Note: The job is a remote job and is open to candidates in USA. Gainwell Technologies is a company dedicated to improving health and well-being through innovative technologies. As an Experienced Business Analyst Lead - Pharmacy, you will lead business analysis efforts for complex healthcare initiatives, coordinating with multiple analysts and stakeholders to deliver high-quality solutions for the Wisconsin Department of Health Services and Medicaid members.
Responsibilities
- Serve as the lead Business Analyst and Project Business Lead (BL) for the D.0 to F6 NCPDP upgrade initiative
- Oversee the full lifecycle management of structured solution changes across the BA team, assigning ownership, guiding development, and ensuring each item meets standards for documentation, coordination, traceability, and progression through approval, implementation, and closure
- Act as a primary liaison to DHS, partnering with the Project Manager as a co-face of the project to lead requirements and design discussions
- Lead and facilitate requirements workshops, design sessions, and solution walkthroughs, ensuring stakeholder alignment and consensus
- Ensure end-to-end solution integrity by aligning requirements, technical design, operational impacts, and validating feasibility in partnership with the Technical Lead
- Coordinate with the Test Lead and testing team to ensure alignment of test scenarios and test cases, validate coverage across functional areas, and support defect triage during SIT/UAT
- Enforce quality assurance standards across all BA deliverables, including final review, traceability validation, and readiness for PMO, Sponsor, and DHS review
- Maintain project coordination and communication activities, including capturing and distributing meeting minutes, tracking status of work items, and providing regular updates to Project Managers and other stakeholders
- Support the Project Manager in BA team resourcing, SME engagement, scheduling, and workload balancing
- Coach and mentor BA team members, promoting consistency, accountability, and adherence to standards
Skills
- Nine or more years of experience as a Business Analyst or requirements lead, with demonstrated ability to translate between technical and non-technical stakeholders
- Experience supporting Medicaid or healthcare system implementations (required)
- Demonstrated experience leading Business Analyst teams and coordinating across cross-functional business, technical, and operational teams on large, complex IT projects
- Proven ability to lead requirements elicitation, design coordination, and delivery of complex system solutions
- Strong knowledge of requirements elicitation and writing, SDLC/PLC processes, and alignment of requirements to testing and validation activities
- Ability to drive quality, consistency, and accountability across multiple contributors and deliverables
- Strong facilitation and communication skills, with the ability to lead client-facing discussions and influence outcomes
- Experience with NCPDP standards (e.g., D.0, F6) and pharmacy transaction processing, with exposure to related functional areas such as EDI, claims adjudication, coordination of benefits (TPL/subrogation), prior authorization, or benefit/rules configuration
Benefits
- Generous, flexible vacation policy
- Educational assistance
- Comprehensive health benefits
- 401(k) employer match
- Comprehensive leadership and technical development academies
- Opportunity to grow your career in a company that values work flexibility, learning, and career development
Company Overview