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Pbm Data Analyst Jobs (NOW HIRING)

Analyze pharmacy claims data and develop reports for operations, sales and other key business units. * Support the financial aspects of PBM Request for Proposals (RFPs), and client market-checks to ...

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 ...

This role is key in defining future-state processes, data flows, and reporting solutions within a ... Business & Systems Analysis within PBM platforms * Requirements gathering (BRDs, user stories ...

We are seeking a Data Analyst who will be responsible for delivering on-demand, automated, and ... Post graduate degree preferred. * 2 + years of relevant experience in the PBM and/or Health Plan ...

Data Analyst

Princeton, NJ · On-site +1

$80K - $100K/yr

We are seeking a Data Analyst who will be responsible for delivering on-demand, automated, and ... Post graduate degree preferred. * 2 + years of relevant experience in the PBM and/or Health Plan ...

Our mission is to disrupt the expensive and inefficient Pharmacy Benefit Management (PBM) sector by ... As a Staff Data Analyst at SmithRx, you'll play a pivotal role on a high-impact Data team, leading ...

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Pbm Data Analyst information

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$34K

$82.6K

$136K

How much do pbm data analyst jobs pay per year?

As of Jun 5, 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 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 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 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:
PBM Underwriter

$109K/yr

Full-time

Medical, Dental, Vision, Retirement, PTO

Posted 13 days ago


Job description

Description:

Position Overview: As a PBM Underwriter, you will be a strategic team member that is key in both winning new and retaining existing business by compiling financial proposals that appeal to clients, while meeting MedOne goals.


About MedOne: MedOne is a full-service pharmacy benefit manager (PBM), serving clients and members nationwide. With a fully transparent, pass-through model, MedOne helps people conveniently access the most appropriate prescriptions at the most affordable price.


What You'll Do:

  • Use proprietary Underwriting and Pricing Models, Excel, and SQL to model both prospective and existing client pharmacy spend, their underlying drivers of cost, as well as MedOne’s profitability.
  • Analyze pharmacy claims data and develop reports for operations, sales and other key business units.
  • Support the financial aspects of PBM Request for Proposals (RFPs), and client market-checks to include coordinating PBM data requests, completing financial evaluation, and completing formulary and network evaluations
  • Assist with research, recommendations, and implementation of technology changes and reporting to improve accuracy of the Underwriting Model and optimize financial responses to PBM RFP procurement.
  • Complete formulary and network disruptions to aid in the onboarding process of new clients
  • Ability to work closely with Subject Matter Experts (such as Clinical, Proposal Services, and Rebates) teams to incorporate their most up to date guidance seamlessly into the Underwriting Model.
  • Collaborate with other departments in Strategic Pricing business unit on analyses and/or projects
  • Active participation and/or ownership in both quarterly and annual business unit priorities
  • Other duties as assigned


What You Will Bring to MedOne:

  • Bachelor’s Degree in Math, Computer Science, Statistics or IT preferred
  • 1-3 years as a functional Data Analyst to include:
  1. Data mining, and financial modeling using industry standard tools in similar roles in Pharmacy Benefits Management (PBM), Retail Pharmacy, PBM Consulting, and/or Healthcare experience.
  2. Ability to translate business requirements to accurate technical specifications, with the end goal of creating optimized business reports that can be easily applied to meet the business use case
  3. System architecture and enterprise solution understanding.
  4. Intermediate knowledge of reporting, data analytics, and problem solving using analytical tools such as Excel, SAS, SQL, Power BI, and/or other ad hoc Query Tools
  5. Relevant experience that demonstrates problem-solving, financial acumen, and ability to understand, analyze and decrypt complex processes.
  • Ability to think strategically and proactively
  • Time management and prioritization skills.
  • Incredible work ethic and energy.


Why Join MedOne? At MedOne, we believe that a healthy team is a happy team. We offer a collaborative work environment, competitive benefits, and opportunities for growth—all while helping to make a difference in people’s lives. Our top core value is to prioritize your well-being. To support you in living this value, we offer:

  • Competitive salary and bonuses that reward your performance.
  • Comprehensive health, dental, and vision insurance + additional benefits
  • 401(k) with company match to secure your future.
  • Generous paid time off and holidays.
  • Opportunities for professional growth and development.
  • A vibrant and collaborative work culture.


Location: Offices in either Dubuque, IA, or Kansas City, MO, or the position can be remote within the United States.

Employment Type: Full Time, Salary/Exempt Position

Hours: Hours may vary within our normal business hours.

Reports to: Director of Underwriting


How to Apply: If you're enthusiastic about helping others and eager to join a dynamic team, we’d love to hear from you. Apply now and take the first step toward a rewarding career at MedOne! You can submit your application through our careers page.


MedOne is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees.


Job Offers are contingent on passing a background check and drug screen.

Requirements: