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Pbm Analyst Jobs in Utah (NOW HIRING)

... analyzing drug utilization patterns and trends for our Pharmacy Benefit Management (PBM) clients. In this role, you will be focusing on the clinical aspects of clients' benefit plans, as well as ...

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Member Support Quality Analyst

Lehi, UT · On-site

$54K - $64K/yr

Our mission is to disrupt the expensive and inefficient Pharmacy Benefit Management (PBM) sector by ... This role will require (but not be limited to) statistical analysis, monitoring omnichannel ...

Our mission is to disrupt the expensive and inefficient Pharmacy Benefit Management (PBM) sector by ... This role will require (but not be limited to) statistical analysis, monitoring omnichannel ...

Our mission is to disrupt the expensive and inefficient Pharmacy Benefit Management (PBM) sector by ... Strong critical thinking skills, such as analyzing data, drawing logical conclusions, and applying ...

Our mission is to disrupt the expensive and inefficient Pharmacy Benefit Management (PBM) sector by ... Clearly communicates analytical and reporting needs to supporting departments What will you bring ...

Experience within a Pharmacy Benefit Manager (PBM) is strongly preferred. * Technical Aptitude ... Self-driven and results-oriented, with a focus on structured root-cause analysis and sustainable ...

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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 cities in Utah are hiring for Pbm Analyst jobs? Cities in Utah with the most Pbm Analyst job openings:

Financial Data Analyst, Account Management

SmithRx

Lehi, UT

Full-time

Re-posted 12 days ago


Job description

Who We Are:

SmithRx is a rapidly growing, venture-backed Health-Tech company. Our mission is to disrupt the expensive and inefficient Pharmacy Benefit Management (PBM) sector by building a next-generation drug acquisition platform driven by cutting edge technology, innovative cost saving tools, and best-in-class customer service. With hundreds of thousands of members onboarded since 2016, SmithRx has a solution that is resonating with clients all across the country.

We pride ourselves for our mission-driven and collaborative culture that inspires our employees to do their best work. We believe that the U.S healthcare system is in need of transformation, and we come to work each day dedicated to making that change a reality. At our core, we are guided by our company values:

  • Integrity: Our purpose guides our actions and gives us confidence in the path ahead. With unwavering honesty and dependability, we embrace the pressure of challenging the old and exemplify ethical leadership to create the new.
  • Courage: We face continuous challenges with grit and resilience. We embrace the discomfort of the unknown by balancing autonomy with empathy, and ownership with vulnerability. We boldly challenge the status quo to keep moving forward—always.
  • Together: The success of SmithRx reflects the strength of our partnerships and the commitment of our team. Our shared values bind us together and make us one. When one falls, we all fall; when one rises, we all rise.

Job Summary:

As a Financial Analyst on the Account Management team, you will serve as the primary data subject matter expert (SME) and the strategic bridge between our client-facing teams and the Data Analysis/Reporting department. Your mission is to translate complex pharmacy benefit data into actionable financial insights for our clients. You will be a trusted advisor to both internal Account Management leadership and client financial teams, ensuring that every strategic decision is backed by rigorous analysis and a deep understanding of SmithRx financial components.

What you will do:

  • Support the resolution of complex client scenarios by conducting deep-dive data research and root-cause analysis.
  • Partner with the account team to identify cost drivers, utilization shifts, and clinical opportunities within a client's portfolio to recommend plan design changes that mitigate spend.
  • Serve as the primary liaison between Account Management and the Reporting/Data Analyst teams to ensure client reporting needs are technically feasible and strategically sound.
  • Interpret pharmacy claims data, trend analysis, and rebate projections to provide "the story behind the numbers" for client presentations and Quarterly Business Reviews (QBRs).
  • Oversee the integrity of client-facing financial reports, ensuring data aligns with contractual obligations and client expectations.
  • Work on behalf of the Account Management team, collaborating with internal technical teams to improve automated reporting tools and identify product gaps based on client feedback and data limitations.
  • Assess financial data for indicators of client attrition risk and work with Account Managers to develop data-driven mitigation strategies.
  • Act as a data mentor to Account Managers, coaching them on how to interpret financial metrics and present data-heavy slides effectively.
  • Participate in existing and prospective client meetings.

What you will bring to SmithRx:

  • Deep fluency in the pharmacy benefits space, including an understanding of AWP, NADAC, rebates, formulary impact, and pharmacy network modeling.
  • 5+ years of experience in data analysis, financial underwriting, or actuarial support within the healthcare and/or PBM industry.
  • Strong command of data visualization tools (e.g., Looker, Tableau, PowerBI) and advanced Excel skills (VLOOKUPs, Pivot Tables, modeling).
  • The unique ability to translate "data-speak" into executive-level insights for C-suite leadership and non-technical stakeholders.
  • A passion for solving difficult problems in partnership with both technical developers and account managers.
  • An obsession with data accuracy and a disciplined work ethic that ensures deliverables are met with little to no direction.
  • Ability to observe scenarios from the client's financial point of view and provide proactive, honest, and transparent recommendations.
  • Bachelor's degree in Finance, Healthcare Administration, or equivalent experience required.
  • Ability to travel approximately 15-20% to client meetings

What SmithRx Offers You:

  • Highly competitive wellness benefits including Medical, Pharmacy, Dental, Vision, and Life Insurance and AD&D Insurance
  • Flexible Spending Benefits
  • 401(k) Retirement Savings Program
  • Short-term and long-term disability
  • Discretionary Paid Time Off
  • Paid Company Holidays
  • Wellness Benefits
  • Commuter Benefits
  • Paid Parental Leave benefits
  • Employee Assistance Program (EAP)
  • Well-stocked kitchen in office locations
  • Professional development and training opportunities

Compensation & Benefits

  • Base Salary: The range listed above reflects our standard pay scale and actual pay will vary based on work location, job level, job-related knowledge, skills, and experience.
  • Total Rewards: In addition to base pay, this role may be eligible for bonuses, commissions, or equity. SmithRx offers a variety of benefits to help you live well, including: time off programs, medical, dental, vision, mental health support, paid parental leave, life and disability insurance and 401(k).

Individual offers are tailored to your geography, experience, skills, and education. Your recruiter can share more specific details during the hiring process. In the meantime, feel free to explore our comprehensive benefits here.