Business Analyst - Preferred Drug List (PDL)

Gainwell Technologies LLC•Any city, OH

6d•$55,600 - $79,400•Remote

About The Position

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. Your role in our mission is to play a critical part in ensuring Gainwell is meeting our clients’ objectives in pharmacy benefit management (PBM) services.

Requirements

Four or more years of experience in a relevant pharmacy business analyst or pharmacy technician role (Medicaid experience preferred)
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
Strong client communication skills with the ability to translate business needs into actionable objectives
Excellent analytical and business process re-engineering capabilities
Executive-level communication skills with the ability to present effectively to business leaders, clients, and technical teams
Strong organizational skills with the ability to prioritize and manage multiple tasks
Ability to work independently with minimal supervision

Responsibilities

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