ZipRecruiter

Log In

2

Remote Pbm Business Analyst Jobs (NOW HIRING)

A-Line Staffing Solutions

Remote PBM Pharmacist

Austin, TX · Remote

$53/hr

... and business needs The required availability for this position is: * Training: Monday - Friday, 9 ... Ability to work independently in a remote, productivity-driven environment * Experience with data ...

WellDyne

PBM Senior Counsel

$142.80K - $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 ...

WELLDYNE

PBM Senior Counsel

$142.80K - $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 ...

next page

Showing results 1-20

People also search for

All JobsRemote Pbm Business Analyst Jobs

Remote Pbm Business Analyst information

See salary details

$17

$47

$71

How much do remote pbm business analyst jobs pay per hour?

As of May 28, 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?

AspectRemote Pbm Business AnalystRemote Pbm Data Analyst
Required CredentialsBachelor's in Business, Healthcare, or related field; certifications like CBAP or CCBABachelor's in Data Science, Statistics, or related; certifications like CAP or Microsoft Data certifications
Work EnvironmentCollaborates with business teams, stakeholders, and project managers in healthcare or pharmacy benefit managementFocuses on data collection, analysis, and reporting within healthcare or pharmacy sectors
Employer & Industry UsageUsed by healthcare insurers, pharmacy benefit managers, and healthcare providersUtilized 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.

More about Remote Pbm Business Analyst jobs
What cities are hiring for Remote Pbm Business Analyst jobs? Cities with the most Remote Pbm Business Analyst job openings:
What are the most commonly searched types of Pbm Business Analyst jobs? The most popular types of Pbm Business Analyst jobs are:
What states have the most Remote Pbm Business Analyst jobs? States with the most job openings for Remote Pbm Business Analyst jobs include:
What job categories do people searching Remote Pbm Business Analyst jobs look for? The top searched job categories for Remote Pbm Business Analyst jobs are:
Remote Pbm Business Analyst jobs near you
Business Analyst With Pharmacy Benefit Management - Remote

Business Analyst With Pharmacy Benefit Management - Remote

The Dignify Solutions, LLC

Edison, NJ • On-site, Remote

Other

This job post has expired today. Applications are no longer accepted.

Job description

Senior Business Analyst

We are looking to onboard a Senior Business Analyst in Manager role or Individual contributor depending on experience level. This person will have deep PBM domain expertise and who will help guide the roadmap and feature enhancements for the Client PBM product suite. This person will serve as a bridge between the Business users and/or Clinical end users (Pharmacists) and the Technical team (Developers and Testers primarily).

Minimum Qualifications:

Experience Level:

  • Ideally 10+ years experience working in PBM domain (Claims processing related).
  • Willing to consider less experienced candidates who can demonstrate depth in understanding PBM area.

PBM Subject Matter Expertise:

  • Candidate should have deep understanding of Pharmacy Benefit Management (PBM) business processes – including Claims Adjudication, Data related processes (e.g. Eligibility data, Provider data, Drug data, Formulary data, Drug Utilization reviews) and their interconnections. Strong plus if candidate has experience with Electronic Prescriptions and Prior-Authorizations related standards.
  • Deep understanding of related PBM standards from NCPDP. Strong plus if candidate also understands CMS regulations related to state Medicaid Pharmacy programs.
  • Candidate should have deep understanding of Financial Bank (FDB) Drug nomenclature and how to use FDB nomenclature in designing / configuring drug coverage (inclusions/exclusions/PA Criteria) or building Formulary / Preferred Drug Lists. In lieu of FDB, MEDISPAN data experience will be acceptable.
  • Candidate should be well informed about current industry trends and evolving standards.
  • College degree is preferred. Industry experience can be considered as substitute.
  • Candidates who have strong Clinical background (e.g. Pharmacists) and some BA background are welcome to apply (provided they are willing to switch to being a full-fledged BA with inhouse training)

Non-Domain Expertise:

  • Must understand Software Development Life Cycle - including requirements management.
  • Use of Agile tools in reverse engineering, new designs and impact analysis. Generate prompts
  • Must be able to capture requirements, document requirements and manage requirements using requirements management tools.
  • Must be able to document business processes using a combination of tools - Visio, PowerPoint, Excel and Word formats depending on the context and synthesize requirements into user stories, decision tables or other pertinent formats
  • Must have excellent communication and writing skills.
  • Experience with SQL queries and understanding Data Models is a strong plus.
  • Must be a team player willing to share knowledge and support team members from other areas e.g. Developers and QA Testers.

Job Responsibilities:

  • Provide PBM Subject Matter Expertise for both Client (Development and Testing team) and non-client stakeholders (e.g. Customers)
  • Own responsibility for creating requirements specifications / design documents (e.g. wire-frames, decision tables) to help developers produce technical specifications.
  • Own responsibility for configuring drug plan benefits (e.g. Covered drugs, Pricing configuration, PA requirements) using client PBM system
  • Interact with business and clinical users to elicit and understand business requirements, Translate the requirements into appropriate format for consumption by Development and Testing team.
Dignify Solutions logo

About Dignify Solutions

Sourced by ZipRecruiter

The Dignify Best Serves To Its Clients By Adhering To And Executing Superior Processes. The company is dedicated to operational excellence as part of a client-centric mindset that assures consistent execution. The Dignify has developed and refined every step in the full lifecycle staffing fulfillment and consultant management practice

Industry

It services

Company size

51 - 200 Employees

Headquarters location

San Francisco, CA, US

View All Dignify Solutions Jobs

Apply