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

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

Business Analyst – Preferred Drug List

Key skills