• Analyse, design, and support solutions across the Energy Trading & Risk Management landscape • Collaborate closely with the Implementation Team to understand customer needs and new feature requests • Translate high‑level requirements into well‑structured functional specifications, process maps, and user stories • Facilitate workshops, discovery sessions, and backlog refinement using Agile methodologies • Work with Engineering to ensure functional requirements are well understood, feasible, and aligned with architectural guidelines • Support Engineering in solution scoping, prototyping, and estimation activities • Contribute to solution design ensuring alignment with business workflows, ETRM best practices, and regulatory requirements • Proactively identify opportunities to improve product usability, workflows, and overall customer experience. • Mentor junior analysts, providing guidance on analysis techniques, product knowledge, and stakeholder engagement.

Be part of a team that unleashes the power of leading-edge technologies to help improve the health and well-being of those most vulnerable in our country and communities. Working at Gainwell carries its rewards. You’ll have an incredible opportunity to grow your career in a company that values work flexibility, learning, and career development. You’ll add to your technical credentials and certifications while enjoying a generous, flexible vacation policy and educational assistance. We also have comprehensive leadership and technical development academies to help build your skills and capabilities. Summary As a Senior Business Analyst - Pharmacy Benefit Management (PBM) 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. We are seeking a detail-oriented and experienced Senior Business Analyst (Sr. BA) with 5+ years of experience in Pharmacy Benefit Management (PBM). The ideal candidate will have strong client facing experience with expertise in requirements gathering, documentation, and a deep understanding of the pharmacy claims adjudication process. This role requires collaboration with business stakeholders and technical teams to deliver high-quality solutions that support PBM operations. Your role in our mission - Lead requirements gathering sessions with business stakeholders, SMEs, and cross-functional teams. - Translate business needs into detailed Business Requirements Documents (BRDs), Functional Requirements Documents (FRDs), user stories, process flows, and data mappings. - Analyze and document current and future-state workflows within PBM operations. - Demonstrate strong knowledge of the pharmacy claims adjudication lifecycle, including: - Member eligibility validation - Formulary checks - Benefit plan design - Prior authorization - DUR (Drug Utilization Review) - Copay/coinsurance calculation - Rejections and overrides - Work closely with IT teams to support system enhancements, integrations, and defect resolution. - Participate in system design discussions and provide functional guidance to developers. - Support EDI transactions including NCPDP standards .... your role continued - Create test plans, test cases, and support SIT/UAT activities. - Perform data analysis using SQL or similar tools to validate requirements and results. - Ensure compliance with regulatory requirements (CMS, HIPAA). - Identify process improvement opportunities and recommend solutions. What we're looking for - 5+ years of experience as a Business Analyst in a PBM environment. - Strong understanding of PBM operations and pharmacy claims adjudication. - Experience with Medicaid plans. - Proven experience gathering and documenting detailed business and functional requirements. - Familiarity with NCPDP standards and EDI transactions. - Strong analytical and problem-solving skills. - Experience working in Agile, Scrum, or Waterfall environments. - Excellent communication and stakeholder management skills. Technical skills (preferred) - Basic to intermediate SQL for data validation and analysis. - Familiarity with APIs, system integrations, and data mapping. - Understanding of system architecture and data flow diagrams Soft skills - Strong attention to detail - Ability to manage multiple priorities - Excellent documentation and presentation skills - Ability to bridge communication between business and technical teams - Proactive and solution-oriented mindset What you should expect in this role - Fully remote options from most US locations only - Office hours: 8a-5p central required, occasional after hours may be needed. - Video cameras must be used during all interviews, as well as during the initial week of orientation - The deadline to submit applications for this posting has been extended until a suitable candidate is selected #LI-HC1 #LI-PBM #LI-NCPDP The pay range for this position is $69,400.00 - $99,200.00 per year, however, the base pay offered may vary depending on geographic region, internal equity, job-related knowledge, skills, and experience among other factors. Put your passion to work at Gainwell. You’ll have the opportunity to grow your career in a company that values work flexibility, learning, and career development. All salaried, full-time candidates are eligible for our generous, flexible vacation policy, a 401(k) employer match, comprehensive health benefits, and educational assistance. We also have a variety of leadership and technical development academies to help build your skills and capabilities. We believe nothing is impossible when you bring together people who care deeply about making healthcare work better for everyone. Build your career with Gainwell, an industry leader. You’ll be joining a company where collaboration, innovation, and inclusion fuel our growth. Learn more about Gainwell at our company website and visit our Careers site for all available job role openings. Gainwell Technologies is an Equal Opportunity Employer, where all qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical condition), age, sexual orientation, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics. Gainwell Technologies defines “wages” and “wage rates” to include “all forms of pay, including, but not limited to, salary, overtime pay, bonuses, stock, stock options, profit sharing and bonus plans, life insurance, vacation and holiday pay, cleaning or gasoline allowances, hotel accommodations, reimbursement for travel expenses, and benefits.

