• Translate business needs into detailed UI mock-ups and requirements/user stories that guide development efforts • Proactively identify opportunities for system enhancements or gaps that increase product value and operational efficiency based upon new industry trends/schemes or client need • Define acceptance criteria and expected system behavior. Apply the test scenarios to execute User Acceptance Testing to verify that systems are functioning properly and business requirements are incorporated into the system design • Participate in post-deployment testing sessions that occur after normal business hours (Typically one Thursday evening every month) • Communicate effectively with both technical and non-technical audiences and capable of building and maintaining relationships with key stakeholders • Create and maintain organized product project plans through integrated management tools to support product development (i.e., Azure DevOps or other tools) • Utilize product knowledge combined with extensive Payment/Program Integrity subject matter expertise to lead requirement elicitation meetings with clients and stakeholders • Configure and tailor client system environments (rules, alerts, case workflows, etc.) • Deliver product demos, walkthroughs, and training as needed • Develop and maintain internal & client training documents, job aids, and product enhancements/release notes • Support daily product maintenance and client satisfaction

• 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

• Unlock knowledge to enable smarter decisions and better service delivery across government! • Design and maintain Knowledge Bases (KBs) as a self-service platform for content management and sharing. • Configure KB structures, categories, and role-based access controls. • Customize workflows for article publishing, updates, and retirement. • Plan and implement KB patches, fixes, enhancements, and upgrades. • Participate in System and User Acceptance Testing (UAT). • Develop and enhance Knowledge Management governance frameworks, processes, and procedures. • Document workflows, templates, and operational standards. • Facilitate monthly KM Representative Committee meetings. • Manage KM author/approver onboarding and offboarding processes. • Coordinate and deliver KM training for service teams and users. • Collaborate with support teams and vendors to ensure KB alignment with business needs. • Engage stakeholders to identify current and future requirements. • Lead Continual Service Improvement (CSI) initiatives.

Role Description As an Experienced Business Analyst Lead - Pharmacy at Gainwell, you will lead business analysis efforts for complex, high-impact healthcare initiatives. In this role, you will serve as the Project Business Lead (BL) for the Pharmacy F6 / NCPDP upgrade, driving coordination across multiple Business Analysts and ensuring delivery of a cohesive, compliant, and end-to-end solution. - Take ownership of business analysis leadership on a large, cross-functional modernization effort supporting pharmacy claims processing standards. - Serve as the lead Business Analyst and Project Business Lead (BL) for the D.0 to F6 NCPDP upgrade initiative. - Oversee the full lifecycle management of structured solution changes across the BA team, assigning ownership, guiding development, and ensuring each item meets standards for documentation, coordination, traceability, and progression through approval, implementation, and closure. - Act as a primary liaison to DHS, partnering with the Project Manager as a co-face of the project to lead requirements and design discussions. - Lead and facilitate requirements workshops, design sessions, and solution walkthroughs, ensuring stakeholder alignment and consensus. - Ensure end-to-end solution integrity by aligning requirements, technical design, operational impacts, and validating feasibility in partnership with the Technical Lead. - Coordinate with the Test Lead and testing team to ensure alignment of test scenarios and test cases, validate coverage across functional areas, and support defect triage during SIT/UAT. - Enforce quality assurance standards across all BA deliverables, including final review, traceability validation, and readiness for PMO, Sponsor, and DHS review. - Maintain project coordination and communication activities, including capturing and distributing meeting minutes, tracking status of work items, and providing regular updates to Project Managers and other stakeholders. - Support the Project Manager in BA team resourcing, SME engagement, scheduling, and workload balancing. - Coach and mentor BA team members, promoting consistency, accountability, and adherence to standards. Qualifications - Nine or more years of experience as a Business Analyst or requirements lead, with demonstrated ability to translate between technical and non-technical stakeholders. - Experience supporting Medicaid or healthcare system implementations (required). - Strongly preferred: Experience with NCPDP standards (e.g., D.0, F6) and pharmacy transaction processing, with exposure to related functional areas such as EDI, claims adjudication, coordination of benefits (TPL/subrogation), prior authorization, or benefit/rules configuration. - Demonstrated experience leading Business Analyst teams and coordinating across cross-functional business, technical, and operational teams on large, complex IT projects. - Proven ability to lead requirements elicitation, design coordination, and delivery of complex system solutions. - Strong knowledge of requirements elicitation and writing, SDLC/PLC processes, and alignment of requirements to testing and validation activities. - Ability to drive quality, consistency, and accountability across multiple contributors and deliverables. - Strong facilitation and communication skills, with the ability to lead client-facing discussions and influence outcomes. Requirements - Serve as the designated Project Business Lead on a high-visibility pharmacy transaction modernization initiative. - Work closely with project leadership (PM, Technical Lead, and Test Lead) as part of the core delivery team. - Lead a distributed team of BAs supporting multiple functional areas and solution components. - Engage directly with state client stakeholders (DHS) on requirements, design, testing validation, and solution acceptance. - Opportunity to lead similar large-scale efforts after this one is completed. - Limited travel (0–5%) depending on project needs, though unlikely. - Remote position requires residency and work location within the contiguous United States (48 states). - Video cameras must be on during all interviews and meetings (both internal team and client-facing meetings). - Working during core business hours of 7:30 AM – 4:30 PM CST. Benefits - Generous, flexible vacation policy. - 401(k) employer match. - Comprehensive health benefits. - Educational assistance. - A variety of leadership and technical development academies to help build your skills and capabilities.