Gainwell Technologies

Senior Pharmacy Analyst - WI

Gainwell Technologies • $69K — $99K *
Wrangell, AK 99929In-Person
Healthcare
5 - 7 years of experience
Today
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Job Overview by Ladders

Qualifications

  • 6+ years of experience as a Business Analyst in Healthcare/Pharmacy Industry
  • 3+ years of Medicaid and Medicare experience
  • Access database and Medicaid Pharmacy Benefit experience is a plus
  • Experience in Pharmacy reimbursement and drug coverage rules
  • Systems business analyst background
  • Familiarity with National Drug Codes (NDC)

Responsibilities

  • Assess, monitor, and maintain the drug reference file
  • Collaborate with policy analysts, systems analysts, and clinical staff
  • Analyze and manage data related to drug coverage and reimbursement policies
  • Evaluate proposed changes to the drug reference file
  • Develop alternatives for improving drug file quality and efficiency
  • Maintain data integrity within Wisconsin's Medicaid Management Information System

Benefits

  • Generous, flexible vacation policy
  • 401(k) employer match
  • Comprehensive health benefits
  • Educational assistance
  • Access to leadership and technical development academies
Full Job Description
Summary

As a Senior Pharmacy Analyst - WI 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

  • 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.
  • The pharmacy section develops and implements drug coverage and reimbursement policies for outpatient drugs.
  • This position collaborates with a team of policy analysts, systems analysts, and clinical staff.
  • Primary responsibility is for the 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.


What we're looking for

  • 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


What you should expect in this role

  • Remote residing within the state of WI- occasional in office training may occur
  • Video cameras must be used during all interviews, as well as during the initial week of orientation
  • The deadline to submit applications for this posting is July 30, 2026

#LI-HC1

#LI-Medicaid Pharmacy Benefit

#LI-Wisconsin

The pay range for this position is $69,400.00 - $99,200.00 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.

About Gainwell Technologies

Gainwell Technologies offerings including Medicaid Management Information Systems (MMIS), fiscal agent services, program integrity, care management, immunization registry, and eligibility services. With over 50 years of proven experience, Gainwell carries forward a reputation for technological innovation, service excellence, and unparalleled industry expertise in offering clients scalable and flexible health and human services solutions for their most complex challenges.

Gainwell Technologies Careers

There has never been a more opportune time to join Gainwell Technologies, a leader in providing cutting-edge technology solutions. As a hub of innovation and diversity, Gainwell Technologies offers a plethora of job opportunities aimed at enhancing the digital landscape.

Work You’ll Do

Join Gainwell Technologies' esteemed team to assist some of the most prominent organizations in mastering their technological advancements and digital transformations. At Gainwell Technologies, the focus is on leveraging a unique blend of technology, industry expertise, and digital innovation to lead the market. Professionals at Gainwell Technologies are positioned uniquely at the crossroads of technology and consulting, driving leadership and growth in various sectors through transformative solutions.

Gainwell Technologies Professional Growth and Opportunities

The team is dedicated to building a leading-edge environment that fosters professional growth and innovation. Gainwell Technologies is not just about addressing the current needs of the market but also about foreseeing and shaping the future of technology.

Innovative Work

At Gainwell Technologies, employees engage in groundbreaking work at the intersection of technology and practical application. The company is home to a large group of dedicated professionals who are committed to delivering robust solutions on trusted platforms.

Career Advancement

Embark on a career journey with Gainwell Technologies where the sky is the limit. The company supports ambitious professionals with comprehensive training, development programs, and diverse certification opportunities designed to future-proof careers in the technology sector.

Explore Job Opportunities and Culture

Gainwell Technologies is committed to creating a workplace culture that promotes diversity and inclusion, where every team member’s contribution is valued. Explore various job opportunities, from internships to full-time positions, and become part of a team that values innovation and leadership.

The Gainwell Technologies Commitment to Diversity and Professional Development

Gainwell Technologies recognizes the importance of diversity training and professional development in creating a thriving workplace. The company is dedicated to providing employees with the resources they need to succeed in their careers and contribute to the industry effectively.

Stay Connected with Gainwell Technologies Careers

Join the Team

Discover open positions that align with your skills and interests. Gainwell Technologies is on the lookout for passionate, curious, and creative professionals who are driven to find solutions and excel in their careers. SEARCH GAINWELL TECHNOLOGIES JOBS

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Learn more about Gainwell Technologies
Size
10,001 employees
Industry
Information Technology
* Ladders Estimates

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