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

Marpai Administrators LLC

Reporting Analyst, PBM

Cary, NC · Remote

$65K - $85K/yr

Analyze pharmacy claims data, utilization trends, drug spend, generic efficiency, savings ... Remain current on PBM, pharmacy benefit, healthcare analytics, and reporting trends. * Other duties ...

Advance Auto Parts

Sr. Benefits Manager

Raleigh, NC · Hybrid

Lead cost-containment initiatives (plan design optimization, PBM contracting strategies ... Financial and analytical acumen; able to use data to inform decisions and drive cost and quality ...

VGroup Inc

Integration Specialist

Raleigh, NC · On-site

Collaborates and communicates with the PBM Business stakeholders (Product Managers, Product Owners ... Experience handling HIPPA and PII data * Managed care knowledge or experience * Medicaid program ...

Elevance Health

Pharmacist Clinical

Raleigh, NC

$115K - $137K/yr

Researches and synthesizes detailed clinical data related to pharmaceuticals. * Prepares and ... Minimum of 2 years of managed care pharmacy (PBM) experience or residency in lieu of work ...

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Elevance Health

Pharmacist Clinical

Durham, NC

$111K - $133K/yr

Researches and synthesizes detailed clinical data related to pharmaceuticals. * Prepares and ... Minimum of 2 years of managed care pharmacy (PBM) experience or residency in lieu of work ...

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All JobsPbm Data Analyst JobsPbm Data Analyst Jobs in Raleigh, NC

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 Jun 12, 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 jobs pay 2000 a day?

High-paying roles such as senior management, specialized consultants, or certain freelance professionals can earn around $2,000 per day. These positions often require extensive experience, advanced skills, or certifications, and may involve project-based or contract work in industries like finance, technology, or consulting.

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.

Will healthcare data analyst be replaced by AI?

Healthcare data analysts, including PBM data analysts, analyze complex health data to support decision-making and improve patient outcomes. While AI can automate routine tasks and assist in data processing, human expertise is essential for interpreting results, ensuring data quality, and applying contextual knowledge, making complete replacement unlikely in the near term.

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.

How much does a PBM make?

A PBM (Pharmacy Benefit Manager) data analyst typically earns between $60,000 and $90,000 annually, depending on experience, location, and certifications. They analyze pharmacy data, manage drug benefit programs, and often use tools like SQL and Excel as part of their role.

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.

How to become a PBM analyst?

To become a PBM (Pharmacy Benefit Manager) data analyst, candidates typically need a bachelor's degree in health administration, pharmacy, statistics, or a related field. Strong skills in data analysis tools like Excel, SQL, or SAS, along with knowledge of healthcare and pharmacy benefit processes, are essential. Gaining experience through internships or entry-level roles in healthcare data analysis can also improve job prospects.
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

Reporting Analyst, PBM

Marpai Administrators LLC

Cary, NC • Remote

$65K - $85K/yr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 25 days ago

Job description

Benefits:
  • 401(k)
  • 401(k) matching
  • Competitive salary
  • Dental insurance
  • Health insurance
  • Paid time off
  • Vision insurance

