SQL Analyst - PBM (Pharmacy Benefit Management) Must

Key Responsibilities - Develop, optimize, and execute complex SQL queries to validate eligibility and related PBM data - Perform manual validation of eligibility files before they are loaded into downstream systems - Analyze data discrepancies, eligibility errors, and file-related issues - Document findings clearly and report issues to the Customer EDI Team in a timely manner - Support root cause analysis for eligibility failures or mismatches - Ensure data accuracy, completeness, and compliance with PBM eligibility requirements - Work closely with EDI, operations, and technical teams to resolve data issues

Qualifications Required Skills and Qualifications

Strong hands-on experience with SQL (complex joins, subqueries, aggregations, validations)

Proven experience in PBM Eligibility processing and validation

Solid understanding of eligibility file formats and data flows in PBM environments

Experience performing manual data validation and reconciliation

Strong analytical and problem-solving skills - Ability to clearly communicate issues and findings to technical and business teams