
The Manager of PBM Underwriting & Analytics is responsible for leading and overseeing the underwriting and analytical functions within the organization. This role involves managing a team of ...
$150 - $200/hr
The Manager of PBM Underwriting & Analytics is responsible for leading and overseeing the underwriting and analytical functions within the organization. This role involves managing a team of ...
$100 - $125/hr
... contract review, analyze MFG revenue (Rx Rebates, etc.), MAC appeals, claims processing, and network adequacy, etc. * Complete PBM examination work in the required state software platform.
$100 - $125/hr
... contract review, analyze MFG revenue (Rx Rebates, etc.), MAC appeals, claims processing, and network adequacy, etc. * Complete PBM examination work in the required state software platform.
$100 - $125/hr
Pharmacy Consulting and Analytics Auditing PillarRx Copay Maximization. Our relentless endeavor to ... Actively assist and support PBM contract reviews and PBM contract negotiations; including financial ...
$100 - $125/hr
Pharmacy Consulting and Analytics Auditing PillarRx Copay Maximization. Our relentless endeavor to ... Actively assist and support PBM contract reviews and PBM contract negotiations; including financial ...
$100 - $125/hr
... Analyst - Remote! Status: Full-time, permanent position (40 hours) Work hours: 8am to 5pm ET, M-F ... Experience in Pharmacy, PBM REQUIRED * Experience with SQL (Intermediate-Advanced) - Writing ...
$100 - $125/hr
... Analyst - Remote! Status: Full-time, permanent position (40 hours) Work hours: 8am to 5pm ET, M-F ... Experience in Pharmacy, PBM REQUIRED * Experience with SQL (Intermediate-Advanced) - Writing ...
$125 - $150/hr
Evaluate emerging PBM and contracting models (transparent/pass-through, cost-plus, unbundled/modular) and drive the build-vs-switch analysis and recommendation as the landscape changes Pharmacy Trend ...
$125 - $150/hr
Evaluate emerging PBM and contracting models (transparent/pass-through, cost-plus, unbundled/modular) and drive the build-vs-switch analysis and recommendation as the landscape changes Pharmacy Trend ...
$200 - $250/hr
Executing CarelonRx strategies to maximize value from PBM contracts and creating, implementing policy and procedures to ensure compliance with PBM contracts * Manage a team to support rebate analysis ...
$200 - $250/hr
Executing CarelonRx strategies to maximize value from PBM contracts and creating, implementing policy and procedures to ensure compliance with PBM contracts * Manage a team to support rebate analysis ...
$60 - $80/hr
Preferred Qualifications * 2+ years of Pharmacy Benefit Management (PBM) experience * Experience ... Analytical thinking and problem-solving * Attention to detail and accuracy * Excellent oral and ...
New
$60 - $80/hr
Preferred Qualifications * 2+ years of Pharmacy Benefit Management (PBM) experience * Experience ... Analytical thinking and problem-solving * Attention to detail and accuracy * Excellent oral and ...
New
$125 - $150/hr
Core responsibilities include: * a) administering the PBM certification program and related ... Analyze data and prepare reports in collaboration with internal and external subject matter experts.
$125 - $150/hr
Core responsibilities include: * a) administering the PBM certification program and related ... Analyze data and prepare reports in collaboration with internal and external subject matter experts.
$60 - $80/hr
Act as the primary liaison between clients and internal teams, ensuring smooth execution of PBM ... Effective analytical skills with a data‑driven approach to decision‑making. * Elevated ...
$60 - $80/hr
Act as the primary liaison between clients and internal teams, ensuring smooth execution of PBM ... Effective analytical skills with a data‑driven approach to decision‑making. * Elevated ...
$60 - $80/hr
The Analyst partners with business leaders to evaluate workload demands, recommend staffing ... Experience supporting healthcare, PBM, contact center, or back-office operations. * Experience with ...
New
$60 - $80/hr
The Analyst partners with business leaders to evaluate workload demands, recommend staffing ... Experience supporting healthcare, PBM, contact center, or back-office operations. * Experience with ...
New
$125 - $150/hr
... analysis of historical claims, eligibility, accumulator, and utilization data required for ... Strong understanding of PBM operations including benefit design, formulary management, claims ...
$125 - $150/hr
... analysis of historical claims, eligibility, accumulator, and utilization data required for ... Strong understanding of PBM operations including benefit design, formulary management, claims ...
Formulary Management Pharmacist
Louisville, KY · On-site
$56 - $67.25/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 ...
Formulary Management Pharmacist
Louisville, KY · On-site
$56 - $67.25/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 ...
Formulary Management Pharmacist
Lexington, KY · On-site
$51 - $61.25/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 ...
Formulary Management Pharmacist
Lexington, KY · On-site
$51 - $61.25/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 ...
$150 - $200/hr
The AE acts as the quarterback of the broader account team, bringing together partners across operations, clinical, analytics, product, and compliance to deliver a cohesive client experience.
$150 - $200/hr
The AE acts as the quarterback of the broader account team, bringing together partners across operations, clinical, analytics, product, and compliance to deliver a cohesive client experience.
$100 - $125/hr
... PBM REQUIRED Experience with SQL (Intermediate-Advanced) - Writing queries from scratch preferred Experience working with datasets, including understanding table relationships, joins, and data flow ...
$100 - $125/hr
... PBM REQUIRED Experience with SQL (Intermediate-Advanced) - Writing queries from scratch preferred Experience working with datasets, including understanding table relationships, joins, and data flow ...
3rd Party Plan Analyst
Louisville, KY · On-site +1
The 3rd Party Analyst is responsible for configuring 3rd party insurance setups within our ... PBM's), pharmacy claim switches, and other vendors regarding claim or plan inquiries * Understand ...
