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Pbm Analyst Jobs in Ohio (NOW HIRING)

Elevance Health

Sr Test Analyst PBM

Mason, OH · Hybrid

Anticipated End Date: 2026-08-28 Position Title: Sr Test Analyst PBM Sr Test Analyst PBM Hybrid: This role requires associates to be in-office 1-2 days per week, fostering collaboration and ...

Elevance Health

Sr Test Analyst PBM

Seven Hills, OH · Hybrid

Anticipated End Date: 2026-08-28 Position Title: Sr Test Analyst PBM Sr Test Analyst PBM Hybrid: This role requires associates to be in-office 1-2 days per week, fostering collaboration and ...

Elevance Health

PBM Financial Analyst Lead

Mason, OH

$74K - $135K/yr

PBM Financial Analyst Lead PBM Financial Analyst Lead This role requires associates to be in-office1 - 2days per week, fostering collaboration and connectivity, while providing flexibility to support ...

Elevance Health

PBM Financial Analyst Lead

Columbus, OH

$74K - $135K/yr

PBM Financial Analyst Lead PBM Financial Analyst Lead This role requires associates to be in-office1 - 2days per week, fostering collaboration and connectivity, while providing flexibility to support ...

Elevance Health

Sr Test Analyst PBM

Independence, OH · Hybrid

Sr Test Analyst PBM Hybrid: This role requires associates to be in-office 1-2 days per week, fostering collaboration and connectivity, while providing flexibility to support productivity and work ...

Elevance Health

Sr Test Analyst PBM

Mason, OH · Hybrid

Sr Test Analyst PBM Hybrid: This role requires associates to be in-office 1-2 days per week, fostering collaboration and connectivity, while providing flexibility to support productivity and work ...

Elevance Health

PBM Financial Analyst Lead

Mason, OH

$74K - $135K/yr

PBM Financial Analyst Lead This role requires associates to be in-office1 - 2days per week, fostering collaboration and connectivity, while providing flexibility to support productivity and work-life ...

Elevance Health

PBM Financial Analyst Lead

Columbus, OH

$74K - $135K/yr

PBM Financial Analyst Lead This role requires associates to be in-office1 - 2days per week, fostering collaboration and connectivity, while providing flexibility to support productivity and work-life ...

CYNET SYSTEMS

Business Analyst

Mason, OH · On-site

$53 - $58/hr

Business Analyst /System Analyst with good experience with Elevance , health insurance domain ... Mandatory experience in Rx and PBM Should have end to end hands-on experience working as a BA.

Adecco

Contract & Strategy Analyst

Cincinnati, OH · On-site

$40 - $44/hr

... PBM), Contracting and Pharmacy industry/technical terms and processes · Proficient in Power BI and Power Automate · 1 year of prior retail pharmacy experience and/or PBM experience · Any ...

Adecco

Senior Contracting Strategy Analyst

Cincinnati, OH · On-site

$51 - $55/hr

... and/or PBM experience · High Proficiency in Microsoft Excel (i.e., macros, power pivot, power ... and analyze data · Familiarity with the Pharmacy Benefit Management (PBM), Contracting and ...

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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 Ohio? For Pbm Analyst jobs in Ohio, the most frequently searched job titles are:
What job categories do people searching Pbm Analyst jobs in Ohio look for? The top searched job categories for Pbm Analyst jobs in Ohio are:
What cities in Ohio are hiring for Pbm Analyst jobs? Cities in Ohio with the most Pbm Analyst job openings:
Pbm Analyst jobs near you
Infographic showing various Pbm Analyst job openings in Ohio 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 Analyst Pharmacy (PBM)

Tata Consultancy Service Limited

Mason, OH • On-site

$100K - $140K/yr

Full-time

Medical, Dental, Vision, Retirement, PTO

Re-posted 17 days ago

Job description

Must Have Technical/Functional Skills
We are seeking an experienced Senior Analyst with strong expertise in the Pharmacy Benefit Management (PBM) domain. The candidate will play a critical role in analyzing pharmacy benefit workflows, gathering business requirements, and supporting end-to-end delivery pharmacy solutions.
Required Skills & Experience(8 years)
• Strong expertise in Pharmacy Benefit Management (PBM) processes:
Pharmacy claims adjudication
Formulary and drug benefits
Prior authorization workflows
Membership, enrollment, and billing
• Strong background in:
Requirement gathering and documentation
Agile methodologies
Stakeholder communication
• Good understanding of HIPAA compliance.
Preferred Skills
• Experience with PBM platforms and pharmacy ecosystems.
• Exposure to:
o Drug claims processing and adjudication
o Pharmacy networks and pricing
o Medicare / Commercial health plans
• Knowledge of tools:
JIRA / Rally / ALM
SQL for data validation
Salary Range: $100,000- $140,000 a year
TCS Employee Benefits Summary:
Discretionary Annual Incentive.
Comprehensive Medical Coverage: Medical & Health, Dental & Vision, Disability Planning & Insurance, Pet Insurance Plans.
Family Support: Maternal & Parental Leaves.
Insurance Options: Auto & Home Insurance, Identity Theft Protection.
Convenience & Professional Growth: Commuter Benefits & Certification & amp; Training Reimbursement.
Time Off: Vacation, Time Off, Sick Leave & Holidays.
Legal & Financial Assistance: Legal Assistance, 401K Plan, Performance Bonus, College Fund, Student Loan Refinancing.
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