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Pbm Business Analyst Jobs (NOW HIRING)

STI

Business Analyst (Healthcare PBM) - Remote

Seeking a Business Analyst with Healthcare/PBM experience to support pharmacy claims implementations through requirements gathering, data analysis, system integration, and testing. Responsibilities

WELLDYNE

PBM Senior Counsel

$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 ...

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.

NAVA Software Solutions

Sr. Business Analyst

Chicago, IL · 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 ...

Stem Xpert

Business Analyst - Healthcare

Schaumburg, IL · 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 ...

Agadia Systems Inc

Business Analyst

Parsippany, NJ · On-site

$60K - $100K/yr

Experience working with health plans, PBM, and specialty pharmacies is a plus. * Problem-solving and business analysis skills with strong attention to detail * Strong execution skills * Highly ...

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Pbm Business Analyst information

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How much do pbm business analyst jobs pay per hour?

As of Jul 13, 2026, the average hourly pay for pbm business analyst in the United States is $47.43, according to ZipRecruiter salary data. Most workers in this role earn between $35.58 and $59.38 per hour, depending on experience, location, and employer.

What are the key skills and qualifications needed to thrive in the Pbm Business Analyst position, and why are they important?

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.

What are some common challenges faced by PBM Business Analysts, and how are they addressed in the workplace?

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.

What is a PBM Business Analyst job?

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.

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Pbm Business Analyst jobs near you
Infographic showing various Pbm Business Analyst job openings in the United States as of July 2026, with employment types broken down into 1% Locum Tenens, 1% Internship, 86% Full Time, 6% Part Time, 1% Temporary, and 5% Contract. Highlights an 82% Physical, 5% Hybrid, and 13% Remote job distribution, with an average salary of $98,662 per year, or $47.4 per hour.
DHHS- IT Senior Pharmacy BA Specialist

DHHS- IT Senior Pharmacy BA Specialist

My3Tech Inc

Raleigh, NC • On-site

$83K - $111K/yr

Other

Posted 13 days ago

Job description

DHHS- IT Senior Pharmacy BA Specialist

Location: Dix Campus Raleigh North Carolina

Duration: Long Term

Client: State of NC

NC Department of Health and Human Services (DHHS) is seeking a Senior PBM BA Specialist to lead Business and Technical Analysis related to assist with the MES PBM module implementation.

NC Department of Health and Human Services (DHHS) is seeking a senior Business Analyst with Technical expertise to assist with implementing and supporting the Medicaid Enterprise System (MES) Pharmacy Benefits Management (PBM) module. The PBM Business Analyst works with the Product owner, business users, vendors, multiple stakeholders, and executives to analyze and gather detailed business requirements, document processes in relation to implementing the PBM module. The PBM Business Analyst balances strategies between Business functionality and technical requirements.

The requirements for this position include but not limited to the following:

  • Four or more years of Pharmacy Benefits Management business and system experience
  • Extensive PBM domain knowledge
  • Thorough knowledge of statutes, and rules regarding PBM module
  • Ability to evaluate business processes, anticipate requirements, uncover areas for improvement, coordinate and experienced with implementing software solutions.
  • Experience working on large Federal/State programs
  • Ability to collaboratively work with multiple business units, vendors, teams, and stakeholders
  • Ability to manage multiple competing tasks
  • Extensive experience with system development life cycle (SDLC), business requirement gathering and analysis
  • Experience documenting requirements and other project deliverables.
  • Experience working with SQL, querying database tables, writing complex queries, and generating reports.
  • Ability to perform user acceptance testing, documenting, and managing defects.
  • Experience working with and designing system integrations and interfaces
  • Knowledge in NCPDP, Drug Rebate Processing, RetroDUR, EDI, X12, HL7, HIPAA PHI, ICD-10
  • Proficient with Microsoft Word, Excel, Visio, PowerPoint, Project, Outlook, and OneNote

The following skills are preferred:

  • Managed Care and Medicaid experience
  • Project Management experience
  • Experience or familiarity in interfacing with Systems Integrator Platform
  • Experience with JIRA, SCRUM, and Agile methodologies
  • Ability to prioritize projects based on business needs and requirements.
  • Ability to manage competing resources and priorities.
  • Experience with implementation and support of Pharmacy Benefit Module (PBM) and PBM domain knowledge

Required:

  • 4 Years Experience evaluating business processes, anticipating requirements, implementing software solutions.
  • 7 Years Experience working on large Federal / State programs
  • 7 Years Excellent verbal and written communication skills with the ability present to both technical and business audiences.

Required:

  • 4 Years Knowledge of Agile Methodology
  • 3 Years Experience in working with the Business Teams to write Business and QA Documents.
  • 7 Years Experience designing system integrations and interfaces.

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