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Pbm Data Analyst Jobs in Encinitas, CA (NOW HIRING)

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Pbm Data Analyst information

See Encinitas, CA salary details

$36.5K

$88.8K

$146.1K

How much do pbm data analyst jobs pay per year?

As of Sep 5, 2026, the average yearly pay for pbm data analyst in Encinitas, CA is $88,763.00, according to ZipRecruiter salary data. Most workers in this role earn between $67,100.00 and $104,200.00 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 job categories do people searching Pbm Data Analyst jobs in Encinitas, CA look for?

The top searched job categories for Pbm Data Analyst jobs in Encinitas, CA are:

What cities near Encinitas, CA are hiring for Pbm Data Analyst jobs?

Cities near Encinitas, CA with the most Pbm Data Analyst job openings:

Infographic showing various Pbm Data Analyst job openings in Encinitas, CA as of August 2026, with employment types broken down into 1% As Needed, 82% Full Time, 13% Part Time, and 4% Contract. Highlights an 87% Physical, 3% Hybrid, and 10% Remote job distribution, with an average salary of $88,763 per year, or $42.7 per hour.

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 5 days ago


Job description

Benefits ManagerJob Description

Benefits Manager Job Description

Last Updated: 05/01/2026

Notice to California Residents: Please review theCalifornia Employee and Applicant

Privacy Policyprior to submitting your application

At Athletic Brewing, we are on a mission to revolutionize the beer industry, and we are doing it with a team of doers. We move quickly, we hold a high bar, and we reward performance.

We are a company of hard workers and dedicated professionals who take ownership, drive results, and want their impact to be visible.
We believe in merit, accountability, and earning opportunities through contribution. High performers grow here. If you are motivated by building, improving, and winning as a team, you
will thrive at Athletic. Through our products and our people, we believe we can positively impact health, activity, and opportunity in our communities.

We actively seek representation from diverse backgrounds and experiences and are committed to building a team that reflects the communities we serve.

About the Role
As a Benefits Manager, you'll play a central role in shaping the employee experience by administering comprehensive benefits and retirement programs with integrity and a
commitment to quality. This role oversees our 401(k) plan, self-funded medical plan, carve-out pharmacy program, and additional ancillary plans; ensuring compliance, delivering real value,
and serving as the primary resource for employee inquiries and education. Beyond benefits, this role supports bi-weekly payroll operations and partners with HR and
finance to keep programs aligned. With an innovative mindset and a genuine care for community, you'll evaluate vendors, identify trends, and recommend improvements that reflect
our commitment to our people.


Job Responsibilities:
401(k) Program Management
Oversee the daily administration of the company's 401(k) plan, including but not limited to enrollment, contribution, loans, and distributions.
Ensure compliance with ERISA, IRS regulations, and other applicable laws.
Coordinate and manage with third-party administrators and investment advisors to optimize plan performance and employee participation.
Conduct employee education sessions to promote understanding and engagement with the 401(k) program.
Provide support for the 5500 audit for yearly compliance.

Evaluate TPAs, Brokers, and Vendors associated with the 401(k) Program
Health and Ancillary Benefits Management
Manage the self-funded medical plan, including claims administration, stop-loss insurance, and coordination with the captive insurance structure.
Monitor plan performance, analyze claims data, and implement cost-containment strategies.
Collaborate with brokers, TPAs, and reinsurers to ensure the plan meets employee needs and financial objectives.
Ensure compliance with ACA, HIPAA, and other regulatory requirements.
Ensure billing aligns with claims data across all plans.
Evaluate TPAs, Brokers, and Vendors associated with our Benefits Program.
Administer the carve-out pharmacy benefit program, working with the pharmacy benefit manager (PBM) to optimize formulary design and cost efficiency.
Review pharmacy claims and utilization data to identify trends and opportunities for savings.
Educate employees on pharmacy benefits and support the resolution of coverage issues if they occur.
Administer and manage ancillary benefit plans.
Serve as primary point of contact for employee benefits inquiries, providing exceptional service and support.
Develop and distribute benefits communication materials to enhance employee understanding and engagement.
Maintain accurate records of employee benefits and update systems as necessary. This includes but is not limited to: reconciliation of monthly invoices
and ensuring employees are deducted for their benefit elections.
Stay current on the industry trends, regulatory changes, and best practices to recommend improvements to benefits and payroll programs.
Analyze and evaluate existing benefits programs and recommended improvements.
Support annual open enrolment, including plan design, vendor negotiations, and employee communications.
Be the point of contact and reconcile billing for all benefits plans.
Ensure compliance with federal, state, and local regulations related to employee benefits

