Managed care, PBM, or health-plan preferred. Hospital and community pharmacists with strong clinical skills are encouraged to apply. * Skills: Analytical mindset, detail orientation, excellent ...
New
Managed care, PBM, or health-plan preferred. Hospital and community pharmacists with strong clinical skills are encouraged to apply. * Skills: Analytical mindset, detail orientation, excellent ...
New
Managed care, PBM, or health-plan preferred. Hospital and community pharmacists with strong clinical skills are encouraged to apply. * Skills: Analytical mindset, detail orientation, excellent ...
New
Managed care, PBM, or health-plan preferred. Hospital and community pharmacists with strong clinical skills are encouraged to apply. * Skills: Analytical mindset, detail orientation, excellent ...
New
Senior Clinical Pharmacist
Kalamazoo, MI · On-site
$111K - $133K/yr
... PBM business lines. Through collaboration with leadership and operational partners, the Senior ... Use clinical analytics to evaluate program performance, medication utilization, adherence, outcomes ...
Quick apply
Senior Clinical Pharmacist
Kalamazoo, MI · On-site
$111K - $133K/yr
... PBM business lines. Through collaboration with leadership and operational partners, the Senior ... Use clinical analytics to evaluate program performance, medication utilization, adherence, outcomes ...
System Administrator
Ann Arbor, MI · On-site
... analysis and remediation for infrastructure issues. • Manage backup, restore, and disaster ... AccumTech has a unique style of managing data that allows for each carrier, PBM or TPA to be their ...
System Administrator
Ann Arbor, MI · On-site
... analysis and remediation for infrastructure issues. • Manage backup, restore, and disaster ... AccumTech has a unique style of managing data that allows for each carrier, PBM or TPA to be their ...
... analysis and remediation for infrastructure issues. • Manage backup, restore, and disaster ... AccumTech has a unique style of managing data that allows for each carrier, PBM or TPA to be their ...
... analysis and remediation for infrastructure issues. • Manage backup, restore, and disaster ... AccumTech has a unique style of managing data that allows for each carrier, PBM or TPA to be their ...
... Manager (PBM) partner to drive pharmacy program excellence. Required: * Bachelor's degree in ... Proficiency with pharmacy claims data, reporting tools, and population health analytics platforms.
... Manager (PBM) partner to drive pharmacy program excellence. Required: * Bachelor's degree in ... Proficiency with pharmacy claims data, reporting tools, and population health analytics platforms.
... Manager (PBM) partner to drive pharmacy program excellence. #LI-KH1 Qualifications: Required ... Proficiency with pharmacy claims data, reporting tools, and population health analytics platforms.
... Manager (PBM) partner to drive pharmacy program excellence. #LI-KH1 Qualifications: Required ... Proficiency with pharmacy claims data, reporting tools, and population health analytics platforms.
... external Pharmacy Benefit Manager (PBM) partner to drive pharmacy program excellence ... Proficiency with pharmacy claims data, reporting tools, and population health analytics platforms.
... external Pharmacy Benefit Manager (PBM) partner to drive pharmacy program excellence ... Proficiency with pharmacy claims data, reporting tools, and population health analytics platforms.
... Manager (PBM) partner to drive pharmacy program excellence. #LI-KH1 Qualifications: Required ... Proficiency with pharmacy claims data, reporting tools, and population health analytics platforms.
... Manager (PBM) partner to drive pharmacy program excellence. #LI-KH1 Qualifications: Required ... Proficiency with pharmacy claims data, reporting tools, and population health analytics platforms.
Revenue Cycle and Data Manager
Suttons Bay, MI · On-site
$71K/yr
... and PBM portal data. Understanding and familiarity with the GTB accounting billing system and ... Thorough understanding of Database creation, data analysis, compiling and interpreting data from ...
Quick apply
Revenue Cycle and Data Manager
Suttons Bay, MI · On-site
$71K/yr
... and PBM portal data. Understanding and familiarity with the GTB accounting billing system and ... Thorough understanding of Database creation, data analysis, compiling and interpreting data from ...
... and PBM portal data. Understanding and familiarity with the GTB accounting billing system and ... Thorough understanding of Database creation, data analysis, compiling and interpreting data from ...
... and PBM portal data. Understanding and familiarity with the GTB accounting billing system and ... Thorough understanding of Database creation, data analysis, compiling and interpreting data from ...
Vice President, Clinical Pharmacy
Lansing, MI · On-site
$130K - $172K/yr
Provide analysis of claims data and book-of-business metrics, translating trends into actionable ... in PBM management and health care benefit knowledge. Active unrestricted license to practice ...
