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Pbm Analyst Jobs in Minnesota (NOW HIRING)

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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?

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 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 Minnesota? For Pbm Analyst jobs in Minnesota, the most frequently searched job titles are:
What job categories do people searching Pbm Analyst jobs in Minnesota look for? The top searched job categories for Pbm Analyst jobs in Minnesota are:
What cities in Minnesota are hiring for Pbm Analyst jobs? Cities in Minnesota with the most Pbm Analyst job openings:
Pbm Analyst jobs near you
Infographic showing various Pbm Analyst job openings in Minnesota as of August 2026, with employment types broken down into 92% Full Time, and 8% Contract. Highlights an 68% In-person, 3% Hybrid, and 29% Remote job distribution.

Senior Network Pricing Consultant

UnitedHealth Group

Eden Prairie, MN • On-site

$60K - $107K/yr

Full-time

Retirement

Posted 17 days ago

UnitedHealth Group rating

7.6

Company rating: 7.6 out of 10

Based on 146 frontline employees who took The Breakroom Quiz

189th of 887 rated healthcare providers

Job description

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale.Join us to start Caring. Connecting. Growing together.
A Senior Network Pricing Consultant focuses on analyzing and repricing pharmacy claims to ensure accurate cost management. This role will work on pricing applications and projects related to the manipulation and analysis of data in support of a variety of analytic solutions.
You will enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges.
Primary Responsibilities:
  • Analyze and re-price existing client claims data to support client-specific data analytics using SQL server database
  • Prepare competitive external and internal historical claims data for use in the development of RFP response submission activities
  • Use relational database tools to re-price/trial adjudicate pharmacy claims
  • Validate source data and interpret re-price/QA/trial adjudication and summary and detail report results
  • Analyze source historical claims data for anomalies and/or trends in drug utilization patterns and costs
  • Develop and/or analyze and refine existing analytical models and database queries as appropriate
  • Conduct financial and network pricing modeling, analysis, and reporting
  • Work closely with internal teams, including finance, Accounting, and Sales, to ensure accurate and efficient claim processing
  • Keep detailed records of all pricing adjustments and ensure compliance with all relevant regulations and policies

Skills and Abilities:
  • Ability to analyze complex data and identify trends and discrepancies
  • Ensure accuracy in all aspects of claim analysis and pricing adjustments
  • Communicate clearly and effectively with team members and stakeholders
  • Understanding of PBM processes, regulations, and industry standards
  • Strong skills in SQL and relational database tools

You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear directions on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
Required Qualifications:
  • Bachelor's degree
  • 2+ years of analytical experience in financial analysis, PBM healthcare pricing, Network pricing or related discipline
  • 2+ years of experience with SQL Server or other relational database solutions
  • 2+ years of experience in writing Complex SQL/PLSQL queries for data analysis and reconciliation
  • 2+ years of Analytical experience in data analysis
  • Advanced level of proficiency in MS Excel

Preferred Qualifications:
  • PBM Experience
  • SQL Server Azure experience
  • Technical writing skills

*All Telecommuters will be required to adhere to UnitedHealth Group's Telecommuter Policy.
Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $60,200 - $107,400 annually based on full-time employment. We comply with all minimum wage laws as applicable.
Pursuant to the San Francisco Fair Chance Ordinance, we will consider for employment qualified applicants with arrest and conviction records.
Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.
At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location, and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups, and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.
UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.
UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.
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