PBM Data Integration & Analytics Specialist

Pinnacle Claims Management; Irvine (CA); On-site; USD 95,000 - 130,000; Full time

Job summary

Pinnacle Claims Management is seeking an Integration Specialist to support day-to-day management of third-party vendors and ensure accuracy of claims data across multiple sources. The role emphasizes monitoring data feeds, coordinating with internal teams, and delivering data-driven insights for process improvement.

You will develop reports on pharmacy, dental, and vision claims data, assess quantitative data from clients and vendors, and utilize SQL, Excel, and data visualization tools to

Qualifications

• Experience with processing, validating, and reconciling claims data from multiple sources.
• Ability to collect and interpret quantitative data to support pricing and operational decisions.
• Proficiency with SQL, Excel, and data visualization tools for analysis.

Responsibilities

• Oversee processing, validation, and reconciliation of pharmacy claims data from multiple sources.
• Coordinate with vendors for data exchanges, invoicing, and payments with operations and accounting teams.
• Collaborate with IT and operations to maintain data processes and ensure regulatory compliance.
• Develop and maintain reports analyzing pharmacy, dental, and vision claims data and vendor performance.
• Identify opportunities to improve data integrity and streamline claims data workflows.

Skills

SQL

Excel

Data visualization

Vendor management

Tools

Tableau

Job description

Pinnacle Claims Management is seeking an Integration Specialist to support day-to-day management of third-party vendors and ensure accuracy of claims data across multiple sources. The role emphasizes monitoring data feeds, coordinating with internal teams, and delivering data-driven insights for process improvement.

You will develop reports on pharmacy, dental, and vision claims data, assess quantitative data from clients and vendors, and utilize SQL, Excel, and data visualization tools to