You could be the one who changes everything for our 28 million members by using technology to improve health outcomes around the world. As a diversified, national organization, Centene's technology professionals have access to competitive benefits including a fresh perspective on workplace flexibility. Position Purpose: Oversees all labor management activities of FTEs, contractors, and fixed fee resources, including resource allocations, workload planning, and time reporting to ensure alignment with portfolio expectations. Forecasts all labor changes monthly, maintains a detailed labor tracker, monitors actuals vs forecast each month, and provides monthly updates to leadership. Manages and administers ServiceNow reporting to ensure accurate tracking, alignment, and visibility of work efforts. Supports process efficiency and coaches stakeholders on effective labor management practices. - Facilitates the portfolio management processes to ensure strategic alignment on technologies and goals - Develops and monitors reporting metrics and portfolio dashboards to allow for repeatable and predictable project or product release success. - Creates visibility into areas struggling with scope, schedule, resources, or budget - Contributes to the development, management and optimization of portfolio, program, and project management methodologies and disciplines - Facilitates resource and budget planning with the IT teams on new demands and contributes to the sequencing of projects into the portfolio - Identifies dependencies and critical paths, and aids stakeholders in managing them - Improves and streamlines the portfolio and project lifecycle, by working closely with business units, user base, and tool teams - Identifies and resolves problems often anticipating issues before they occur or before they escalate; develop and evaluate options and implements solutions - Analyzes project risk profile and balance at the portfolio level - Contributes to capacity planning for initial and ongoing identification of resource needs and scheduling that will be used for making critical portfolio decisions - Develop and maintain processes to facilitate integrated project scoping between various workgroups and identifies operational impacts and dependencies. - Maintain departmental work process for IT controls - Analyze demand data to identify and report on trends - Performs other duties as assigned - Complies with all policies and standards Education/Experience: Requires a Bachelor's degree and 4 – 6 years of related experience. Or equivalent experience acquired through accomplishments of applicable knowledge, duties, scope and skill reflective of the level of this position. Technical Skills: One or more of the following skills are desired. - Advanced knowledge of MS Excel - Experience with ServiceNow - Experience with Data Analysis - Knowledge of IT hardware/software assets as well as knowledge of applications and application platforms - Knowledge of JIRA Soft Skills: - Intermediate - Seeks to acquire knowledge in area of specialty - Intermediate - Ability to identify basic problems and procedural irregularities, collect data, establish facts, and draw valid conclusions - Intermediate - Ability to work independently - Intermediate - Demonstrated analytical skills - Intermediate - Demonstrated project management skills - Intermediate - Demonstrates a high level of accuracy, even under pressure - Intermediate - Demonstrates excellent judgment and decision making skills - Intermediate - Ability to communicate and make recommendations to upper management - Intermediate - Ability to drive multiple projects to successful completion License/Certification: - Certified Project Management Professional (PMP)-PMI preferred - Certified Workforce Planning Professional preferred - Certified in Governance of Enterprise IT (CGEIT) preferred Pay Range: $87,000.00 - $161,300.00 per year Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility. Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law. Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act

Be part of a team that unleashes the power of leading-edge technologies to help improve the health and well-being of those most vulnerable in our country and communities. Working at Gainwell carries its rewards. You’ll have an incredible opportunity to grow your career in a company that values work flexibility, learning, and career development. You’ll add to your technical credentials and certifications while enjoying a generous, flexible vacation policy and educational assistance. We also have comprehensive leadership and technical development academies to help build your skills and capabilities. Summary As a Business Analyst 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 Gainwell empowers you show you’re a pro and help clients deliver better health and human services outcomes using innovative technology and solutions. - Analyze, plan, design, document and make recommendations to improve business processes to support client’s technological aspirations - Be a supportive bridge between clients, project managers and technical personnel to define, track and communicate business requirements and their expected impact by building basic conceptual data and process models - Create, execute or analyze basic test scenarios to verify that client requirements are built into system design - Ensure that “intent of change” is carried out through every project phase by participating in technical reviews and inspections What we're looking for - Three or more years of Business Analyst experience translating technical goals and requirements into real action for clients - 1 or more years of Medicaid experience is required. Member Eligibility functional experience will be a plus. - Knowledge of basic computer programming concepts such as configuration, development and batch processing - Advanced knowledge in Microsoft Excel and other software for conducting quantitative analysis - Strong analytical and business process re-engineering skills - Strong written and oral communication and presentation skills to deliver messages to business leaders, clients and technical personnel - An influencer and team player who that motivates others to action and communicates key technical ideas in a digestible way What you should expect in this role - Fully remote options from Contiguous US locations only - Video cameras must be used during all interviews, as well as during the initial week of orientation - The deadline to submit applications for this posting is March 31, 2026 #LI-HC1 #LI-Member Eligibility #LI-Medicaid The pay range for this position is $55,600.00 - $70000 per year, however, the base pay offered may vary depending on geographic region, internal equity, job-related knowledge, skills, and experience among other factors. Put your passion to work at Gainwell. You’ll have the opportunity to grow your career in a company that values work flexibility, learning, and career development. All salaried, full-time candidates are eligible for our generous, flexible vacation policy, a 401(k) employer match, comprehensive health benefits, and educational assistance. We also have a variety of leadership and technical development academies to help build your skills and capabilities. We believe nothing is impossible when you bring together people who care deeply about making healthcare work better for everyone. Build your career with Gainwell, an industry leader. You’ll be joining a company where collaboration, innovation, and inclusion fuel our growth. Learn more about Gainwell at our company website and visit our Careers site for all available job role openings. Gainwell Technologies is an Equal Opportunity Employer, where all qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical condition), age, sexual orientation, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics. Gainwell Technologies defines “wages” and “wage rates” to include “all forms of pay, including, but not limited to, salary, overtime pay, bonuses, stock, stock options, profit sharing and bonus plans, life insurance, vacation and holiday pay, cleaning or gasoline allowances, hotel accommodations, reimbursement for travel expenses, and benefits.