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Remote Pbm Business Analyst Jobs in Reston, VA (NOW HIRING)

Business Analyst

Washington, DC · Remote

$85K - $95K/yr

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

Remote Position Type : Full time Position Overview The Business Analyst supports the USDA Client Experience Center (CEC) by conducting enterprise‑level business and process analysis for major IT ...

Business Analyst

Alexandria, VA · On-site +1

$120K - $139K/yr

RG is looking to hire a Business Analyst. The Business Analyst is an exempt customer-facing ... Ability to operate effectively in remote/hybrid team environments * Current NACI or ability to ...

Business Analyst

Leesburg, VA · Remote

$74K - $84K/yr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Remote Employment Type: Full-Time, Exempt Salary Range: $74,000 - $84,000 Citizenship Requirement: U.S. Citizenship required Position Overview Corinth is seeking an experienced Business Analyst to ...

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Business Analyst

Chantilly, VA · On-site +1

$48K - $98K/yr

  • Medical

  • Life

  • Retirement

  • PTO

Remote Work: No Job Number: R0245517 Location: Chantilly,VA,US Share job via: Share Business Analyst The Opportunity: To transform in today's evolving digital world, organizations must harness data ...

Business Analyst

Herndon, VA · Remote

$70K - $85K/yr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Business Analyst Location: Remote, USA Clearance: Public Trust Type: Full-time, W2 About VivSoft: VivSoft is a mission-driven technology company specializing in Cloud, DevSecOps, Artificial ...

Business Analyst

Herndon, VA · On-site +1

$70K - $85K/yr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Business Analyst Location: Remote, USA Clearance: Public Trust Type: Full-time, W2 About VivSoft: VivSoft is a mission-driven technology company specializing in Cloud, DevSecOps, Artificial ...

Business Analyst

Mclean, VA · Remote

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

Remote Hours: 40.0 Security Clearance: Ability to obtain and maintain a Federal Public Trust ... Analyze business systems, user needs, and operational processes to develop clear requirements, user ...

Business Analyst

Mclean, VA · Remote

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

Remote Hours: 40.0 Security Clearance: Ability to obtain and maintain a Federal Public Trust ... Analyze business systems, user needs, and operational processes to develop clear requirements, user ...

Business Analyst

Mclean, VA · Remote

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

Remote Hours: 40.0 Security Clearance: Ability to obtain and maintain a Federal Public Trust ... Analyze business systems, user needs, and operational processes to develop clear requirements, user ...

Business Analyst

Mclean, VA · Remote

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

Remote Hours: 40.0 Security Clearance: Ability to obtain and maintain a Federal Public Trust ... Analyze business systems, user needs, and operational processes to develop clear requirements, user ...

Business Analyst

Mclean, VA · Remote

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

Remote Hours: 40.0 Security Clearance: Ability to obtain and maintain a Federal Public Trust ... Analyze business systems, user needs, and operational processes to develop clear requirements, user ...

Business Analyst

Mclean, VA · Remote

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

Remote Hours: 40.0 Security Clearance: Ability to obtain and maintain a Federal Public Trust ... Analyze business systems, user needs, and operational processes to develop clear requirements, user ...

Business Analyst

Mclean, VA · Remote

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

Remote Hours: 40.0 Security Clearance: Ability to obtain and maintain a Federal Public Trust ... Analyze business systems, user needs, and operational processes to develop clear requirements, user ...

Business Analyst

Mclean, VA · Remote

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

Remote Hours: 40.0 Security Clearance: Ability to obtain and maintain a Federal Public Trust ... Analyze business systems, user needs, and operational processes to develop clear requirements, user ...

Business Analyst

Mclean, VA · Remote

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

Remote Hours: 40.0 Security Clearance: Ability to obtain and maintain a Federal Public Trust ... Analyze business systems, user needs, and operational processes to develop clear requirements, user ...

Business Analyst

Mclean, VA · Remote

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

Remote Hours: 40.0 Security Clearance: Ability to obtain and maintain a Federal Public Trust ... Analyze business systems, user needs, and operational processes to develop clear requirements, user ...

