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Pbm Data Analyst Jobs (NOW HIRING)

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 ...

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 ...

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 ...

New

IQVIA, Inc.

Senior Data Quality Analyst

Burlington, MA · On-site

... 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 ...

New

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 ...

New

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

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Pbm Data Analyst information

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How much do pbm data analyst jobs pay per year?

As of Jul 17, 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 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.

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.
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Pbm Data Analyst jobs near you
PBM Data Operations Coordinator

PBM Data Operations Coordinator

Benecard Services, LLC

Mechanicsburg, PA • On-site

Full-time

Re-posted 7 days ago

Job description

Job Summary:
Benecard Services, LLC is a full service prescription benefit administrator that has been operating since 1990. The PBM Data Operations Coordinator supports data exchange operations and serves as a key liaison between internal teams, clients, and external vendors, ensuring the accuracy and timeliness of member data processing.
Responsibilities:
• Capture and analyze client requirements, mapping specifications, and goals during onboarding.
• Support carrier and vendor testing for new eligibility file implementations.
• Monitor inbound and outbound eligibility file exchanges; proactively identify and resolve errors.
• Research, troubleshoot, and remediate issues related to electronic eligibility data and system processing.
• Perform quality reviews of eligibility tasks, fixes, and enhancements.
• Manage file handling, tracking tools, and reporting accuracy.
• Conduct upfront analysis of accumulator feeds from clients, TPAs, and medical carriers.
• Ensure timely and accurate upload of accumulator amounts into the system.
• Proactively identify and correct discrepancies or file issues.
• Analyze edit reports and coordinate corrective actions.
• Serve as the business owner for Integrated Max Out-of-Pocket (TMOOP) processing.
• Provide requirements for new interfaces and system enhancements related to eligibility and accumulator data.
• Collaborate with IS and other internal teams to address process gaps, inefficiencies, or platform improvements.
• Assist with user acceptance testing (UAT) for system development requests.
• Participate in internal and external meetings, calls, and vendor/client discussions.
• Provide technical support to implementation teams and external stakeholders.
• Document fixes, enhancements, and process updates to ensure operational quality.
• Other duties as assigned.
Qualifications:
Required:
• Ability to work independently and take initiative.
• Experience testing, analyzing, researching, verifying, entering, or correcting electronic data.
• Experience with eligibility (834) files and/or accumulator-related data feeds.
• Working knowledge of electronic file formats such as 834 or 837.
• Proficiency in Microsoft Excel (moderate skill level).
• Strong analytical and critical-thinking skills.
• Organizational skills and attention to detail.
• Verbal and written communication skills.
• Ability to multitask, prioritize, and work effectively with teams.
• Ability to analyze and research data to identify and resolve issues.
Preferred:
• 1+ years’ experience in electronic claims accumulator transmission.
• Experience with custom client file layouts and healthcare industry EDI standards.
• Experience with TPA, carrier, or PBM environments.
• Familiarity with post-edit reporting or accumulator discrepancy analysis.
• Prior involvement with UAT or system development initiatives.
Company:
Benecard Services, LLC has been administering carve-out, fixed rate insured prescription drug benefit programs since 1990. Founded in 1990, the company is headquartered in Lawrenceville, USA, with a team of 51-200 employees. The company is currently Growth Stage.

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