Vice President, Clinical Pharmacy
Lansing, MI · On-site
$130K - $172K/yr
Provide analysis of claims data and book-of-business metrics, translating trends into actionable ... in PBM management and health care benefit knowledge. Active unrestricted license to practice ...
Director of Audit - Synergie (Remote)
Three Rivers, MI · Remote
$150K - $200K/yr
... plan or PBM. * Strong experience managing external audit vendors during audits * Strong ... Strong data management and analytics skills with the ability to manage large data effectively.
Director of Audit - Synergie (Remote)
Three Rivers, MI · Remote
$150K - $200K/yr
... plan or PBM. * Strong experience managing external audit vendors during audits * Strong ... Strong data management and analytics skills with the ability to manage large data effectively.
Health insurance, health system, or PBM / enabling service experience preferred. * 3-5+ years of ... Strong analytical skills and a high capacity for conceptual thinking. Ability to develop leading ...
New
Health insurance, health system, or PBM / enabling service experience preferred. * 3-5+ years of ... Strong analytical skills and a high capacity for conceptual thinking. Ability to develop leading ...
New
Initiatives and Operations Manager
Grand Rapids, MI · On-site +1
$125K - $150K/yr
Demonstrated experience vetting, analyzing, recommending, and stewarding investments (e.g., grants ... PBM ® empowers employees to be entrepreneurial, to innovate, and to continually drive ...
Posted today
Quick apply
Initiatives and Operations Manager
Grand Rapids, MI · On-site +1
$125K - $150K/yr
Demonstrated experience vetting, analyzing, recommending, and stewarding investments (e.g., grants ... PBM ® empowers employees to be entrepreneurial, to innovate, and to continually drive ...
Posted today
Be Seen First
Systems Engineer - Medical Device Company
Ann Arbor, MI · On-site
$110K - $140K/yr
... NIR-PBM) therapy that protects the brain from reperfusion injury after cardiac arrest. The ... Support risk management activities (FMEA, hazard analysis) in accordance with ISO 14971 and Class ...
Quick apply
Be Seen First
Systems Engineer - Medical Device Company
Ann Arbor, MI · On-site
$110K - $140K/yr
... NIR-PBM) therapy that protects the brain from reperfusion injury after cardiac arrest. The ... Support risk management activities (FMEA, hazard analysis) in accordance with ISO 14971 and Class ...
Pbm Analyst information
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 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 popular job titles related to Pbm Analyst jobs in Michigan? For Pbm Analyst jobs in Michigan, the most frequently searched job titles are:
What job categories do people searching Pbm Analyst jobs in Michigan look for? The top searched job categories for Pbm Analyst jobs in Michigan are:
What cities in Michigan are hiring for Pbm Analyst jobs? Cities in Michigan with the most Pbm Analyst job openings:
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Job description
Remote DUR Pharmacist - Safe & Cost-Effective Medication Use | Work From Home
Analyze medication use patterns, apply clinical guidelines, and collaborate with providers - all from home. This remote Drug Utilization Review Pharmacist role is ideal for pharmacists who enjoy clinical analysis and want to improve outcomes at scale.
Key Responsibilities
- Conduct prospective, concurrent, and retrospective drug utilization reviews.
- Evaluate prescribing patterns against clinical guidelines and formulary criteria.
- Identify potential drug interactions, therapeutic duplications, and inappropriate therapy.
- Prepare recommendations for prescribers to optimize therapy and reduce risk.
- Document reviews and ensure compliance with state, federal, and health-plan requirements.
- Contribute to quality-improvement initiatives and pharmacy program development.
- Education: PharmD or Bachelor of Pharmacy.
- Licensure: Active U.S. pharmacist license.
- Experience: Managed care, PBM, or health-plan preferred. Hospital and community pharmacists with strong clinical skills are encouraged to apply.
- Skills: Analytical mindset, detail orientation, excellent written and verbal communication.
- Shape prescribing decisions that affect thousands of patients.
- Build expertise in managed care and population-health pharmacy.
- Many DUR roles offer hybrid or fully remote schedules.
- Competitive salary, benefits, and career advancement.
About Us
We are a confidential healthcare partner providing managed-care pharmacy services nationwide. Our DUR pharmacists ensure medications are used safely, appropriately, and cost-effectively.
Apply Today
Advance your career in managed care - apply now for our Remote Drug Utilization Review Pharmacist opening.