Business Analyst – Preferred Drug List

🕒 May 12

🔔 Pennsylvania – Remote

🔔 Pennsylvania – Remote

⏰ Full Time

🟡 Mid-level

🟠 Senior

🧐 Business Analyst

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Gainwell Technologies

WebsiteLinkedInAll Job Openings

10,000+ employees

⚕️ Healthcare Insurance

💰 Grant on 2023-06

Healthcare Insurance • Human Services • Healthcare

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 Preferred Drug List (PDL) and supplemental rebate implementations and configurations • Support PDL and supplemental rebate operations and maintenance on established accounts • Work with a team of pharmacy clinicians and subject matter experts to configure PDL and rebate systems to deliver services to our state clients. • Apply analytical skills to evaluate and model various rebate scenarios, providing insights for decision-making. • Perform system updates related to PDL and rebate configurations to ensure accuracy and compliance. • Analyze, plan, design, document or make recommendations to improve business processes to support client’s technology goals • Execute testing for PDL and rebate system changes to ensure functionality and reliability. • Help verify that all requirements have been met by approving and validating test results • Exercise your ability to use basic analytical or relational database software — such as Excel or SQL — to quantify the anticipated impact of work

🎯 Requirements

• Four or more years of experience in a relevant pharmacy business analyst or pharmacy technician position with Medicaid experience preferred • Knowledge of computer programming concepts such as configuration, development, data conversion analysis and batch processing • Pharmacy Experience as a Pharmacy Technician or working for a PBM • Knowledge of drugs and drug file structures through FDB, Medispan, or Micromedex • Understanding of pharmacy claims (NDCs, DAW codes, GPI, etc.) and drug pricing concepts (WAC, AWP, MAC, etc.) • Experience working with drug file or rebate data • Advanced knowledge in analytical software such as Microsoft Excel or SQL and other requirement-mapping tools such as Application Lifecycle Management (ALM) tools • Strong client communication skills translating client needs to actionable objectives • Strong analytical and business process re-engineering skills • Strong executive presence and communication skills to deliver messages to business leaders, clients and technical personnel • Good organization skills to balance work and prioritize tasks • Ability to work independently with minimal supervision.

🏖️ Benefits

• comprehensive health benefits • generous, flexible vacation policy • educational assistance • leadership and technical development academies