Business Analyst - Preferred Drug List (PDL)

Summary

As a Business Analyst - Preferred Drug List (PDL) at Gainwell, you can contribute your skills as we harness the power of technology to help our clients improve the health and well-being of the members they serve — a community’s most vulnerable. Connect your passion with purpose, teaming with people who thrive on finding innovative solutions to some of healthcare’s biggest challenges. Here are the details on this position.

Your role in our mission

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 

What we're looking for

• 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

What you should expect in this role

• Remote opportunity from most US locations
• Possibility of up to 10% travel for client meetings/requirement review or implementations
• Video cameras must be used during all interviews, as well as during the initial week of orientation

• This posting is intended for pipelining. This is a developing position therefore the job description is subject to change.

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