Seeking a Business Analyst with Healthcare/PBM experience to support pharmacy claims implementations through requirements gathering, data analysis, system integration, and testing. Responsibilities
Seeking a Business Analyst with Healthcare/PBM experience to support pharmacy claims implementations through requirements gathering, data analysis, system integration, and testing. Responsibilities
PBM Senior Counsel
$142K - $194K/yr
Reviewing and advising business leaders on regulatory issues, particularly those relating to ... Excellent analytical research and documentation of writing skills as demonstrated by past draft ...
PBM Senior Counsel
$142K - $194K/yr
Reviewing and advising business leaders on regulatory issues, particularly those relating to ... Excellent analytical research and documentation of writing skills as demonstrated by past draft ...
... Full Time Remote Role Summary The Lead Business Analyst provides strategic and operational ... PBM, eligibility logic, or provider credentialing systems
... Full Time Remote Role Summary The Lead Business Analyst provides strategic and operational ... PBM, eligibility logic, or provider credentialing systems
Manual Tester - Remote / Telecommute
Mason, OH · Remote
$37 - $42/hr
Analyze business and functional requirements related to Pharmacy and PBM applications. * Design, develop, and execute test scenarios, test cases, and test scripts. * Perform Functional, Integration ...
New
Quick apply
Manual Tester - Remote / Telecommute
Mason, OH · Remote
$37 - $42/hr
Analyze business and functional requirements related to Pharmacy and PBM applications. * Design, develop, and execute test scenarios, test cases, and test scripts. * Perform Functional, Integration ...
New
Manual Tester - Remote / Telecommute
Mason, OH · Remote
$37 - $42/hr
Analyze business and functional requirements related to Pharmacy and PBM applications. * Design, develop, and execute test scenarios, test cases, and test scripts. * Perform Functional, Integration ...
New
Quick apply
Manual Tester - Remote / Telecommute
Mason, OH · Remote
$37 - $42/hr
Analyze business and functional requirements related to Pharmacy and PBM applications. * Design, develop, and execute test scenarios, test cases, and test scripts. * Perform Functional, Integration ...
New
Manual Tester - Remote / Telecommute
Mason, OH · Remote
$37 - $42/hr
Analyze business and functional requirements related to Pharmacy and PBM applications. * Design, develop, and execute test scenarios, test cases, and test scripts. * Perform Functional, Integration ...
New
Quick apply
Manual Tester - Remote / Telecommute
Mason, OH · Remote
$37 - $42/hr
Analyze business and functional requirements related to Pharmacy and PBM applications. * Design, develop, and execute test scenarios, test cases, and test scripts. * Perform Functional, Integration ...
New
Business Analyst, Government Programs, Med-D
$67K - $81K/yr
... manager (PBM) models. We are committed to removing cost from the drug supply chain to make ... M-F 8am to 5pm) M-F 8am to 5pm Remote Work Notification ATTENTION: Navitus is unable to offer ...
Business Analyst, Government Programs, Med-D
$67K - $81K/yr
... manager (PBM) models. We are committed to removing cost from the drug supply chain to make ... M-F 8am to 5pm) M-F 8am to 5pm Remote Work Notification ATTENTION: Navitus is unable to offer ...
Manual Tester - Remote / Telecommute
Mason, OH · Remote
$37 - $42/hr
Analyze business and functional requirements related to Pharmacy and PBM applications. * Design, develop, and execute test scenarios, test cases, and test scripts. * Perform Functional, Integration ...
New
Quick apply
Manual Tester - Remote / Telecommute
Mason, OH · Remote
$37 - $42/hr
Analyze business and functional requirements related to Pharmacy and PBM applications. * Design, develop, and execute test scenarios, test cases, and test scripts. * Perform Functional, Integration ...
New
Network & PBM Strategy Vice President
$258K - $337K/yr
Partner with peer leaders to lead strategic planning, market analysis, business mapping, budgeting ... remote location with management approval based on business requirements). Must provide adequate ...
Network & PBM Strategy Vice President
$258K - $337K/yr
Partner with peer leaders to lead strategic planning, market analysis, business mapping, budgeting ... remote location with management approval based on business requirements). Must provide adequate ...
