Business Analyst - Preferred Drug List (PDL)

Gainwell Technologies is a company that focuses on improving health and well-being through technology solutions. They are seeking a Business Analyst - Preferred Drug List (PDL) to support pharmacy benefit management services and ensure client objectives are met by analyzing and configuring drug list and rebate systems.

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 role (Medicaid experience preferred)
• 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
• Strong client communication skills with the ability to translate business needs into actionable objectives
• Excellent analytical and business process re-engineering capabilities
• Executive-level communication skills with the ability to present effectively to business leaders, clients, and technical teams
• Strong organizational skills with the ability to prioritize and manage multiple tasks
• Ability to work independently with minimal supervision