Business Analyst – Preferred Drug List

🔥 0 minutes ago

🌽 Illinois – Remote

🌽 Illinois – Remote

💵 $55.6k - $79.4k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

🧐 Business Analyst

🦅 H1B Visa Sponsor

This company has sponsored H1B visas in the past.

Apply Now

Find Similar Remote Jobs

Receive Emails For Remote Jobs

📊 Check your resume score for this job

Improve your chances of getting an interview by checking your resume score before you apply.

Upload Resume

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 role • Pharmacy experience as a Pharmacy Technician or within a Pharmacy Benefit Manager (PBM) • Knowledge of drugs and drug file structures using tools such as FDB, Medi-Span, 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 • Knowledge of computer programming concepts including configuration, development, data conversion analysis, and batch processing • Advanced proficiency in analytical tools such as Microsoft Excel, SQL, and requirement-mapping tools such as ALM

🏖️ Benefits

• comprehensive health benefits • flexible vacation policy • 401(k) employer match • educational assistance • leadership and technical development academies