Experienced Business Analyst Lead - Pharmacy
Summary
As an Experienced Business Analyst Lead - Pharmacy at Gainwell, you will lead business analysis efforts for complex, high-impact healthcare initiatives. Specifically, you will serve as the Project Business Lead (BL) for the Pharmacy F6 / NCPDP upgrade, driving coordination across multiple Business Analysts and ensuring delivery of a cohesive, compliant, and end-to-end solution.
Responsibilities
Take ownership of business analysis leadership on a large, cross-functional modernization effort supporting pharmacy claims processing standards.
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.
Coach and mentor BA team members, promoting consistency, accountability, and adherence to standards.
Requirements
Nine or more years of experience as a Business Analyst or requirements lead, with demonstrated ability to translate between technical and non-technical stakeholders.
Strongly preferred: 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.
Demonstrated experience leading Business Analyst teams and coordinating across cross-functional business, technical, and operational teams on large, complex IT projects.
Prominent experience in leading 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.
Proven 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.
Qualifications
Experience supporting Medicaid or healthcare system implementations (required).
Strong facilitation and communication skills, with the ability to lead client-facing discussions and influence outcomes.
Skills
Strong facilitation and communication skills, with the ability to lead client-facing discussions and influence outcomes.
Benefits
The pay range for this position is $86,800.00 - $124,000.00 per year, however, the base pay offered may vary depending on geographic region, internal equity, job-related knowledge, skills, and experience among other factors.
What We're Looking For
Nine or more years of experience as a Business Analyst or requirements lead, with demonstrated ability to translate between technical and non-technical stakeholders.
Strongly preferred: 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.
Demonstrated experience leading Business Analyst teams and coordinating across cross-functional business, technical, and operational teams on large, complex IT projects.
Prominent experience in leading 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.
Proven 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.