Offer summary

Qualifications:

6+ years of experience as a Business Analyst, preferably with Medicaid and Medicare knowledge., Expertise in PBM processes such as formulary management and claims adjudication., Strong analytical skills with proficiency in tools like Excel and SQL., Excellent communication and training skills, with experience in technical writing and documentation..

Key responsabilities:

Coordinate the duties of a business analyst team on IT projects and mentor junior members.

Act as a liaison between clients, project managers, and technical staff to define and document business requirements.

Analyze and recommend improvements to business processes to align with client technology goals.

Validate test results to ensure all requirements are met before project completion.

Job description

Summary

As a Senior Professional Business Analyst - PBM at Gainwell, you can contribute your skills as we harness the power of technology to help our clients improve the health and well-being of the members they serve — a community’s most vulnerable. Connect your passion with purpose, teaming with people who thrive on finding innovative solutions to some of healthcare’s biggest challenges. Here are the details on this position.

Your role in our mission

Play a critical part in ensuring Gainwell is meeting our clients’ objectives in important areas.

Help coordinate a business analyst team’s duties and activities on IT projects and nurture newer team members by providing guidance and support
Be a knowledgeable bridge between clients, project managers and technical staff to define, document and share business requirements and expected impact
Work with the client to develop business specs at the start of a technical project
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
Exercise your ability to use basic analytical or relational database software — such as Excel or SQL — to quantify the anticipated impact of work

What we're looking for

6 or more years of experience in a relevant Business Analyst position with 3 or more years of Medicaid and Medicare experience preferred
Medicaid and MITA Expertise: Knowledge of PBM-specific processes, including formulary management, claims adjudication, drug rebate processing, and pricing methodologies. Pharmacy technologist background preferred.
Business and Technical Skills: Strong business analysis, research, and troubleshooting skills to diagnose and address system issues, paired with technical savvy and familiarity with Visio and process modeling.
Training and Presentation Skills: Skilled in both in-person and virtual training, with experience in adult learning, classroom facilitation, and delivering technical concepts effectively.
Content Creation and Documentation: Background in technical writing and documentation, with expertise in video creation and editing (Camtasia, Articulate, Captivate) and 508 compliance for accessibility.
Communication and Soft Skills: Strong interpersonal and communication abilities, capable of leading presentations, facilitating stakeholder sessions, and maintaining clarity in complex discussions.
Requirement Management: Proficient in requirements analysis, capturing, and managing requirements throughout the project lifecycle, and familiar with product-based implementations.

What you should expect in this role

Fully remote options from continental US locations only
Video cameras must be used during all interviews, as well as during the initial week of orientation
This posting is intended for pipelining. This is a developing position therefore the job description is subject to change.
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