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Pbm Data Analyst Jobs (NOW HIRING)

Lumeris, Inc.

Principal Pharmacy Analytics Lead

Analyze multi-source data (PBM/Rx claims, medical claims, eligibility, clinical) to establish baselines, detect trends, and uncover root causes of performance gaps in areas like medication adherence ...

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Rightway

Analytics Engineer

New York, NY · On-site +1

This role will involve delivering and analyzing PBM financial data for various analytics use cases within our Unified Data Warehouse (UDW) and productionalizing AI and ML solutions through the ...

Judi Health

Analyst, Data Exchange

Denver, CO · On-site +1

$76K - $121K/yr

Capital Rx , a public benefit corporation delivering full-service pharmacy benefit management (PBM ... Experience performing complex analyses on large sets of data * Knowledge of data management ...

Capital Rx

Analyst, Data Exchange

Denver, CO · Remote

$76K - $121K/yr

Capital Rx, a public benefit corporation delivering full-service pharmacy benefit management (PBM ... Experience performing complex analyses on large sets of data * Knowledge of data management ...

Capital Rx

Analyst, Data Exchange

Manhattan, NY · Remote

$76K - $121K/yr

Capital Rx, a public benefit corporation delivering full-service pharmacy benefit management (PBM ... Experience performing complex analyses on large sets of data * Knowledge of data management ...

Capital Rx

Analyst, Data Exchange (SaaS)

Denver, CO · On-site +1

OverviewJoin to apply for the Analyst, Data Exchange (SaaS) role at Capital RxAbout Capital Rx ... service PBM and through the deployment of Judi, the company's cloud-native enterprise health ...

AArete

Senior Pharmacy Data Analyst

El Segundo, CA · On-site

$125K - $140K/yr

Other duties as assigned Requirements * 6+ years of experience in pharmacy data analysis, PBM, payer, or related healthcare roles * Strong knowledge of pharmacy claims management and payer processes

AArete

Senior Pharmacy Data Analyst

Chicago, IL · On-site

$125K - $140K/yr

Other duties as assigned Requirements * 6+ years of experience in pharmacy data analysis, PBM, payer, or related healthcare roles * Strong knowledge of pharmacy claims management and payer processes

AArete

Senior Pharmacy Data Analyst

Dallas, TX · On-site

$125K - $140K/yr

Other duties as assigned Requirements * 6+ years of experience in pharmacy data analysis, PBM, payer, or related healthcare roles * Strong knowledge of pharmacy claims management and payer processes

AArete

Senior Pharmacy Data Analyst

Manhattan, NY · On-site

$125K - $140K/yr

Other duties as assigned Requirements * 6+ years of experience in pharmacy data analysis, PBM, payer, or related healthcare roles * Strong knowledge of pharmacy claims management and payer processes

ProAct

Senior Data Solutions Analyst

Chicago, IL · On-site

$88K - $111K/yr

The Data Solutions Analyst will partner cross functionally to understand underlying business issues ... Preferred: 3-5 or more years' previous experience in the PBM or healthcare industry * Preferred:

ProCare Rx

PBM Rebate Data Associate

Gainesville, GA

$14.75 - $19.25/hr

Identify, analyze, prioritize and resolve rebate & RFP data/reporting issues. * Perform ad-hoc data ... PBM industry experience required. * Working knowledge of computers and related software ...

SmithRx

Marketing Data Analyst

The Marketing Data Analyst will manage member data integrity, ensuring accurate and compliant ... PBM industry experience is strongly preferred Company : SmithRx is reinventing PBMs with modern ...

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Pbm Data Analyst information

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$34K

$82.6K

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How much do pbm data analyst jobs pay per year?

As of Jun 5, 2026, the average yearly pay for pbm data analyst in the United States is $82,640.00, according to ZipRecruiter salary data. Most workers in this role earn between $62,500.00 and $97,000.00 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 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 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.

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Pbm Data Analyst jobs near you
Principal Pharmacy Analytics Lead

Principal Pharmacy Analytics Lead

Lumeris, Inc.

