Business Analyst - Pharmacy

Summary

As a Business Analyst - Pharmacy 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.

• Elicit and draft business, functional, and non-functional requirements for assigned project solution areas.
• Draft design deliverable content under the guidance of Business and Technical Leads, translating approved requirements into solution details with client-facing business language.
• Oversee project solution components end-to-end, including drafting descriptions, coordinating with developers and testers, and managing status updates.
• Write and execute test cases and/or support Testers and Test Leads.
• Perform production verification to confirm solutions work as intended in live environments.
• Capture meeting minutes for internal and client meetings when delegated by the Project Manager or Business Lead.
• Collaborate with Business and Technical Leads, Developers, Testers, and SMEs to ensure project deliverables are accurate and complete.

What we're looking for

• 3 or more years of experience in a relevant Business Analyst position with 2 or more years of Medicaid and Medicare experience preferred 
• 2 or more years of Claims experience, required.  Professional / Pharmacy Claims preferred.
• Detail oriented with good documentation skills and the ability to juggle multiple projects at one time
• Knowledge of computer programming concepts such as configuration, development 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 while integrating your strong analytical and business process re-engineering skills
• Strong executive presence and communication skills to deliver messages to business leaders, clients and technical personnel by translating client needs to actionable objectives

What you should expect in this role

• Opportunities to contribute across multiple phases of the project lifecycle, with guidance from senior team members as you build independence.
• Responsibility for assigned project solution components, with support from Business and Technical Leads.
• Participation in requirements sessions, design discussions, and reviews to strengthen analysis and communication skills.
• A mix of team collaboration and individual assignments that help deepen your Medicaid and pharmacy/claims knowledge.
  
  
• Remote options available from continental US locations only.
• Opportunities to travel through your work (0–10%).
• Video cameras must be used during all interviews, as well as during the initial week of orientation and all client meetings.

• The deadline to submit applications for this posting is October 27, 2025

• #LI-HC1
• #LI-Pharmacy Claims