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

Sedgwick

Vice President, Clinical Pharmacy

Raleigh, NC · On-site

$125K - $165K/yr

Provide analysis of claims data and book-of-business metrics, translating trends into actionable ... in PBM management and health care benefit knowledge. Active unrestricted license to practice ...

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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 Sep 7, 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 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 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.

Senior Strategic Advisor: Pharmacy

Blue Cross And Blue Shield of North Carolina

Durham, NC • On-site

$89K - $142K/yr

Full-time

Medical, Retirement, PTO

Re-posted 18 days ago

Blue Cross and Blue Shield of North Carolina rating

7.8

Company rating: 7.8 out of 10

Based on 13 frontline employees who took The Breakroom Quiz

197th of 315 rated insurance

Job description

Job Description

Acts as a senior member of the strategic function by contributing to the achievement of innovation-based goals through new forms of healthcare reimbursement, healthcare redesign consultation, payer/provider engagement and market offer opportunities. Leverages industry experience and expertise to promote enterprise understanding of the key areas in which the company is seeking to create competitive differentiation and establish sustainable competitive advantage in the marketplace.

What You'll Do

  • Consult with ASO clients on pharmacy benefits, programs, and pricing.

  • Analyze client data to identify costsavings opportunities and utilization trends.

  • Conduct quarterly and annual utilization review meetings with clients.

  • Manage relationships with ASO clients, medical sales partners, and external consultants.

  • Proactively identify, evaluate, and support implementation of healthcare redesign, provider reimbursement, and partnership strategies that align with BCBSNC's growth objectives while managing costs and improving member outcomes and experience.

  • Support and manage development efforts related to the enhancement and maintenance of current products and market offer components.

  • Collaborate on and execute critical activities including strategic planning, complex financial and qualitative analysis, and thought leadership at departmental and enterprise levels.

  • Present strategic concepts, planning insights, medical expense and reimbursement data, provider performance metrics, and impact assessments to internal and external audiences, including seniorlevel leadership.

  • Organize, optimize, and communicate progress toward completion of the overall work portfolio.

  • Collaborate with crossfunctional partners across the enterprise on shared initiatives and unique ventures, serving as a subject matter expert in healthcare delivery transformation, reimbursement, and strategy.

  • Identify, analyze, and monitor industry, regulatory, technology, and market trends impacting divisional operations, provider reimbursement, medical expense strategy, and payerprovider dynamics.

  • Leverage expertise to drive operational improvements through enhanced analytics and reporting capabilities, project management techniques, and consulting or engagement approaches.

Hiring Requirements

  • Bachelor's degree or advanced degree (where required).

  • 5+ years of experience in a related field.

  • In lieu of a degree, 7+ years of relevant experience.

Great to Have

  • PBM or pharmacy experience.

  • Clientfacing sales or consultative experience.

Salary Range

At Blue Cross NC, we take great pride in a fair and equitable compensation package that reflects market-price and our starting salaries are typically planned near the middle of the range listed. Compensation decisions are driven by factors including experience and training, specialized skill sets, licensure and certifications and other business and organizational needs.Our base salary is part of a robust Total Rewards package that includes an Annual Incentive Bonus, 401(k) with employer match, Paid Time Off (PTO), and competitive health benefits and wellness programs.

Based on annual corporate goal achievement and individual performance.

$89,174.00 - $142,679.00

Skills

Healthcare Consulting, Healthcare Financial Management, Healthcare Industry, Healthcare Innovation, Healthcare Management, Healthcare Reimbursement, Healthcare Strategic Planning, Health Outcomes, Medical Reimbursement, Performance Metrics, Physician Reimbursement, Project Management, Provider Reimbursement, Reimbursement, Reporting and Analysis

_____________________________________________________________________
JOB ALERT FRAUD: We have become aware of scams from individuals, organizations, and internet sites claiming to represent Blue Cross and Blue Shield of North Carolina in recruitment activities in return for disclosing financial information. Our hiring process does not include text-based conversations or interviews and never requires payment or fees from job applicants. All our career opportunities are published on https://bcbsnc.wd5.myworkdayjobs.com/en-US/BCBSNC. If you have already provided your personal information that you suspect is fraudulent activity, please report it to your local authorities. Any fraudulent activity should be reported to: HR.Staffing@BCBSNC.com.

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