Apply experiences with various PBM contract types (pass through and traditional) along with product ... Position Location This is a remote-based position within the Continental US. Responsibilities
Apply experiences with various PBM contract types (pass through and traditional) along with product ... Position Location This is a remote-based position within the Continental US. Responsibilities
... PBM) setting. Partner cross-functionally with Underwriting, Finance, Clinical, and Account ... This is a remote-based position within the Continental US. Our Company Founded in 1926, Maxor is a ...
New
... PBM) setting. Partner cross-functionally with Underwriting, Finance, Clinical, and Account ... This is a remote-based position within the Continental US. Our Company Founded in 1926, Maxor is a ...
New
... PBM) setting. Partner cross-functionally with Underwriting, Finance, Clinical, and Account ... This is a remote-based position within the Continental US. Our Company Founded in 1926, Maxor is a ...
New
... PBM) setting. Partner cross-functionally with Underwriting, Finance, Clinical, and Account ... This is a remote-based position within the Continental US. Our Company Founded in 1926, Maxor is a ...
New
... PBM) setting. Partner cross-functionally with Underwriting, Finance, Clinical, and Account ... This is a remote-based position within the Continental US. Our Company Founded in 1926, Maxor is a ...
New
... PBM) setting. Partner cross-functionally with Underwriting, Finance, Clinical, and Account ... This is a remote-based position within the Continental US. Our Company Founded in 1926, Maxor is a ...
New
... PBM) setting. Partner cross-functionally with Underwriting, Finance, Clinical, and Account ... This is a remote-based position within the Continental US. Our Company Founded in 1926, Maxor is a ...
New
... PBM) setting. Partner cross-functionally with Underwriting, Finance, Clinical, and Account ... This is a remote-based position within the Continental US. Our Company Founded in 1926, Maxor is a ...
New
... PBM) setting. Partner cross-functionally with Underwriting, Finance, Clinical, and Account ... This is a remote-based position within the Continental US. Our Company Founded in 1926, Maxor is a ...
New
... PBM) setting. Partner cross-functionally with Underwriting, Finance, Clinical, and Account ... This is a remote-based position within the Continental US. Our Company Founded in 1926, Maxor is a ...
New
... PBM) setting. Partner cross-functionally with Underwriting, Finance, Clinical, and Account ... This is a remote-based position within the Continental US. Our Company Founded in 1926, Maxor is a ...
New
... PBM) setting. Partner cross-functionally with Underwriting, Finance, Clinical, and Account ... This is a remote-based position within the Continental US. Our Company Founded in 1926, Maxor is a ...
New
... PBM) setting. Partner cross-functionally with Underwriting, Finance, Clinical, and Account ... This is a remote-based position within the Continental US. Our Company Founded in 1926, Maxor is a ...
New
... PBM) setting. Partner cross-functionally with Underwriting, Finance, Clinical, and Account ... This is a remote-based position within the Continental US. Our Company Founded in 1926, Maxor is a ...
New
... PBM) setting. Partner cross-functionally with Underwriting, Finance, Clinical, and Account ... This is a remote-based position within the Continental US. Our Company Founded in 1926, Maxor is a ...
New
... PBM) setting. Partner cross-functionally with Underwriting, Finance, Clinical, and Account ... This is a remote-based position within the Continental US. Our Company Founded in 1926, Maxor is a ...
New
... PBM) setting. Partner cross-functionally with Underwriting, Finance, Clinical, and Account ... This is a remote-based position within the Continental US. Our Company Founded in 1926, Maxor is a ...
New
... PBM) setting. Partner cross-functionally with Underwriting, Finance, Clinical, and Account ... This is a remote-based position within the Continental US. Our Company Founded in 1926, Maxor is a ...
New
... PBM) setting. Partner cross-functionally with Underwriting, Finance, Clinical, and Account ... This is a remote-based position within the Continental US. Our Company Founded in 1926, Maxor is a ...
New
... PBM) setting. Partner cross-functionally with Underwriting, Finance, Clinical, and Account ... This is a remote-based position within the Continental US. Our Company Founded in 1926, Maxor is a ...
New
Remote Pbm Business Analyst information
See salary details
$17.79 - $22.71
2% of jobs
$22.71 - $27.62
4% of jobs
$27.62 - $32.54
12% of jobs
$35.74 is the 25th percentile. Wages below this are outliers.
$32.54 - $37.46
11% of jobs
$37.46 - $42.37
13% of jobs
The median wage is $45.95 / hr.
