Overview
Skills
Job Details
Role: Business Analyst Preferred Drug List (PDL)
Duration: Long Term
Experience: 8+ Years
Location: 100% Remote (Mode of work Remote-first with flexibility for in-office collaboration, Occasional evening and weekend work.
Preferred Working Time Zone: EST or CST
About the job
Job Summary:
We are seeking a detail-oriented and collaborative Business Analyst (BA) with strong healthcare domain knowledge to support the development and optimization of Preferred Drug List (PDL) solutions.
The ideal candidate will bridge business needs and technical capabilities, ensuring that PDL initiatives are data- driven, compliant, and aligned with stakeholder goals.
Experience:
5+ years of experience as a Business Analyst in healthcare or pharmacy domains.
Familiarity with PDL, formulary management systems, and drug classification standards
Detailed Job Description
Roles & Responsibilities:
Collaborate with stakeholders to elicit, document, and validate business requirements for PDL- related initiatives, including formulary updates, coding workflows, and supplemental rebate processes.
Analyze current and proposed PDL workflows (e.g., coding file generation, FMT integration, NDC updates) and recommend improvements for efficiency and compliance.
Use SQL and reporting tools to analyse drug utilization, market share trends, and rebate impacts.
Support the creation of reports such as the NDC PDL Detail Report, Sura/Dura reports, and Market Share Reports.
Act as a liaison between business, clinical, and technical teams to ensure shared understanding of requirements and deliverables. Translate complex data and regulatory concepts into actionable insights.
Ensure all documentation aligns with federal/state regulations (e.g., CMS, HIPAA) and internal standards. Maintain traceability matrices and support audit readiness.
Assist in defining test cases and validating outputs for PDL coding files, pricing updates, and rebate reports.
Participate in system-level testing and system integration testing (SIT) to ensure quality and compliance of delivered solutions.
Qualifications:
Bachelor's degree in Pharmacy, Healthcare Administration, Information Systems, or related field.
5+ years of experience as a Business Analyst in healthcare or pharmacy domains.
Familiarity with PDL, formulary management systems, and drug classification standards (e.g., NDC, RxNorm).
Strong SQL and Excel skills; experience with data visualization tools is a plus.
Understanding of Agile methodologies and experience working in cross-functional teams.
Excellent communication and documentation skills.
Preferred Skills:
Experience with Medicaid Drug Rebate Program (MDRP), supplemental rebate workflows, and pricing methodologies (e.g., NADAC, MAC).
Knowledge of tools like FMT (Formulary Management Tool), Databricks, and Unity Catalog.
Exposure to cloud platforms (AWS, Azure) and data pipeline concepts.
Ability to interpret RFPs and regulatory documents for business impact.
Experience with system-level testing and system integration testing (SIT), including test planning and defect tracking.
Work Environment:
Remote-first with flexibility for in-office collaboration.
Occasional evening/weekend work may be required for critical releases or stakeholder meetings.
| Mandatory Skills | Min Experience Required | How many years does candidate have | In which project you have worked (Name of client clients) |
| Business Analyst | 7-9 | ||
| Preferred Drug List (PDL) | 7-8 | ||
| Pharma Background | 5-6 | ||
| Healthcare Background | 5-6 | ||
| PDL Insurance Domain/Projects | 5-6 |
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| PDL formulary management systems | 7-8 | ||
| Pharmacy Benefit Manager (PBM) | 5-6 | ||
| PDL workflows (e.g., coding file generation, FMT integration, NDC updates) | 5-6 |
|
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| SQL and reporting tools to analyse drug utilization, market share trends, and rebate impact | 5-6 |
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| Creation of reports such as the NDC PDL Detail Report, Sura/Dura reports, and Market Share Reports. | 4-5 | ||
| Medicaid Drug Rebate Program (MDRP) | 5-6 |
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| FMT (Formulary Management Tool) | 5-6 |
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| Databricks, and Unity Catalog | 5-6 |
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| RFPs and regulatory documents for business impact. | 5-6 |
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