Senior Business Analyst – Preferred Drug List

🔥 14 hours ago

🌽 Illinois – Remote

🌽 Illinois – Remote

💵 $69.4k - $74k / year

⏱ Part Time

🟠 Senior

🧐 Business Analyst

🦅 H1B Visa Sponsor

This company has sponsored H1B visas in the past.

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Gainwell Technologies

WebsiteLinkedInAll Job Openings

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

• Ensure Gainwell meets 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 pharmacy clinicians and subject matter experts to configure PDL and rebate systems for state clients • Evaluate and model rebate scenarios and provide decision-making insights • Perform system updates related to PDL and rebate configurations for accuracy and compliance • Analyze, plan, design, document, or recommend business-process improvements supporting client technology goals • Execute testing for PDL and rebate system changes • Verify requirements by approving and validating test results • Use Excel or SQL to quantify anticipated work impact

🎯 Requirements

• Four or more years of experience in a relevant pharmacy business analyst or pharmacy technician position; 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 of 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 • Video cameras must be used during all interviews and the initial week of orientation

🏖️ Benefits

• Work flexibility • Learning and career development • Generous, flexible vacation policy (all salaried, full-time candidates) • 401(k) employer match (all salaried, full-time candidates) • Comprehensive health benefits (all salaried, full-time candidates) • Educational assistance (all salaried, full-time candidates) • Leadership and technical development academies • Up to 10% travel for client meetings, requirement review, or implementations