Early Career Business Analyst - Pharmacy IT

Put your passion to work and grow your career by learning from healthcare innovators and mentors. By joining our team, you'll work with industry pioneers who do incredible things to move healthcare forward. From day one, you'll work on exciting projects that make a meaningful impact on people's lives. You'll also have incredible opportunities to learn and develop your skills by joining a collaborative team that celebrates and embraces our differences. We have comprehensive leadership and technical development academies to help build your skills and fulfill your career aspirations.

Summary

The Early Career Business Analyst - Pharmacy IT plays a key role in supporting pharmacy benefit management (PBM) programs, Medicaid pharmacy operations, and pharmacy IT solution delivery. This role bridges business needs and technical solutions-analyzing requirements, enhancing pharmacy systems, supporting compliance, and ensuring accurate delivery of pharmacy services and claims processing capabilities.

Your role in our mission

• Lead the gathering, documentation, and validation of business, functional, and technical requirements for pharmacy IT systems-including POS, DUR, claims processing, RTBT, and formulary/PDL modules.
• Translate CMS and Medicaid pharmacy policies, regulatory updates, and rebate program rules into system requirements and operational impacts.
• Analyze pharmacy claims logic, NCPDP standards, pricing/reimbursement methods, and drug file updates to support system design and configuration.
• Develop and maintain use cases, data mappings, workflows, and testing assets; execute UAT, regression testing, and validation for pharmacy system enhancements.
• Support project planning, sprint ceremonies, and cross?functional coordination while preparing documentation, status updates, and facilitating stakeholder reviews.
• Provide operational and compliance support by assessing claim issues, pricing discrepancies, regulatory changes, and audit?related documentation needs.

What we're looking for

2+ years of experience in business analysis. Excellent analytical, documentation, communication, and problem-solving skills.
Strong understanding of pharmacy benefit management operations and terminology. Familiarity with NCPDP standards, pharmacy claims processing, drug file management (Medi-Span/First Databank), and pricing methodologies.
Experience writing business requirements, user stories, and test scenarios.
Experience with Medicaid pharmacy programs, MMIS, or PBM systems. Understanding of Clinical and DUR rules, formulary management, rebates, and PA workflows.
Proficiency with MS Office, JIRA/Azure DevOps (ADO), Visio, or similar tools.
Excellent analytical, documentation, communication, and problem-solving skills.

What you should expect in this role

• Fully remote opportunity
• The deadline to submit applications for this posting is 3/13/2026.
  Video cameras must be used during all interviews, as well as during the initial week of orientation.
  #LI-FB1

The pay range for this position is $44,500.00 - $63,500.00 per year, however, the base pay offered may vary depending on geographic region, internal equity, job-related knowledge, skills, and experience among other factors. Put your passion to work at Gainwell. You'll have the opportunity to grow your career in a company that values work flexibility, learning, and career development. All salaried, full-time candidates are eligible for our generous, flexible vacation policy, a 401(k) employer match, comprehensive health benefits , and educational assistance. We also have a variety of leadership and technical development academies to help build your skills and capabilities.

We believe nothing is impossible when you bring together people who care deeply about making healthcare work better for everyone. Build your career with Gainwell, an industry leader. You'll be joining a company where collaboration, innovation, and inclusion fuel our growth. Learn more about Gainwell at our company website and visit our Careers site for all available job role openings.

Gainwell Technologies is an Equal Opportunity Employer, where all qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical condition), age, sexual orientation, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics. Gainwell Technologies defines "wages" and "wage rates" to include "all forms of pay, including, but not limited to, salary, overtime pay, bonuses, stock, stock options, profit sharing and bonus plans, life insurance, vacation and holiday pay, cleaning or gasoline allowances, hotel accommodations, reimbursement for travel expenses, and benefits.