Business Analyst

Springfield, VA · On-site +1

$55K - $126K/yr

  • Medical

  • Life

  • Retirement

  • PTO

Remote Work: No Job Number: R0233874 Location: Springfield,VA,US Share job via: Share Business Analyst The Opportunity: As a Business Analyst, you'll be a subject matter expert and program leader ...

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Remote Pbm Business Analyst information

See Reston, VA salary details

$18

$49

$74

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

As of Aug 13, 2026, the average hourly pay for remote pbm business analyst in Reston, VA is $49.35, according to ZipRecruiter salary data. Most workers in this role earn between $37.02 and $61.78 per hour, depending on experience, location, and employer.

What skills and qualifications are needed to thrive as a remote PBM business analyst?

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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What cities near Reston, VA are hiring for Remote Pbm Business Analyst jobs? Cities near Reston, VA with the most Remote Pbm Business Analyst job openings:

Lead PBM Network Analyst/Management

3B Staffing LLC

Reston, VA • Remote

Full-time

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


Job description

Lead PBM Network Analyst/Management Location: 100% remote, approved states only. DC, MD, VA, WV, NC, PA, DE, NY, NJ, TX, FL. Qty: 1 8+ years of systems/technical analysis experience with expertise in pharmacy network performance monitoring, provider relationship management, data-driven decision making, operational optimization, and cross-functional collaboration in a healthcare/PBM environment. - 100% remote, CTH, approved states only. Might have to come onsite from time to time for meetings. Nothing specific scheduled. - USC or GC only, MUST be convertible! - No specific PBM is required, any is fine - PBM are the walgreens, CVS pharmacy companies of the world. - They only wants candidate on the payor side, not the pharmacy side - Transforming the mindset of how to spend PBM. As they transform their pharmacy cost line, it starts with developing a supply chain/Avenue to get to the lowest cost price for drugs (under rebats, GPO-s for best rates, network discounts, etc-). - Lead Technical Analyst - contracting with a lot of different entities/networks. Looking for someone to take the contract, with all these different entities, and managing these networks (performance metrics, re-contracting with business/regulatory requirements) - Knowledge of Pharmacy networks (retail, mail, and specialty) and measure SLA-s with each vendor to ensrue SLA-s are met within the contract. Title Lead PBM Network Analyst/Management Number of Openings 1 Employment Type Contract Contract Length 6-12 month T2P Job Title: Lead PBM Network Analyst/Management (Oversight of networks including specialty). This role supports the oversight and optimization of pharmacy network operations. Responsibilities include: - Monitor key performance metrics such as claims volume, turnaround times, network adequacy, and member satisfaction. - Support credentialing, re-contracting, and termination processes across all network pharmacy providers. - Ensure alignment of network operations with contractual, regulatory, and service-level standards. - Coordinate with internal stakeholders to address network performance concerns and ensure resolution. PURPOSE: Delivers critical and emerging systems and data analysis and implements tools and technology for the whole enterprise. Design, and deliver management systems. Build, manage, and sustain critical systems, business and data analysis techniques, methods, tools, and processes. Owns data collection capabilities through collaboration with internal and external teams. Leads cross-departmental, and cross-functional team members. ESSENTIAL FUNCTIONS: 25% Performs complex system analyses on software programs, applications, and services. 20% Leads product and service evaluation and recommends new tools or platforms for user efficiency. 20% Leads the implementation of new technology for organizational efficiency. 15% Communicates directly with all stake holders including executive management. 10% Improves data collection capabilities through collaboration with organizational teams. 10% Manages product licenses and ensures compliance with IT industry regulations. Provides the organization with cost saving analysis. Required Skills - Experience: 8 years relevant systems/technical analysis - Education Level: Bachelor's Degree - In lieu of a Bachelor's degree, an additional 4 years of relevant work experience is required in addition to the required work experience. Top 5 Mandatory Skills: 1. Network performance analysis - Monitoring access, disruptions, trends, and service quality. 2. Provider relationship management - Engaging with pharmacy networks and resolving escalations. 3. Data-driven decision making - Using performance data to guide contracting, retention, and outreach. 4. Operational optimization - Driving improvements in network access, satisfaction, and cost efficiency. 5. Cross-functional collaboration - Coordinating with stakeholders across business, operations, and regulatory teams.