$42.37 - $47.29
12% of jobs
$47.29 - $52.21
12% of jobs
$52.21 - $57.12
10% of jobs
$57.27 is the 75th percentile. Wages above this are outliers.
$57.12 - $62.04
18% of jobs
$62.04 - $66.96
4% of jobs
$66.96 - $71.87
3% of jobs
$17
$47
$71
How much do remote pbm business analyst jobs pay per hour?
As of Jul 17, 2026, the average hourly pay for remote pbm business analyst in the United States is $47.43, according to ZipRecruiter salary data. Most workers in this role earn between $35.58 and $59.38 per hour, depending on experience, location, and employer.
What are the key skills and qualifications needed to thrive as a Remote PBM Business Analyst, and why are they important?
To thrive as a Remote PBM Business Analyst, you need strong analytical skills, experience in pharmacy benefit management (PBM), and a relevant degree such as in healthcare, business, or information systems. Familiarity with PBM software platforms, claims processing systems, and proficiency in data analysis tools like SQL or Excel are typically required. Excellent communication, problem-solving abilities, and self-motivation are crucial soft skills for collaborating remotely and translating complex data into actionable insights. These competencies ensure effective analysis and optimization of PBM processes, contributing to improved healthcare outcomes and organizational efficiency.
How does a Remote PBM Business Analyst typically collaborate with cross-functional teams to drive project success?
A Remote PBM (Pharmacy Benefit Management) Business Analyst frequently works with diverse teams including IT, pharmacy operations, clinical staff, and client services. Collaboration is often facilitated through virtual meetings, shared project management tools, and regular status updates. Analysts are responsible for gathering requirements, clarifying project goals, and translating business needs into technical solutions, ensuring effective communication across departments. Building strong relationships and maintaining clear documentation are key to overcoming the challenges of remote teamwork and ensuring project milestones are met efficiently.
What does a Remote PBM Business Analyst do?
A Remote PBM (Pharmacy Benefit Management) Business Analyst is responsible for analyzing and optimizing pharmacy benefit programs for healthcare organizations while working remotely. They use data analytics to evaluate drug utilization, cost trends, and pharmacy claims, and recommend improvements in benefit design or operational processes. Their role often involves collaborating with cross-functional teams, interpreting regulatory requirements, and ensuring PBM services align with organizational goals. Additionally, they may help implement new PBM programs, monitor performance metrics, and support reporting and compliance activities.
What is the difference between Remote Pbm Business Analyst vs Remote Pbm Data Analyst?
| Aspect | Remote Pbm Business Analyst | Remote Pbm Data Analyst |
|---|---|---|
| Required Credentials | Bachelor's in Business, Healthcare, or related field; certifications like CBAP or CCBA | Bachelor's in Data Science, Statistics, or related; certifications like CAP or Microsoft Data certifications |
| Work Environment | Collaborates with business teams, stakeholders, and project managers in healthcare or pharmacy benefit management | Focuses on data collection, analysis, and reporting within healthcare or pharmacy sectors |
| Employer & Industry Usage | Used by healthcare insurers, pharmacy benefit managers, and healthcare providers | Utilized by healthcare organizations, insurers, and analytics firms in pharmacy benefit management |
The Remote Pbm Business Analyst primarily bridges business needs with IT solutions, focusing on process improvements and stakeholder communication. In contrast, the Remote Pbm Data Analyst concentrates on analyzing healthcare data to inform decisions. Both roles often work in healthcare and pharmacy benefit management industries, but their core responsibilities differ—business analysis versus data analysis.
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Full-time
Posted 18 days ago
Job description
Seeking a Business Analyst with Healthcare/PBM experience to support pharmacy claims implementations through requirements gathering, data analysis, system integration, and testing.
Responsibilities
Required Skills
Responsibilities
- Gather and document business and functional requirements.
- Prepare BRDs, user stories, RTMs, and process documentation.
- Perform data analysis, mapping, and interface analysis.
- Develop test scenarios, acceptance criteria, and support UAT.
- Collaborate with business users, IT teams, and vendors.
- Track requirements, changes, and project deliverables.
Required Skills
- 7+ years of Business Analysis experience.
- Healthcare/PBM or Health Plan experience.
- NCPDP D.0, F6, Batch, and SCRIPT knowledge.
- Experience with RxClaim, JUDI, or Abarca preferred.
- Strong experience in data mapping, system integrations, testing, and requirements management.
- Agile experience preferred.