JobsBusiness & Financial AnalystUnited StatesSenior Business Analyst - Pharmacy Benefit Management (PBM)

Gainwell Technologies LLC

Posted 2 days ago · Jobs at Gainwell Technologies LLC

Senior Business Analyst - Pharmacy Benefit Management (PBM)

Gainwell Technologies LLC · Muskingum County, Ohio, United States · also Perry County, Ohio, United States

Full-timeRemote5-10 yrs$69k–$99kListed as no visa sponsorshipIT Services and IT Consulting
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In short

The Senior Business Analyst will elicit, analyze, and document business requirements while acting as a bridge between stakeholders and technical teams. They will also support the software development lifecycle, manage project risks, and mentor junior team members.

What they're looking for

MUST-HAVE SKILLS

Business AnalyticsRequirements GatheringProcess MappingPharmacy Benefit ManagementMedicaidAgileWaterfallSDLC

ALSO MENTIONED

Business AnalystPharmacy Benefit ManagementPBMMedicaidAgileWaterfallSDLCSSISRequirements GatheringProcess Mapping

Candidates must have 5+ years of experience in business analytics and 3+ years in pharmacy systems or PBM domain knowledge. Proficiency in Agile and Waterfall methodologies is required, with experience in Medicaid and SSIS considered a plus.

About the employer

Gainwell Technologies

The people who build careers at Gainwell Technologies share one thing: they want their work to matter. Here, it does.

Read more

We're the essential ingredient that makes Medicaid work. For more than 50 years, we've combined our sweeping scale and technology to turn complex policies into thriving programs. We act as the crucial connection bringing the U.S. healthcare ecosystem together, and we partner with state agencies to modernize public health. Our solutions translate complex member data into meaningful action. We streamline administration, connect vital systems, and drive efficiency. This gives providers more time to focus on delivering quality care to the people who need it most. When we bring Medicaid touchpoints to life, members thrive. From fighting fraud and recovering improper payments to speeding up verifications, every solution we deploy expands what's possible for the future of healthcare. Less burden, more mission. Gainwell.

INDUSTRY
IT Services and IT Consulting
COMPANY
Privately Held
HEADQUARTERS
United States
SIZE
10,001+on LinkedIn
OFFICES
1 on LinkedIn
OPEN HERE
6 roles

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Questions about this role

Is this Gainwell Technologies LLC role remote?
Tagged remote.
What does it pay?
The posting lists $69,400–$99,200 a year.
Does it sponsor visas?
Listed as no visa sponsorship.
What experience does it ask for?
Listed as 5-10 years.

The posting, in full

Great companies need great teams to propel their operations. Join the group that solves business challenges and enhances the way we work and grow. Working at Gainwell carries its rewards. You’ll have an incredible opportunity to grow your career in a company that values your contributions and puts a premium on work flexibility, learning, and career development.

▶ READ THE FULL POSTING

Great companies need great teams to propel their operations. Join the group that solves business challenges and enhances the way we work and grow. Working at Gainwell carries its rewards. You’ll have an incredible opportunity to grow your career in a company that values your contributions and puts a premium on work flexibility, learning, and career development.

Summary

As a Senior Business Analyst - Pharmacy Benefit Management (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.

You will be responsible for eliciting, analyzing, and documenting business requirements for software development projects. This role involves working closely with stakeholders, end-users, project managers, and developers to ensure that software applications are designed to meet business needs. The Business Architect will help translate business objectives into technical solutions and support the software development lifecycle from inception to implementation.

Your role in our mission

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

  • Be a knowledgeable bridge between clients, project managers and technical staff to define, document and share business requirements and expected impact.
  • Requirements and Process Analysis: Gather, analyze, and document functional and non-functional requirements; evaluate and optimize business processes to align with software capabilities.
  • Cross-Functional Collaboration: Act as a liaison between stakeholders and technical teams, ensuring alignment on business needs, design, and development throughout the project lifecycle.
  • Documentation and Communication: Create and maintain BRDs, user stories, process flows, and training materials to support development and user adoption.
  • Testing and Quality Assurance: Support UAT, identify and resolve defects, and assist end-users during testing and go-live phases to ensure solution quality.
  • Project and Change Management Support: Assist with project planning, tracking, and change management by analyzing impacts, managing risks, and communicating updates effectively.
  • Coordinate business analyst team’s activities on IT projects and nurture newer team members by providing guidance and support.
  • Exercise your analytical and relational database capability to quantify the anticipated solution approach and business impact.

What we're looking for

  • 5+ years of experience in Business Analytics, Requirements Gathering, Process Mapping, Documentation
  • 3+ years in Pharmacy Systems and US PBM Domain knowledge with Medicaid experience as a plus
  • Skilled in both Agile and Waterfall SDLC Methodologies
  • Experience leading teams and mentoring junior Analysts and Architects while working with cross-functional technical and non-technical partners
  • Familiarity with Large Corporate Matrixed Environments with SSIS experience as a plus

What you should expect in this role

  • Fully remote options from Contiguous US locations only
  • Video cameras must be used during all interviews, as well as during the initial week of orientation
  • Photo will be taken during screening for verification in all steps of the recruitment process.
  • The deadline to submit applications for this posting is November 3, 2026 Please ensure you join all screenings, interviews and meetings from a quiet location with a stable internet connection. Video is required for screenings and interviews, so please test your camera and microphone in advance. Do not use AI tools, virtual backgrounds/filters, or visual enhancements during the interview.

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.

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.

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This listing comes from Gainwell Technologies LLC's own careers site. Apply links go to the employer. Company facts are from Gainwell Technologies's public profile. Last checked 29 Oct 2026.