PBM Business Integration Specialist (Pharmacist) Location: Raleigh, NC (27601) Client: State of ... Experience in business analysis, project management, and product management within healthcare. * ...
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PBM Business Integration Specialist (Pharmacist) Location: Raleigh, NC (27601) Client: State of ... Experience in business analysis, project management, and product management within healthcare. * ...
Quick apply
PBM Business Integration Specialist (Pharmacist) Location: Raleigh, NC (27601) Client: State of ... Experience in business analysis, project management, and product management within healthcare. * ...
This position may require interacting with the NC Medicaid Business Information Analytics Office ... PBM Business stakeholders (Product Managers, Product Owners, Business Leads.) โข In-depth ...
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This position may require interacting with the NC Medicaid Business Information Analytics Office ... PBM Business stakeholders (Product Managers, Product Owners, Business Leads.) โข In-depth ...
Senior Business Analyst We are looking to onboard a Senior Business Analyst in Manager role or ... This person will have deep PBM domain expertise and who will help guide the roadmap and feature ...
Senior Business Analyst We are looking to onboard a Senior Business Analyst in Manager role or ... This person will have deep PBM domain expertise and who will help guide the roadmap and feature ...
This position may require interacting with the NC Medicaid Business Information Analytics Office ... PBM Business stakeholders (Product Managers, Product Owners, Business Leads.) โข In-depth ...
Quick apply
This position may require interacting with the NC Medicaid Business Information Analytics Office ... PBM Business stakeholders (Product Managers, Product Owners, Business Leads.) โข In-depth ...
Irving, TX ยท On-site
$53K - $92K/yr
Collaborate with product owners, business analysts, and PBM stakeholders to refine acceptance criteria, clarify business rules, and ensure adequate test coverage * Monitor and report key quality ...
Irving, TX ยท On-site
$53K - $92K/yr
Collaborate with product owners, business analysts, and PBM stakeholders to refine acceptance criteria, clarify business rules, and ensure adequate test coverage * Monitor and report key quality ...
$142K - $194K/yr
Reviewing and advising business leaders on regulatory issues, particularly those relating to ... Excellent analytical research and documentation of writing skills as demonstrated by past draft ...
$142K - $194K/yr
Reviewing and advising business leaders on regulatory issues, particularly those relating to ... Excellent analytical research and documentation of writing skills as demonstrated by past draft ...
Business Analyst (Pharmacy) PBM, pharmacy domain knowledge is a must have. Collaborate with business PMs and product owners to define requirements. Experience with blueprint, JIRA tools. Help scrum ...
Business Analyst (Pharmacy) PBM, pharmacy domain knowledge is a must have. Collaborate with business PMs and product owners to define requirements. Experience with blueprint, JIRA tools. Help scrum ...
Mason, OH ยท 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.
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Mason, OH ยท 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.
Scope of Responsibilities: The PBM Vendor Partner Analyst is a member of the ProAct Partner ... This position will partner with key internal/external technical and business teams and lead new ...
Scope of Responsibilities: The PBM Vendor Partner Analyst is a member of the ProAct Partner ... This position will partner with key internal/external technical and business teams and lead new ...
$95K - $123K/yr
NAVA Software solutions is looking for a Sr. Business Analyst Details: Sr. Business Analyst ... Strong knowledge of PBM (Pharmacy Business Management) business processes which ensure smooth ...
$95K - $123K/yr
NAVA Software solutions is looking for a Sr. Business Analyst Details: Sr. Business Analyst ... Strong knowledge of PBM (Pharmacy Business Management) business processes which ensure smooth ...
Chicago, IL ยท On-site
$95K - $123K/yr
NAVA Software solutions is looking for a Sr. Business Analyst Details: Sr. Business Analyst ... Strong knowledge of PBM (Pharmacy Business Management) business processes which ensure smooth ...
Chicago, IL ยท On-site
$95K - $123K/yr
NAVA Software solutions is looking for a Sr. Business Analyst Details: Sr. Business Analyst ... Strong knowledge of PBM (Pharmacy Business Management) business processes which ensure smooth ...
The PBM Vendor Partner Analyst is a member of the ProAct Partner Services reporting to the Director ... This position will partner with key internal/external technical and business teams and lead new ...
The PBM Vendor Partner Analyst is a member of the ProAct Partner Services reporting to the Director ... This position will partner with key internal/external technical and business teams and lead new ...
Scope of Responsibilities: The PBM Vendor Partner Analyst is a member of the ProAct Partner ... This position will partner with key internal/external technical and business teams and lead new ...
Scope of Responsibilities: The PBM Vendor Partner Analyst is a member of the ProAct Partner ... This position will partner with key internal/external technical and business teams and lead new ...
East Syracuse, NY ยท On-site +1
The PBM Vendor Partner Analyst is a member of the ProAct Partner Services reporting to the Director ... This position will partner with key internal/external technical and business teams and lead new ...
East Syracuse, NY ยท On-site +1
The PBM Vendor Partner Analyst is a member of the ProAct Partner Services reporting to the Director ... This position will partner with key internal/external technical and business teams and lead new ...
Bismarck, ND ยท Remote
$50/hr
Business Analyst - Pharmacy Systems (Remote, North Dakota) Location: Remote within North Dakota Pay ... The ideal candidate will have experience working with pharmacy claims systems, PBM environments ...
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Bismarck, ND ยท Remote
$50/hr
Business Analyst - Pharmacy Systems (Remote, North Dakota) Location: Remote within North Dakota Pay ... The ideal candidate will have experience working with pharmacy claims systems, PBM environments ...
