ZipRecruiter

Log In

1

Pbm Data Analyst Jobs (NOW HIRING)

VIS IT Solutions Inc

SQL Analyst

Dulles, VA · Remote

SQL Analyst Location: Remote We are seeking experienced SQL engineer with strong PBM (Pharmacy ... related PBM data - Perform manual validation of eligibility files before they are loaded into ...

Medix

REMOTE Account Manager (PBM)

Williamsville, NY · On-site +1

$28.85 - $38.46/hr

Pharmacy Benefits Management (PBM) experience. * Strong organizational, multitasking, and ... Excel and data analysis skills - Ability to work with pharmacy or claims data to identify trends ...

ProAct - PBM

Senior Data Solutions Analyst

Chicago, IL · On-site

$88K - $111K/yr

ProAct - PBM is seeking a Senior Data Solutions Analyst to transform and organize data sets while analyzing data trends. The role involves creating automated solutions to improve efficiencies across ...

IQVIA

Senior Data Quality Analyst

Burlington, MA · On-site +1

... NDC), and PBM data concepts. * Advanced SQL skills and experience with data profiling ... Strong communication, analytical, problem-solving, and mentoring skills. * Bachelor's degree in a ...

next page

Showing results 1-20

All JobsPbm Data Analyst Jobs

Pbm Data Analyst information

See salary details

$34K

$82.6K

$136K

How much do pbm data analyst jobs pay per year?

As of Aug 27, 2026, the average yearly pay for pbm data analyst in the United States is $82,640.00, according to ZipRecruiter salary data. Most workers in this role earn between $62,500.00 and $97,000.00 per year, depending on experience, location, and employer.

What is a PBM data analyst?

A PBM Data Analyst is a professional who analyzes data related to Pharmacy Benefit Managers (PBMs), which are companies that manage prescription drug benefits on behalf of health insurers, Medicare Part D drug plans, large employers, and other payers. These analysts collect, process, and interpret large sets of pharmacy and claims data to help organizations optimize drug spending, ensure regulatory compliance, and improve patient outcomes. They often use statistical tools and data visualization software to identify trends, support business decisions, and generate reports for stakeholders. Strong analytical skills, attention to detail, and knowledge of healthcare and pharmacy data are essential for this role.

What are the key skills and qualifications needed to thrive as a PBM data analyst, and why are they important?

To thrive as a PBM Data Analyst, you need strong analytical skills, expertise in data management, and a background in pharmacy benefit management or healthcare analytics, often supported by a relevant degree. Proficiency in SQL, data visualization tools (such as Tableau or Power BI), and familiarity with PBM software systems are typically required. Attention to detail, problem-solving ability, and effective communication are essential soft skills for this role. These competencies are critical for accurately interpreting complex pharmacy data, informing business decisions, and ensuring regulatory compliance within the PBM industry.

What are the common challenges faced by PBM data analysts in ensuring data accuracy and compliance?

PBM Data Analysts often encounter challenges related to the integration and validation of large, complex datasets from multiple pharmacy benefit management systems. Ensuring data accuracy requires meticulous attention to detail and frequent cross-checking with regulatory requirements, as errors can impact patient care and contractual compliance. Analysts must also stay updated on evolving healthcare regulations and privacy laws, which adds complexity to their data management responsibilities. Collaboration with IT, compliance, and clinical teams is crucial to overcome these challenges and maintain high data integrity.

What is the difference between Pbm Data Analyst vs Pbm Data Analyst?

AspectPbm Data AnalystPbm Data Analyst
Required CredentialsBachelor's in Data Science, Analytics, or related field; certifications like CAP or Microsoft Certified Data AnalystBachelor's degree in relevant field; certifications such as CAP or Microsoft Certified Data Analyst are common
Work EnvironmentHealthcare or pharmaceutical companies analyzing medication data and patient informationHealthcare or pharmaceutical settings focusing on medication management and data reporting
Employer & Industry UsageUsed by healthcare providers, pharmaceutical companies, and health plansCommonly employed in healthcare organizations, pharmaceutical firms, and health insurance companies

The Pbm Data Analyst primarily focuses on analyzing pharmacy benefit management data to optimize medication costs and patient outcomes. Since both titles are identical, the comparison emphasizes the typical roles, credentials, and work environments associated with Pbm Data Analysts in healthcare and pharmaceutical industries.

More about Pbm Data Analyst jobs

What cities are hiring for Pbm Data Analyst jobs?

Cities with the most Pbm Data Analyst job openings:

What states have the most Pbm Data Analyst jobs?

States with the most job openings for Pbm Data Analyst jobs include:

What job categories do people searching Pbm Data Analyst jobs look for?

The top searched job categories for Pbm Data Analyst jobs are:

Pbm Data Analyst jobs near you
Infographic showing various Pbm Data Analyst job openings in the United States as of August 2026, with employment types broken down into 100% Full Time. Highlights an 100% In-person job distribution, with an average salary of $82,640 per year, or $39.7 per hour.

Senior Data Analyst - Medicaid Exp Must - W2

CLOUDSCOUTS SOFTWARE SOLUTIONS LLC

Frisco, TX • Remote

$88K - $111K/yr

Full-time

This job post has expired today. Applications are no longer accepted.

Job description

Job Title: Senior Data Analyst – Medicaid Exp Must
Experience : 10+ Years
Key Responsibilities:
 • Analyze large volumes of Medicaid healthcare data, including claims, enrollment, provider, eligibility, encounter, and pharmacy data. 
 • Gather, analyze, and document business and data requirements from Medicaid business stakeholders. 
 • Develop and maintain complex SQL queries, stored procedures, and data validation scripts for data extraction and analysis. 
 • Perform detailed analysis of Medicaid claims adjudication, member eligibility, provider networks, and reimbursement processes. 
 • Design, develop, and maintain dashboards, scorecards, and reports using BI tools such as Tableau, Power BI, or Cognos. 
 • Conduct data profiling, data quality assessments, and root cause analysis to ensure accuracy and completeness of Medicaid data. 
 • Collaborate with business teams to support Medicaid regulatory reporting, including CMS, state-specific mandates, and quality measures. 
 • Analyze healthcare KPIs, utilization trends, cost containment opportunities, and operational metrics. 
 • Support Medicaid programs such as Managed Care, Fee-for-Service (FFS), Dual Eligible, LTSS, and Value-Based Care initiatives. 
 • Work closely with ETL and data engineering teams to validate source-to-target mappings and data transformations. 
 • Perform impact analysis for system enhancements, regulatory changes, and Medicaid policy updates. 
 • Create functional specifications, business requirement documents (BRDs), and data mapping documents. 
 • Participate in Agile ceremonies including sprint planning, backlog grooming, daily stand-ups, and retrospectives. 
 • Ensure compliance with HIPAA regulations and healthcare data security standards. 
 • Provide mentorship and guidance to junior analysts and team members. 
Required Skills:
Healthcare/Medicaid Domain:
 • Strong experience in Medicaid programs and healthcare payer systems. 
 • Deep understanding of Medicaid claims processing lifecycle. 
 • Experience with: 
 ○ Member Eligibility and Enrollment 
 ○ Claims Adjudication 
 ○ Provider Management 
 ○ Encounters and Capitation 
 ○ Prior Authorization 
 ○ Care Management 
 ○ Pharmacy and PBM data 
 ○ ICD-10, CPT, HCPCS, DRG, NDC coding systems 
 ○ CMS and State Medicaid reporting

This is a remote position.