Business Analyst – Preferred Drug List
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Job Description
Business Analyst focusing on Preferred Drug List for Gainwell. Collaborating with pharmacy clinicians and analysts to enhance pharmacy benefit management services.
Responsibilities:
- 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 position
- 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
Benefits:
- generous, flexible vacation policy
- 401(k) employer match
- comprehensive health benefits
- educational assistance
- leadership and technical development academies
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