Top 3 skillsets: 1) Strong Healthcare and PBM experience with data migration experience 2) Strong BA experience creating Source to Target Mapping docs, UML diagrams, workflows is must. 3) Cloud ...
Top 3 skillsets: 1) Strong Healthcare and PBM experience with data migration experience 2) Strong BA experience creating Source to Target Mapping docs, UML diagrams, workflows is must. 3) Cloud ...
Eden Prairie, MN ยท Remote
$91K - $163K/yr
Required Qualifications: * 3 years of experience in PBM business / RXclaims * 3 years PBM claims ... Proven ability to communicate analysis including trends and opportunities to clients and the ...
Eden Prairie, MN ยท Remote
$91K - $163K/yr
Required Qualifications: * 3 years of experience in PBM business / RXclaims * 3 years PBM claims ... Proven ability to communicate analysis including trends and opportunities to clients and the ...
Eden Prairie, MN ยท On-site +1
$91K - $163K/yr
Required Qualifications: * 3+ years of experience in PBM business / RXclaims * 3+ years PBM claims ... Proven ability to communicate analysis including trends and opportunities to clients and the ...
Eden Prairie, MN ยท On-site +1
$91K - $163K/yr
Required Qualifications: * 3+ years of experience in PBM business / RXclaims * 3+ years PBM claims ... Proven ability to communicate analysis including trends and opportunities to clients and the ...
Schaumburg, IL ยท On-site
Business Analyst Location : Schaumburg, IL Duration : Longterm Client : Galax E Solutions Key ... Advanced skill level with Microsoft Office products (including Project and Visio ) Healthcare / PBM ...
Schaumburg, IL ยท On-site
Business Analyst Location : Schaumburg, IL Duration : Longterm Client : Galax E Solutions Key ... Advanced skill level with Microsoft Office products (including Project and Visio ) Healthcare / PBM ...
Business Analyst(BA) Pharma Location: Louisville, KY H1b's accepted. Pharma domain (at least one ... Expertise in defining solutions around PBM platforms (Argus would be a plus). * Understanding of ...
Business Analyst(BA) Pharma Location: Louisville, KY H1b's accepted. Pharma domain (at least one ... Expertise in defining solutions around PBM platforms (Argus would be a plus). * Understanding of ...
$17.79 - $22.71
2% of jobs
$22.71 - $27.62
4% of jobs
$27.62 - $32.54
12% of jobs
$35.74 is the 25th percentile. Wages below this are outliers.
$32.54 - $37.46
11% of jobs
$37.46 - $42.37
13% of jobs
The median wage is $45.95 / hr.
$42.37 - $47.29
12% of jobs
$47.29 - $52.21
12% of jobs
$52.21 - $57.12
10% of jobs
$57.27 is the 75th percentile. Wages above this are outliers.
$57.12 - $62.04
18% of jobs
$62.04 - $66.96
4% of jobs
$66.96 - $71.87
3% of jobs
$17
$47
$71
To thrive as a PBM Business Analyst, you need strong analytical abilities, attention to detail, experience with pharmacy benefit management concepts, and typically a bachelor's degree in a related field. Familiarity with data analysis tools like SQL, Excel, and PBM platforms such as Medispan or RxCLAIM, plus certifications like Certified Pharmacy Technician (CPhT), are valuable assets. Effective communication, problem-solving skills, and the ability to collaborate with cross-functional teams set top candidates apart. These qualifications are vital for analyzing complex pharmacy data, ensuring accurate benefit administration, and driving improvements in healthcare delivery.
PBM Business Analysts often navigate large volumes of complex data and rapidly changing pharmacy benefit regulations, which can make ensuring data accuracy and compliance challenging. To address these challenges, analysts work closely with IT, clinical, and operations teams to validate processes, resolve data discrepancies, and stay updated on industry trends. Ongoing training and collaboration are key components of successful problem-solving in this role. Most companies also provide access to advanced analytical tools and experienced mentors to support continuous professional development and improve workflow efficiency.
A PBM (Pharmacy Benefit Management) Business Analyst is responsible for analyzing data, systems, and processes within a PBM organization to improve efficiency and support business decisions. They work with claims processing, formularies, benefit designs, and pharmacy networks to ensure compliance and operational effectiveness. Their role includes gathering business requirements, identifying trends, and collaborating with stakeholders to optimize healthcare and cost management strategies. Proficiency in data analysis, healthcare regulations, and system implementation is essential for success in this role.

Contractor
Posted 25 days ago
Position: PBM Business Integration Specialist (Pharmacist)
Location: Raleigh, NC (27601)
Client: State of North Carolina
Duration: 12+ Months
Job Description:
We are seeking a knowledgeable PBM Business Integration Specialist (Pharmacist) to support the implementation of the Medicaid Enterprise Modular Pharmacy Business Management Solution. This role involves collaborating with the Pharmacy Business team to enhance Medicaid pharmacy processes and ensure successful integration with a new PBM vendor.
Key Responsibilities:
Required Technical Skills:
To Apply:
Please send your resume to jobs@eliteworkforceinc.com with the subject "Resume Submission" for immediate attention.
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eliteworkforceinc is the name to be taken into account when it comes to any sort IT services neaed. With many years of expertise in the area and a team of experienced professionals working at their full potential, we have been able built not only websites, but a good brand name as well. With years, we have catered the needs of diverse clients. Web development along with design and mobile app development have been our forte. You will get the best end result in the genre and the personnel working for us are the backbone of the organization.
It services
11 - 50 Employees
Morton Grove, IL, US
2013