Remote

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 2 days ago

Job description

Your Future is our Future
At Lumeris, we believe that our greatest achievements are made possible by the talent and commitment of our team members. That's why we are actively seeking talented and collaborative individuals who are passionate about making a difference in the healthcare industry. Join us today as we strive to create a system of care that every doctor wants for their own family and become part of a community that values its people and empowers you to make an impact.
We're excited to consider every qualified candidate authorized to work in the United States, although we are unable to sponsor visas for this role at this time.
Position:
Principal Pharmacy Analytics Lead
Position Summary:
Responsible for designing, building, validating, and operationalizing pharmacy performance analytics to improve medication adherence, Part D quality outcomes, and drug cost and utilization management. Serves as a senior, hands-on analytics builder and subject matter expert on Medicare Advantage pharmacy analytics, working independently to translate complex pharmacy, PBM/Rx claims, and health plan data into actionable performance insights. Directly impacts pharmacy strategy by building the analytic assets required to identify performance gaps, reduce manual reporting, and drive measurable improvement across all pharmacy objectives.
Job Description:
Primary Responsibilities:
  • Design, build, and maintain pharmacy analytic assets, including dashboards, data extracts, recurring performance views, and executive-ready reporting products across medication adherence, Part D quality, and cost trends.
  • Translate pharmacy business requirements into auditable analytic logic, including adherence calculations, drug hierarchy assumptions, and opportunity sizing.
  • Analyze multi-source data (PBM/Rx claims, medical claims, eligibility, clinical) to establish baselines, detect trends, and uncover root causes of performance gaps in areas like medication adherence and 90-day prescription adoption.
  • Partner with Pharmacy, Clinical, Finance, and Operations stakeholders to prioritize high-impact opportunities and convert analytic insights into intervention targeting and measurable performance improvement.
  • Automate and scale recurring pharmacy reporting to reduce manual effort through scalable dashboards, reusable SQL, documented logic, and repeatable processes.
  • Create and manage validation routines, QA checks, and reconciliation processes to ensure pharmacy reporting is accurate, trusted, reproducible, and audit-ready.
  • Translate complex pharmacy, PBM, and financial logic into clear, decision-ready performance narratives for non-technical stakeholders and health plan leadership.
  • Serve as a senior subject matter expert on Medicare Advantage pharmacy analytics, PBM/Rx claims data, Part D quality measures, and formulary concepts.

Qualifications:
  • Bachelor's degree in Mathematics, Computer Science, Data Analytics, Public Health, Pharmacy, Health Informatics, or a related field; equivalent experience may be considered.
  • 7+ years of healthcare analytics experience, with direct experience in pharmacy claims analytics, PBM/Rx data, Medicare Part D, medication adherence, or pharmacy performance analytics.
  • Hands-on experience writing complex SQL and extracting data from large, multi-layered health plan data environments.
  • Experience building dashboards, recurring reports, or automated reporting processes using Tableau, Power BI, or similar business intelligence tools.
  • Experience with PBM data, Medicare Part D operations, medication adherence measures, pharmacy quality measures, or drug cost/utilization trends.
  • Ability to translate pharmacy business questions into analytic rules, including member cohorts, adherence calculations, and stratification.
  • Experience working with healthcare datasets such as PBM/Rx claims, medical claims, eligibility, or provider data.
  • Demonstrated ability to self-direct analyses, manage ambiguity, structure complex problems, and deliver actionable insights with limited direction.
  • Experience using AI-enabled analytics, automation, or natural language tools to accelerate insight generation.
  • Strong communication skills with the ability to explain technical concepts and recommended actions to non-technical stakeholders.

  • Advanced degree in Pharmacy, Public Health, Health Informatics, Analytics, Healthcare Administration, or a related field (e.g., PharmD, MPH, MS Analytics, MBA).

Working Conditions
  • While performing the duties of this job, the employee works in normal office working conditions.

#LI-REMOTE
Pay Transparency:
Factors that may be used to determine your actual pay rate include your specific skills, experience, qualifications, location, and comparison to other employees already in this role. In addition to the base salary, certain roles may qualify for a performance-based incentive and/or equity, with eligibility depending on the position. These rewards are based on a combination of company performance and individual achievements.
The hiring range for this position is:
$133,200.00-$180,900.00
Benefits of working at Lumeris
  • Medical, Vision and Dental Plans
  • Tax-Advantage Savings Accounts (FSA & HSA)
  • Life Insurance and Disability Insurance
  • Paid Time Off (PTO, Sick Time, Paid Leave, Volunteer & Wellness Days)
  • Employee Assistance Program
  • 401k with company match
  • Employee Resource Groups
  • Employee Discount Program
  • Learning and Development Opportunities
  • And much more...

Be part of a team that is changing healthcare!
Member Facing Position:
No- Not Member or Patient Facing Position
Location:
Remote, USA
Time Type:
Full time
Lumeris and its partners are committed to protecting our high-risk members & prospects when conducting business in-person. All personnel who interact with at-risk members or prospects are required to have completed, at a minimum, the initial series of an approved COVID-19 vaccine. If this role has been identified as member-facing, proof of vaccination will be required as a condition of employment.
Disclaimer:
  • The job description describes the general nature and level of work being performed by people assigned to this job and is not intended to be an exhaustive list of all responsibilities, duties and skills required. The physical activities, demands and working conditions represent those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individual with disabilities to perform the essential job duties and responsibilities.

Lumeris is an EEO/AA employer M/F/V/D.

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