Gainwell Technologies
10,000+ employees
💼 Consulting
📦 Logistics
⚕️ Healthcare Insurance
💰 Grant on 2023-06
Consulting • Logistics • Healthcare Insurance
Gainwell Technologies is the nation’s leading provider of digital and cloud-enabled solutions across the human services and public health ecosystem. With a mission-driven approach, Gainwell serves clients in all 50 U. S. states, focusing on improving health outcomes and delivering intuitive, human-centered experiences. Their comprehensive suite of solutions includes Medicaid Enterprise modernization, data analytics, provider services, and pharmacy solutions, all designed to advance the future of healthcare and enhance community well-being.
Senior Business Analyst – Pharmacy
🕒 June 26
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Gainwell Technologies
10,000+ employees
💼 Consulting
📦 Logistics
⚕️ Healthcare Insurance
💰 Grant on 2023-06
Consulting • Logistics • Healthcare Insurance
Gainwell Technologies is the nation’s leading provider of digital and cloud-enabled solutions across the human services and public health ecosystem. With a mission-driven approach, Gainwell serves clients in all 50 U. S. states, focusing on improving health outcomes and delivering intuitive, human-centered experiences. Their comprehensive suite of solutions includes Medicaid Enterprise modernization, data analytics, provider services, and pharmacy solutions, all designed to advance the future of healthcare and enhance community well-being.
📋 Description
• Play a critical part in ensuring Gainwell is meeting our clients’ objectives in pharmacy benefit management (PBM) services • Support PBM or Drug rebate implementations and configurations • Support PBM operations and maintenance on established accounts • Work with a team of pharmacy clinicians and subject matter experts to configure the pharmacy systems to deliver services to our state clients • Assist in implementation of a pharmacy payer system • Perform Pharmacy updates including benefit plan design, edit/audit set up, utilization controls, PDL, configuration updates, and auto prior authorization parameters • Analyze, plan, design, document or make recommendations to improve business processes to support client’s technology goals
🎯 Requirements
• Six (6) or more years of experience in a relevant pharmacy business analyst or pharmacy technician position • 3 or more years of Medicaid and Medicare experience preferred • Knowledge of computer programming concepts such as configuration, development, data conversion analysis and batch processing • Advanced knowledge in analytical software such as Microsoft Excel or SQL and other requirement-mapping tools such as Application Lifecycle Management (ALM) tools • Strong analytical abilities with experience in business process re-engineering and problem solving
🏖️ Benefits
• Generous, flexible vacation policy • Educational assistance • Comprehensive health benefits • 401(k) employer match • Leadership and technical development academies
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