Marpai Administrators (Subsidiary of Marpai Inc. (NASDAQ: MRAI)) is a technology company transforming the Third Party Administration sector serving employers with self-funded health plans. Marpai Administrators (Marpai) is an AI-powered national TPA (third party administrator) using deep learning and machine learning to maximize population health outcomes with the greatest cost efficiency for any health plan budget. We create healthier members and a healthier bottom line. Marpai proactively targets at-risk members with meaningful clinical interventions to improve outcomes.
ABOUT THE POSITION:
The Reporting Analyst, PBM reports to the Account Executive, MarpaiRx and is responsible for developing, maintaining, and validating pharmacy claims reporting, operational dashboards, and client-facing analytics. This role will support MarpaiRx by translating pharmacy claims data into accurate, actionable reporting used for implementation, client readiness, clinical programs, performance guarantees, RFP support, and ongoing operational monitoring. The Reporting Analyst will work in a fast-paced, dynamic work environment, collaborating with operations, claims, clinical, implementation, account management, sales, and vendor partners. This role requires strong analytical ability, attention to detail, technical reporting skills, and the ability to communicate data findings clearly to internal and external stakeholders
WHAT YOU WILL BE DOING:
  • Develop, maintain, and validate recurring pharmacy claims reports, dashboards, and client-facing reporting packages.
  • Analyze pharmacy claims data, utilization trends, drug spend, generic efficiency, savings opportunities, specialty utilization, clinical outcomes, and performance guarantee metrics.
  • Support implementation, go-live, RFP, finalist meeting, and client readiness reporting needs.
  • Partner with claims, clinical, operations, implementation, sales, account management, and vendor teams to understand reporting needs, data requirements, and business priorities.
  • Document reporting logic, data sources, assumptions, exclusions, and recurring processes to ensure consistency and audit readiness.
  • Identify reporting gaps, data quality issues, and opportunities to improve reporting accuracy, efficiency, and repeatability.
  • Provide interpretation and recommendations related to pharmacy reports, dashboards, and claims analytics.
  • Support ad hoc analysis related to claims activity, reject codes, pharmacy network performance, mail/retail/specialty channels, and client-specific reporting requests.
  • Maintain reporting request trackers, open questions, and follow-up items to ensure timely completion.
  • Remain current on PBM, pharmacy benefit, healthcare analytics, and reporting trends.
  • Other duties as required.

WHAT SUCCESS LOOKS LIKE:
  • Accurate, timely, and repeatable pharmacy reporting that supports MarpaiRx operations, client readiness, and business growth.
  • Standard reports and dashboards are delivered on time and validated for accuracy.
  • Internal teams have clear visibility into claims activity, savings, utilization, performance guarantees, clinical outcomes, and implementation reporting needs.
  • Client-facing and RFP reporting is professional, consistent, and aligned with MarpaiRx standards.
  • Reporting logic, assumptions, exclusions, and data sources are documented clearly.
  • Strong cross-functional collaboration, proactive communication, and effective follow-up on reporting requests.
  • Data quality issues and reporting gaps are identified early and escalated appropriately.

WHAT DO YOU NEED:
  • Minimum 3 years of reporting, analytics, pharmacy benefit, healthcare, TPA, PBM, or related experience preferred.
  • Four-year college degree preferred, or equivalent experience.
  • Experience working with healthcare, pharmacy, benefits, claims, or financial data preferred.
  • Strong Microsoft Excel skills, including formulas, pivot tables, lookups, data cleanup, and report formatting.
  • Experience with SQL, Power BI, Tableau, or other reporting/dashboard tools preferred.
  • Ability to analyze large data sets and convert findings into clear business insights.
  • Strong verbal and written communication skills to explain reporting outputs, assumptions, and recommendations.
  • Exceptional attention to detail and ability to validate data for accuracy.
  • Strong organizational and follow-up skills to manage recurring reports, ad hoc requests, and deadlines.
  • Ability to work independently in a fast-paced environment.
  • Knowledge of PBM concepts such as claims adjudication, NDCs, drug spend, AWP, rebates, generic dispensing rate, specialty drugs, mail order, retail pharmacy, reject codes, and performance guarantees preferred.

WORK REQUIREMENTS:
  • Fast-paced, dynamic work environment requiring the ability to be adaptive, innovative, and flexible.
  • Remote position.
  • Travel expectations minimal, unless needed for client or internal meetings.

WHY WORK AT MARPAI?
We have great benefits:
  • Generous PTO
  • Medical and Prescription
  • Health and Wellness Programs
  • EAP
  • FSA / HSA / Dependent Care
  • Dental
  • Vision
  • Life and Disability
  • STD/LTD
  • Voluntary Benefits: Critical Illness, Accident, Hospital
  • 401k with Employer Match
  • LegalShield
  • Identity Theft Protection

    Marpai is an equal opportunity workplace. We are committed to equal opportunity regardless of race, color, religion, sex, national origin, sexual orientation, age, citizenship, marital status, disability, or veteran status.

This is a remote position.