Experienced Business Analyst - Project Business Lead (Pharmacy F6 / NCPDP Upgrade)

Be part of a team that unleashes the power of leading-edge technologies to help improve the health and well-being of those most vulnerable in our country and communities. Working at Gainwell carries its rewards. You’ll have an incredible opportunity to grow your career in a company that values work flexibility, learning, and career development. You’ll add to your technical credentials and certifications while enjoying a generous, flexible vacation policy and educational assistance. We also have comprehensive leadership and technical development academies to help build your skills and capabilities.

Summary

As an Experienced Business Analyst - Project Business Lead (Pharmacy F6 / NCPDP Upgrade) at Gainwell, you will lead business analysis efforts for complex, high-impact healthcare initiatives. In this role, 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. You will partner with project leadership and client stakeholders to translate business needs into high-quality system solutions that improve outcomes for the Wisconsin Department of Health Services, Medicaid members, and providers. Here are the details on this position. Your role in our mission 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 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 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 Experience supporting Medicaid or healthcare system implementations (required) 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 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 What you should expect in this role Serve as the designated Project Business Lead on a high-visibility pharmacy transaction modernization initiative Work closely with project leadership (PM, Technical Lead, and Test Lead) as part of the core delivery team Lead a distributed team of BAs supporting multiple functional areas and solution components Engage directly with state client stakeholders (DHS) on requirements, design, testing validation, and solution acceptance Opportunity to lead similar large-scale efforts after this one is completed Limited travel (0–5%) depending on project needs, though unlikely Role requires residency and work location within the contiguous United States (48 states) Video cameras must be on during all interviews and meetings (both internal team and client-facing meetings) Working during core business hours of 7:30 AM – 4:30 PM CST The deadline to submit applications for this postin is June 18, 2026 #LI-HC1 #LI-NCPDP standards #LI-Medicaid #LI-SDLC / PLC processes 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. 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. Apply To This Job