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Pbm Data Analyst Jobs in Texas (NOW HIRING)

... PBM), and other benefits vendors. * Monitor healthcare claims utilization and recommend cost ... data analysis. * Experience administering HRIS/payroll systems, preferably Paycom. * Excellent ...

Our mission is to disrupt the expensive and inefficient Pharmacy Benefit Management (PBM) sector by ... This position plays a significant role in the Member Experience by providing insights and data ...

Our mission is to disrupt the expensive and inefficient Pharmacy Benefit Management (PBM) sector by ... data integrity. * Assist in determining process improvement efforts. * Maintain prior ...

Manages client reporting and data file creation; coordinates billing functions * Conducts periodic ... Reviews / reports on financial results for PBM account activity, regularly and as requested

Manages client reporting and data file creation; coordinates billing functions * Conducts periodic ... Reviews / reports on financial results for PBM account activity, regularly and as requested

Manage and process incoming and outgoing forms, information, and data to provide patient assistance ... Demonstrate problem-solving skills, information gathering, research, alternatives analysis ...

Manage and process incoming and outgoing forms, information, and data to provide patient assistance ... Demonstrate problem-solving skills, information gathering, research, alternatives analysis ...

Manage and process incoming and outgoing forms, information, and data to provide patient assistance ... Demonstrate problem-solving skills, information gathering, research, alternatives analysis ...

Showing results 41-60

Pbm Data Analyst information

See Texas salary details

$31.7K

$77K

$126.7K

How much do pbm data analyst jobs pay per year?

As of Sep 2, 2026, the average yearly pay for pbm data analyst in Texas is $76,992.00, according to ZipRecruiter salary data. Most workers in this role earn between $58,200.00 and $90,400.00 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.

What cities in Texas are hiring for Pbm Data Analyst jobs?

Cities in Texas with the most Pbm Data Analyst job openings:

Infographic showing various Pbm Data Analyst job openings in Texas as of August 2026, with employment types broken down into 95% Full Time, and 5% Contract. Highlights an 80% In-person, 7% Hybrid, and 13% Remote job distribution, with an average salary of $76,992 per year, or $37 per hour.

Prior Authorization Specialist II Pharmacy Services CFHP

University Health

San Antonio, TX • On-site

$19.30 - $28.75/hr

Full-time

Posted 20 days ago


University Health System (San Antonio) rating

8.0

Company rating: 8.0 out of 10

Based on 64 frontline employees who took The Breakroom Quiz

89th of 898 rated healthcare providers


Job description

POSITION SUMMARY/RESPONSIBILITIES
Prepares pharmacy prior authorization requests for review by nurse/pharmacist/physician reviewers. Completes pharmacy authorization requests and issues review outcome notifications to Community First Health Plans (CFHP) members and providers. Follows clinical criteria and instructions to approve prior authorization requests based on established criteria, plan policies and procedures. Performs non-medical research including eligibility verification and benefits verification. Reviews medication utilization reports and identifies trends through advanced data analytics. Produces reports to comply with regulatory and accreditation standards
EDUCATION/EXPERIENCE
Graduation from high school/GED required. Bachelor's degree preferred. Five years of pharmacy experience required. Some coursework at the college level is preferred. Excellent customer service, phone etiquette, attention to detail, and typing skills is required. Basic knowledge of Microsoft Office and internet required. Experience in health insurance/pharmacy insurance or managed care organization preferred. Prior authorization processing experience desired. Experience in a PBM or managed care call center desired. Knowledge of InterQual screening criteria as well as DRG, ICD-10 and CPT coding is preferred.
LICENSURE/CERTIFICATION
Texas State Board of Pharmacy registration required. Certification as a Pharmacy Technician (CPhT) is required.

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