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Gainwell Technologies

Gainwell Technologies is an award-winning digital health technology company that supports the administration of healthcare and human services programs. In past

Business Analyst – Preferred Drug List

Location

Illinois

Posted

1 day ago

Salary

$55.6K - $79.4K / year

Seniority

Senior

Bachelor Degree4 yrs expEnglishSQL

Job Description

Business Analyst – Preferred Drug List

Gainwell Technologies

• 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

Job Requirements

  • Four or more years of experience in a relevant pharmacy business analyst or pharmacy technician role
  • Pharmacy experience as a Pharmacy Technician or within a Pharmacy Benefit Manager (PBM)
  • Knowledge of drugs and drug file structures using tools such as FDB, Medi-Span, 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
  • Knowledge of computer programming concepts including configuration, development, data conversion analysis, and batch processing
  • Advanced proficiency in analytical tools such as Microsoft Excel, SQL, and requirement-mapping tools such as ALM

Benefits

  • comprehensive health benefits
  • flexible vacation policy
  • 401(k) employer match
  • educational assistance
  • leadership and technical development academies

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