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Pbm Business Analyst Jobs (NOW HIRING)

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 ...

AllSTEM Connections

IT Business Analyst

Indianapolis, IN · On-site

$140K - $145K/yr

Job Overview We are looking for a motivated IT Business Analyst / Healthcare Data Analyst with 1-3 ... Experience in Pharmacy, Healthcare, PBM, Health Insurance, Hospital, Pharma, or Biotech industries

Forhyre

OH · On-site

We are looking for a Claims Business Analyst who will be the vital link between our information ... Experience working within the Payer / PBM market (in particular Medicare and Medicaid, Part D and ...

Forhyre

We are looking for a Claims Business Analyst who will be the vital link between our information ... Experience working within the Payer / PBM market (in particular Medicare and Medicaid, Part D and ...

Elevance Health

Sr Test Analyst PBM

Indianapolis, IN · Hybrid

The Senior Test Analyst PBM is responsible for serving as the liaison between the business and IT in translating complex business needs into application software. Ensures the accurate setup and ...

Elevance Health

Sr Test Analyst PBM

Tampa, FL · Hybrid

The Senior Test Analyst PBM is responsible for serving as the liaison between the business and IT in translating complex business needs into application software. Ensures the accurate setup and ...

Elevance Health

Sr Test Analyst PBM

Indianapolis, IN · On-site

The Senior Test Analyst PBM is responsible for serving as the liaison between the business and IT in translating complex business needs into application software. Ensures the accurate setup and ...

Forhyre

We are looking for a Claims Business Analyst who will be the vital link between our information ... Experience working within the Payer / PBM market (in particular Medicare and Medicaid, Part D and ...

Forhyre

Claims Business Analyst

Charlotte, NC · On-site

We are looking for a Claims Business Analyst who will be the vital link between our information ... Experience working within the Payer / PBM market (in particular Medicare and Medicaid, Part D and ...

Elevance Health

Sr Test Analyst PBM

Atlanta, GA · Hybrid

The Senior Test Analyst PBM is responsible for serving as the liaison between the business and IT in translating complex business needs into application software. Ensures the accurate setup and ...

Elevance Health

Sr Test Analyst PBM

Miami, FL · Hybrid

The Senior Test Analyst PBM is responsible for serving as the liaison between the business and IT in translating complex business needs into application software. Ensures the accurate setup and ...

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Pbm Business Analyst information

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How much do pbm business analyst jobs pay per hour?

As of Sep 14, 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 is a PBM Business Analyst?

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.

What are the key skills and qualifications needed to thrive as a PBM Business Analyst?

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.

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Pbm Business Analyst jobs near you
Infographic showing various Pbm Business Analyst job openings in the United States as of September 2026, with employment types broken down into 1% Internship, 83% Full Time, 14% Part Time, and 2% Contract. Highlights an 88% Physical, 3% Hybrid, and 9% Remote job distribution, with an average salary of $98,662 per year, or $47.4 per hour.

Business Analyst - Healthcare

Schaumburg, IL

Stem Xpert
Recruiting and Staffing Services • 51 - 200 employees
Learn more about Stem Xpertexternal

Contractor

Re-posted 22 days ago

Job description

Company Description

 

 

Job Description

Position  :  Business Analyst
Location  :  Schaumburg, IL
Duration  :  Longterm

Client : Galax E Solutions


Key Technologies :   Specialty Mail Application
Candidates should either have specialty mail application or portal development experience. Ideally, candidates would have both.
What you will do:
Reviews, analyzes, and evaluates business information needs as requested by internal and external customers.
Acts as a liaison between business units and IT departments.
Participates in or facilitates business process modeling and research efforts.
Create functional and Technical Design Specifications based on business needs.
Communicates and monitors project development.
Participates on development team for the purpose of defining project scope, sizing & technical design, testing, training and implementation of applications.
Skills & Experience:
Above-average ability to communicate and present ideas and information effectively.
        Excellent documentation skills.
        Ability to identify and manage multiple priorities.
        Excellent analytical abilities and can develop logical framework for resolving/analyzing problems
        Ability to solve practical problems and deal with a variety of concrete variables in situations where only limited standardization exists.
        Ability to interpret a variety of instructions furnished in written, oral, diagram, or schedule form.
        Advanced skill level with Microsoft Office products (including Project and Visio)
        Healthcare / PBM Industry Experience that includes:
        Understanding of Mail Order work flow
        Knowledge of RxExpress, RxClaim, and other PBM platforms

Additional Information

Candidate Screening Questions:

1. Do you have experience with any Specialty Mail applications? If so, tell me about your most recent project experience.
2. Tell me about your experience creating Business Requirement Documents (BRD) to define the scope and business/technical objectives of the the client.
3. Do you have experience working on projects which included portal development? If so, please describe your last portal project, and what role you played.

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About stem xpert

Sourced by ZipRecruiter

STEM Xpert, based in Ann Arbor, MI, US, is a leading company in the Science, Technology, Engineering, and Mathematics (STEM) education industry. Since their establishment, they have made an indelible mark by providing innovative services and products designed to enhance STEM learning. Their service portfolio includes comprehensive educational programs, customized learning modules and interactive STEM kits. Driven by a passion for nurturing young minds, the company's mission is to bring about an educational renaissance in the STEM field, making learning not just theoretical but practical and fun. One notable achievement for STEM Xpert has been its success in reaching a broad spectrum of learners, from school-age to adults, contributing significantly towards empowering the community's technological and scientific literacy.

Industry

Recruiting and staffing services

Company size

51 - 200 Employees

Headquarters location

Ann Arbor, MI, US

Year founded

2012

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