Early Career Business Analyst - Pharmacy IT

Gainwell Technologies LLC

20h•Remote

About The Position

Put your passion to work and grow your career by learning from healthcare innovators and mentors. By joining our team, you’ll work with industry pioneers who do incredible things to move healthcare forward. From day one, you’ll work on exciting projects that make a meaningful impact on people’s lives. You’ll also have incredible opportunities to learn and develop your skills by joining a collaborative team that celebrates and embraces our differences. We have comprehensive leadership and technical development academies to help build your skills and fulfill your career aspirations. SummaryThe Early Career Business Analyst – Pharmacy IT plays a key role in supporting pharmacy benefit management (PBM) programs, Medicaid pharmacy operations, and pharmacy IT solution delivery. This role bridges business needs and technical solutions—analyzing requirements, enhancing pharmacy systems, supporting compliance, and ensuring accurate delivery of pharmacy services and claims processing capabilities.Your role in our mission

Requirements

2+ years of experience in business analysis. Excellent analytical, documentation, communication, and problem-solving skills.
Strong understanding of pharmacy benefit management operations and terminology. Familiarity with NCPDP standards, pharmacy claims processing, drug file management (Medi-Span/First Databank), and pricing methodologies.
Experience writing business requirements, user stories, and test scenarios.
Experience with Medicaid pharmacy programs, MMIS, or PBM systems. Understanding of Clinical and DUR rules, formulary management, rebates, and PA workflows.
Proficiency with MS Office, JIRA/Azure DevOps (ADO), Visio, or similar tools.
Excellent analytical, documentation, communication, and problem-solving skills.

Responsibilities

Lead the gathering, documentation, and validation of business, functional, and technical requirements for pharmacy IT systems—including POS, DUR, claims processing, RTBT, and formulary/PDL modules.
Translate CMS and Medicaid pharmacy policies, regulatory updates, and rebate program rules into system requirements and operational impacts.
Analyze pharmacy claims logic, NCPDP standards, pricing/reimbursement methods, and drug file updates to support system design and configuration.
Develop and maintain use cases, data mappings, workflows, and testing assets; execute UAT, regression testing, and validation for pharmacy system enhancements.
Support project planning, sprint ceremonies, and cross‑functional coordination while preparing documentation, status updates, and facilitating stakeholder reviews.
Provide operational and compliance support by assessing claim issues, pricing discrepancies, regulatory changes, and audit‑related documentation needs.