Payroll Administration Support
Support end-to-end bi-weekly payroll processing for all employees, ensuring accuracy, timeliness, and compliance with federal, state, and local regulations.
Ensure accuracy for all pieces, including but not limited to: regular earnings (Including CA regular rate of pay), overtime, bonus, commissions, wage,
garnishments, expense reimbursements, company fleet, meal breaks, split shifts, stipend programs, taxes, and deductions.
Audit and review timekeeping systems to ensure accuracy and follow up with managers to ensure timely submissions to process payroll.
Support payroll systems, tax filings, and deductions, including benefits-related contributions. Liaison with state and federal agencies for tax purposes.
Address employee payroll inquiries and resolve discrepancies promptly. These corrections include preparing support for any off-cycle payments, including but not
limited to: final pay, manual payroll checks, corrections, and year-end bonus.
Coordinate with HR and finance teams to align payroll with benefits and budgeting processes.

Perform activities necessary for year-end, including but not limited to W2s,1095Cs, 1099s, and ACA reporting.
Perform employment verifications.
Reporting for finance departments to support benefits and payroll processes.
Support additional ad-hoc reporting to support finance, safety, and HR departments.

Other duties, responsibilities, and activities may change or be assigned at any time with
or without notice.

Desired Experience/ Traits
Who You Are:

Personal curiosity in improving skills
Strong time management skills with a proven ability to meet deadlines.
Strong organizational skills, attention to detail, listening, critical thinking, verbal and written communication skills.
Honest, Dependable, high integrity, team player, and passionate.

Skills and Experience:
Bachelor's degree in Human Resources, Business Administration, or a related field is preferred
3+ Years of experience in benefits administration, with specific expertise in 401(k) plans,
self-funded medical plans, and pharmacy benefits.
In-depth knowledge of ERISA, ACA, HIPAA, IRS regulations, and other relevant
compliance requirements.
Experience with captive insurance structures is highly preferred.
Strong analytical skills, with the ability to interpret claims data, financial reports, and
utilization trends.
Excellent communication and interpersonal skills, with a customer-service mindset.
Proficiency in HRIS, benefit administrative platforms, Google Suite/Excel.
Certified Employee Benefits Specialist (CEBS) or similar certification is a plus.

Job Details:
Location: San Diego, CA brewery. In the office, 4 days a week are required.
Salary: $85,000 - $95,000 - commensurate with experience
Bonus: Eligible for discretionary annual bonus up to 15% of base pay.
Benefits: Company-paid health, vision, dental, life, 401k with 5% company match, and Paid Parental Leave
Community Program: In addition to Paid Time Off, all team members receive one paid day per month to dedicate to volunteering activities.
We value internal mobility and team equity.
We are an equal opportunity employer - we thrive when we champion diversity and inclusion. We are welcoming, respectful, and supportive at work and in our community.
We encourage and welcome members of traditionally underrepresented communities to apply.

Physical Demands:

The physical demands described here represent those that must be met by an employee
to successfully perform the essential functions of this job.
Primarily works in a seated position; however, standing, walking, bending, and reaching may be required.
May sit or stand for extended periods throughout the workday.
Frequent use of hands and fingers to operate a computer, phone, and other office equipment.
Repetitive motions involving typing, clicking, and data entry.
Occasional lifting and/or moving of items up to 25+ pounds.
Prolonged exposure to computer screens.
Ability to manage frequent interruptions and maintain focus in a fast-paced environment.
Ability to perform tasks requiring visual acuity, including working with items at close range and adjusting focus, with or without reasonable accommodation.
Ability to recognize and respond to instructions and alert signals in the work environment.