Senior Pharmacy Analyst

Gainwell Technologies

Senior Pharmacy Analyst contributing to healthcare solutions for Medicaid and Medicare at Gainwell. Collaborating with teams to manage drug reference files and improve healthcare processes.

Posted 7/1/2026full-timeAny City • Wisconsin • 🇺🇸 United StatesSenior💰 $69,400 - $99,200 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in data analysis and management within the pharmacy benefit domain, with a strong focus on Medicaid and Medicare systems. Proficient in maintaining drug reference files and understanding pharmacy reimbursement processes.

Highest-signal resume keywords

Business Analyst ExperienceMedicaid ExperiencePharmacy Reimbursement KnowledgeDrug Claims Process UnderstandingNational Drug Codes (NDC) Familiarity

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Data AnalysisDrug File Data MaintenanceDrug Reference File ManagementPharmacy Benefit AnalysisMedicaid Management Information System (MMIS) Proficiency

Soft Skills

CollaborationResearch SkillsProblem-Solving

Tools & Technologies

Access Database

Industry Keywords

HealthcarePharmacy IndustryMedicaidMedicareDrug Coverage Rules

About the role

Key responsibilities & impact

Working under the supervision of the Pharmacy Benefit Manager within the Bureau of Clinical Policy and Pharmacy and serves as an embedded resource on the pharmacy team.
Collaborate with a team of policy analysts, systems analysts, and clinical staff.
Assessment, monitoring, and ongoing maintenance of the drug reference file, which includes items covered under the pharmacy benefit and physician-administered drugs.
Serves primarily as an information and data analyst for the drug reference file and is responsible for the evaluation and ongoing management needed for accurate maintenance of the drug reference file and its functionality within Wisconsin’s Medicaid Management Information System (MMIS).
Ongoing activities include, but are not limited to, drug file data maintenance, analysis, research, and published data table maintenance.
Long-term activities include analyzing proposed changes to the drug reference file, developing alternatives, and proposing initiatives to improve the quality and efficiencies of the drug reference file.

Requirements

What you’ll need

6 or more years of experience as Business Analyst in Healthcare / Pharmacy Industry including 3 or more years of Medicaid and Medicare experience
Access database and Medicaid Pharmacy Benefit experience is a plus
Experience in Pharmacy reimbursement and understanding of drug coverage rules
Experience as a systems business analyst
Understanding of National drug codes (NDC)
Experience with drug claims processes

Benefits

Comp & perks

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