Gainwell TechnologiesRemote
Business Analyst - Preferred Drug List (PDL)
United States of America
Full Time
2 weeks ago
H1B Sponsor Likely
Key skills
Preferred Drug List (PDL)Pharmacy Benefit Management (PBM)Pharmacy TechnicianPharmacy claims NDCsPharmacy claims DAW codesPharmacy claims GPIDrug pricing concepts WACDrug pricing concepts AWPDrug pricing concepts MACDrug file structures FDBDrug file structures MedispanDrug file structures MicromedexDrug file or rebate dataMicrosoft ExcelSQLApplication Lifecycle Management (ALM) toolsConfigurationData conversion analysisBatch processingClient communicationCommunication
About this role
Gainwell Technologies is a company focused on improving health and well-being through innovative technology solutions. As a Business Analyst - Preferred Drug List (PDL), you will play a critical role in pharmacy benefit management services, ensuring client objectives are met through effective analysis and system configuration.
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
Requirements:
- 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