3rd Party Plan Analyst
Louisville, KY · On-site +1
The 3rd Party Analyst is responsible for configuring 3rd party insurance setups within our ... PBM's), pharmacy claim switches, and other vendors regarding claim or plan inquiries * Understand ...
$150 - $200/hr
You will own the RTPB roadmap end-to-end -- partnering with Engineering, payer/PBM connectivity ... Use AI tools to accelerate requirements drafting, data analysis, and documentation, raising both ...
$150 - $200/hr
You will own the RTPB roadmap end-to-end -- partnering with Engineering, payer/PBM connectivity ... Use AI tools to accelerate requirements drafting, data analysis, and documentation, raising both ...
3rd Party Plan Analyst
Louisville, KY · On-site +1
The 3rd Party Analyst is responsible for configuring 3rd party insurance setups within our ... PBM's), pharmacy claim switches, and other vendors regarding claim or plan inquiries * Understand ...
3rd Party Plan Analyst
Louisville, KY · On-site +1
The 3rd Party Analyst is responsible for configuring 3rd party insurance setups within our ... PBM's), pharmacy claim switches, and other vendors regarding claim or plan inquiries * Understand ...
3rd Party Plan Analyst
Louisville, KY · On-site
$23.88 - $24.47/hr
The 3rd Party Analyst is responsible for configuring 3rd party insurance setups within our ... PBM's), pharmacy claim switches, and other vendors regarding claim or plan inquiries * Understand ...
Quick apply
3rd Party Plan Analyst
Louisville, KY · On-site
$23.88 - $24.47/hr
The 3rd Party Analyst is responsible for configuring 3rd party insurance setups within our ... PBM's), pharmacy claim switches, and other vendors regarding claim or plan inquiries * Understand ...
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?
| Aspect | Pbm Analyst | Pbm Coordinator |
|---|---|---|
| Credentials | Typically requires a bachelor's degree in healthcare, pharmacy, or related field; certifications like CPC or CPhT are common | Similar educational background; may also hold certifications but often less specialized |
| Work Environment | Works in healthcare or pharmacy benefit management companies, analyzing data and optimizing formularies | Supports daily operations, manages provider and client communications within healthcare settings |
| Employer & Industry Usage | Used in pharmacy benefit management, health insurance, and healthcare organizations | Common 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 Kentucky?
For Pbm Analyst jobs in Kentucky, the most frequently searched job titles are:
What job categories do people searching Pbm Analyst jobs in Kentucky look for?
The top searched job categories for Pbm Analyst jobs in Kentucky are:
What cities in Kentucky are hiring for Pbm Analyst jobs?
Cities in Kentucky with the most Pbm Analyst job openings:
Key responsibilities
Support the delivery of PBM RFP projects from initiation through vendor evaluation and client reporting
Collect, clean, and validate data inputs from clients and vendors
Analyze PBM pricing, guarantees, and proposal responses to identify key cost and performance differences
Job description
ABOUT US
#J-18808-LjbffrTruveris is a pharmacy cost containment company dedicated to reducing pharmacy costs and driving transparency for employers and benefit consultants. Our proprietary, data-driven technology and deep industry expertise empower smarter pharmacy benefit decisions through contract optimization and PBM oversight. Independent and unbiased, Truveris delivers measurable savings and accountability across every pharmacy program. For more information on our solutions, visit www.truveris.com.
POSITION SUMMARYThe Analyst, PBM RFP Management, plays a key supporting role in helping clients evaluate and select pharmacy benefit managers (PBMs). Working closely with senior team members, this role supports the execution of PBM Request for Proposal (RFP) projects using our proprietary tools and processes. The Analyst assists in collecting and validating data, running competitive bid analyses, and preparing client deliverables that inform PBM selection decisions. This position is ideal for someone with strong analytical skills, attention to detail, and an interest in learning the pharmacy benefits industry. This role will work closely and communicate with external clients on a consistent basis.
We are hiring for multiple levels of seniority for this position starting at an associate level and up to senior level.
KEY RESPONSIBILITIES- Support the delivery of PBM RFP projects from initiation through vendor evaluation and client reporting
- Collect, clean, and validate data inputs from clients and vendors
- Use internal tools and templates to assist in running and managing competitive PBM bids
- Analyze PBM pricing, guarantees, and proposal responses to identify key cost and performance differences
- Prepare charts, reports, and presentations that summarize analytical findings for client meetings
- Maintain accurate project documentation and workflows in project management systems
- Collaborate with Senior Analysts and internal teams to ensure timely, high-quality deliverables
- Contribute feedback on process improvements and tool enhancements
- Communicate with external clients on projects
- 1–5 years of experience in analytics, healthcare consulting, benefits administration, or a related field (internships or academic experience acceptable)
- Strong proficiency in Microsoft Excel
- Excellent organizational skills with a focus on accuracy and attention to detail
- Ability to work effectively in a fast-paced, deadline-driven environment
- Strong written and verbal communication skills
- Bachelor’s degree in Business, Economics, Finance, or a related field
- Analytical and data-driven mindset
- Collaborative team player with a willingness to learn
- Strong problem-solving and critical thinking skills
- Effective communicator across technical and non-technical audiences
- Highly organized, with the ability to manage multiple priorities
Base salary range: $65,000 - $75,000 annually
An employee’s pay position within the salary range will be based on several factors including, but not limited to, relevant education, qualifications, certifications, experience, skills, seniority, geographic location, performance, travel requirements, revenue-based metrics, any contractual agreements, and business or organizational needs. The range listed is just one component of Truveris’s total compensation package for employees.
Truveris provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.
This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training.
About Page Mechanical Group
Sourced by ZipRecruiter
Industry
Construction
Company size
201 - 500 Employees
Headquarters location
Fort Myers, FL, US
Year founded
1985