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Remote Pbm Business Analyst Jobs (NOW HIRING)

STI

Business Analyst (Healthcare PBM) - Remote

Seeking a Business Analyst with Healthcare/PBM experience to support pharmacy claims implementations through requirements gathering, data analysis, system integration, and testing. Responsibilities

WELLDYNE

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 ...

MedImpact

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 ...

VytlOne

Assistant General Counsel

Overview VytlOne - Assistant General Counsel - PBM- Remote The Assistant General Counsel is VytlOne ... The AGC will partner with business leaders on contracting, regulatory matters, and other legal ...

Lorven Technologies

Business Analyst - Remote

Business Analyst Location: Jackson, MS - 100% Remote This position will require a qualified technical Business Analyst with at least 7 years of experience in the following areas: * Ability to create ...

Govcio LLC

Business Analyst (Remote)

$75K - $85K/yr

GovCIO is currently hiring for mid level Business Analyst to coordinate with technical and business teams to extract requirements for implementation. This position will be a fully remote position ...

VytlOne

Assistant General Counsel

Overview VytlOne - Assistant General Counsel - PBM- Remote The Assistant General Counsel is VytlOne ... The AGC will partner with business leaders on contracting, regulatory matters, and other legal ...

Lorven Technologies

Business Analyst

Hi, Our client is looking for SQL Business Analyst at Remote below is the detailed requirements. Position Title: SQL Business Analyst Location: Remote Employment Type: Contract OR Full time * ...

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

As of Jul 19, 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.

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Remote Pbm Business Analyst jobs near you

Business Analyst (Healthcare PBM) - Remote

STI

Remote

Full-time

Posted 20 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
  • 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.

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