Senior Business Analyst – Pharmacy

Gainwell Technologies

Senior Business Analyst - Pharmacy ensuring client objectives in pharmacy benefit management services through technology solutions. Collaborating with clinical teams and managing drug rebate implementations.

Posted 6/27/2026full-timeRemote • Illinois • 🇺🇸 United StatesSenior💰 $69,400 - $99,200 per yearWebsite

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

pharmacy benefit managementdrug rebate implementationspharmacy systems configurationbenefit plan designutilization controlsauto prior authorizationanalytical softwaredata conversion analysisbatch processingNCPDP guidelines

Soft Skills

strong communication skillsanalytical abilitiesbusiness process re-engineeringproblem solvinghighly organizedprioritizationindependent operationclient needs translationeffective presentationworkload management

Tools & Technologies

Microsoft ExcelSQLApplication Lifecycle Management (ALM) toolspharmacy payer systempharmacy claims testingFDBMedispanMicromedexpharmacy business requirements documentationrelational database software

Industry Keywords

MedicaidMedicarepharmacy technicianpharmacy operationsclaims processingprior authorization processesdrug file structurespharmacy experienceclient objectivesconfiguration requirements

Tech Stack

Tools & technologies

SQL

About the role

Key responsibilities & impact

Play a critical part in ensuring Gainwell is meeting our clients’ objectives in pharmacy benefit management (PBM) services.
Support PBM or Drug rebate implementations and configurations
Support PBM operations and maintenance on established accounts
Work with a team of pharmacy clinicians and subject matter experts to configure the pharmacy systems to deliver services to our state clients.
Assist in implementation of a pharmacy payer system.
Perform Pharmacy updates including benefit plan design, edit/audit set up, utilization controls, PDL, configuration updates, and auto prior authorization parameters
Be a knowledgeable bridge between operations staff, clients, project managers and technical staff to define, document and share pharmacy business requirements and expected impact
Work with the client to develop business rules and configuration requirements
Analyze, plan, design, document or make recommendations to improve business processes to support client’s technology goals
Help verify that all requirements have been met by approving and validating test results
Testing point of sale (POS) pharmacy claims as required
Exercise your ability to use basic analytical or relational database software — such as Excel or SQL — to quantify the anticipated impact of work

Requirements

What you’ll need

Six (6) or more years of experience in a relevant pharmacy business analyst or pharmacy technician position with 3 or more years of Medicaid and Medicare experience preferred
Knowledge of computer programming concepts such as configuration, development, data conversion analysis and batch processing
Advanced knowledge in analytical software such as Microsoft Excel or SQL and other requirement-mapping tools such as Application Lifecycle Management (ALM) tools
Strong communication skills, including translating client needs into actionable objectives and presenting effectively to business, technical, and executive audiences
Strong analytical abilities with experience in business process re-engineering and problem solving
Highly organized with the ability to prioritize tasks, manage workload effectively, and operate independently
Pharmacy Experience as a Pharmacy Technician or working for a PBM
Knowledge of drugs and drug file structures through FDB, Medispan, or Micromedex
Knowledge the pharmacy payer process/claims processing.
Experience working with drug file data or NCPDP guidelines
Knowledge of prior authorization processes and criteria preferred.

Benefits

Comp & perks

Health benefits
Flexible vacation policy
Educational assistance
Leadership and technical development academies