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Pbm Data Analyst Jobs in Raleigh, NC (NOW HIRING)

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Pbm Data Analyst information

See Raleigh, NC salary details

$33.1K

$80.3K

$132.2K

How much do pbm data analyst jobs pay per year?

As of Jul 27, 2026, the average yearly pay for pbm data analyst in Raleigh, NC is $80,333.00, according to ZipRecruiter salary data. Most workers in this role earn between $60,800.00 and $94,300.00 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.
What are popular job titles related to Pbm Data Analyst jobs in Raleigh, NC? For Pbm Data Analyst jobs in Raleigh, NC, the most frequently searched job titles are:
What job categories do people searching Pbm Data Analyst jobs in Raleigh, NC look for? The top searched job categories for Pbm Data Analyst jobs in Raleigh, NC are:
What cities near Raleigh, NC are hiring for Pbm Data Analyst jobs? Cities near Raleigh, NC with the most Pbm Data Analyst job openings:
Pbm Data Analyst jobs near you
Infographic showing various Pbm Data Analyst job openings in Raleigh, NC as of June 2026, with employment types broken down into 75% Full Time, 20% Part Time, and 5% Contract. Highlights an 90% Physical, 2% Hybrid, and 8% Remote job distribution, with an average salary of $80,333 per year, or $38.6 per hour.
PBM Business Integration Specialist (Pharmacist)

PBM Business Integration Specialist (Pharmacist)

Expert Technology Services

Raleigh, NC • On-site

Contractor

Posted 9 days ago

Job description

NC Department of Health and Human Services (DHHS) seeks a Pharmacist as a Pharmacy Benefits Management (PBM) Business Integration Specialist to join the Medicaid Enterprise System (MES) project.
The PBM Business Integration Specialist will serve as a member of the DHHS Medicaid Enterprise System (MES) Program within Pharmacy Business space. The PBM Business Integration Specialist will provide expertise and business support to the Pharmacy and Ancillary Services Business Unit in the development and implementation of the Medicaid Enterprise Modular Pharmacy Business Management (PBM) Solution. The PBM Business Integration Specialist, as a Business Subject Matter Expert, will assist the Department to on-board the PBM vendor, serve as a business stakeholder, and represent the Pharmacy Business Unit in the implementation of the complex and innovative PBM Solution.
The primary responsibility of this position is to serve as the subject matter expert and content lead in collaboration with the Pharmacy Business team for Clinical policies and Prior Authorizations, Drug Utilization Review (DUR) and pharmacy lock-in related processes, Behavioral health, and A+ kids, Preferred Drug List (PDL) and Medicaid Drug Rebate Program (MDRP), and Physicians Administered Drug Program (PADP) related to the Medicaid Drug Rebate Program (MDRP).
The Pharmacy team needs a Business Integration Specialist who is dedicated to the PBM Module Implementation and can focus on these work streams as they relate to implementation of the new PBM, in collaboration with the existing pharmacy team.
Knowledge of Medicaid Pharmacy Benefits Management processes, intended outcomes, and pain points is essential.
This position will actively work with the Pharmacy Business team to define and provide the business support in completing the business process documents, Business use cases, Business case scenarios, user acceptance test case scenarios, and documentation in relation to Medicaid initiatives and strategic goals. This position may require interacting with the NC Medicaid Business Information Analytics Office, DHHS Data Office, Information Technology Division, Privacy and Security Office, Policy Office, General Counsel, Office of Procurement, Contracts and Grants, among others.
Roles and Responsibilities
• Supports one or more Pharmacy business process areas, including.
o Clinical policies and Prior Authorizations.
o Drug Utilization Review (DUR) and pharmacy lock-in related processes
o Behavioral health, and A+ kids.
o Preferred Drug List (PDL) and Medicaid Drug Rebate Program (MDRP)
o Physicians Administered Drug Program (PADP) related to the Medicaid Drug Rebate Program (MDRP)
• Supports cross-functional activities that provide effective oversight of Medicaid Programs.
• Collaborates and communicates with the PBM Business stakeholders (Product Managers, Product Owners, Business Leads.)
• In-depth knowledge and understanding of the business needs across functions and business segments in healthcare that meet departmental goals.
• Ability to research and recommend the development and implementation of business initiatives of the product enhancements.
• Provides feedback and input to senior level decision-makers to develop long-range strategic alternatives for business solutions.
• Preferred to have experience with Medicaid, managed care, and Pharmacy Benefit Manager (PBM) operations. areas.
• Prior experience with Medicaid applications and preferably across Pharmacy Functional Areas.
• Communicate with the business owner needs and help translate them into detailed and actionable requirements as needed.
• Ensures compliance with all applicable policies and procedures.
• Supporting the product lifecycle from conception through implementation.
• Performs other duties as assigned.
In addition, the Pharmacy Business Integration Specialist is responsible in supporting the Business Management space to achieve successful development of the Pharmacy Benefit Management Solution in support of the Medicaid program. The Business Integration Specialist will work collaboratively with the Business owner and the rest of the business team to develop the strategy behind how each MES module will support the business requirements definition as well translation and specification of all functional requirements.
  Required/Desired Skills   SkillRequired /DesiredAmountof ExperienceGraduation from an accredited School of Pharmacy, B.S. or Doctor of Pharmacy degreeRequired0 Registered Pharmacist with a valid (active) and unrestricted Pharmacist licenseRequired3YearsLicensed to practice pharmacy in the State of North Carolina or the ability to receive the North Carolina license to practice Pharmacy within 90 daysRequired0 Understanding of pharmacy lines of business: retail, long term care, home infusion, mail order, specialty, institutionalRequired3YearsSkills to handle multiple priorities and manage communications professionally to achieve issue resolution with customers, employees, or managementRequired3YearsKnowledge of the Medicaid Pharmacy (PBM) processes, roles, and intended outcomesRequired3YearsDrug information skillsRequired3YearsExperience in ensuring with all applicable policies and procedures.Required3YearsKnowledge of the Enterprise IT Systems integration principle and associated change management best practicesDesired1YearsDemonstrate ability to manage multiple priorities and projects, and function in a fast passed moving constantly changing, deadline-driven environmentRequired3YearsProficient in Microsoft Word, Excel, PowerPoint, Access, and Adobe softwareRequired3YearsExperience in reviewing and providing feedback and input to senior level decision-makers to develop long-range strategic alternatives for business solRequired3YearsExperience working in a combination of business analysis. Product management, project management, and or software application developmentRequired3YearsExcellent communication skills and attention to detail with specific experience developing, editing, and presenting summaries, reports, and complex inRequired3YearsProven experience and working knowledge of the agile development methodologies, environment and toolsHighly desired2YearsExperience handling HIPPA and PII dataRequired3YearsManaged care knowledge or experienceRequired3YearsMedicaid program knowledge or related Healthcare Information experienceRequired3Years