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 a Business Analyst - Medicaid Claims Processing 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.
Applies intermediate level of subject matter knowledge to solve a variety of common business issues. Works on problems of moderately complex scope. Acts as an informed team member providing analysis of information and limited project direction input. Exercises independent judgment within defined practices and procedures to determine appropriate action. Follows established guidelines and interprets policies. Evaluates unique circumstances and makes recommendations.
Assists in the research and assessment of business goals, objectives and needs to align information technology solutions with business initiatives for multiple, less complex accounts. Serves as the liaison between technical personnel and business area for the account.
Here are the details on this position.
Your role in our mission
- Assists in planning and designing business processes; assists in formulating recommendations to improve and support business activities.
- Assists in analyzing and documenting client's business requirements and processes; communicates these requirements to technical personnel by constructing basic conceptual data and process models, including data dictionaries and volume estimates.
- Assists in creating basic test scenarios to be used in testing the business applications in order to verify that client requirements are incorporated into the system design.
- Assists in developing and modifying systems requirements documentation to meet client needs.
- Participates in meetings with clients to gather and document requirements and explore potential solutions.
- Participates in technical reviews and inspections to verify "intent of change" is carried through phase of project.
- Executes system tests from existing test plans. Assist in analyzing test results in various phases.
What we're looking for
- 3-5 years’ Business Analyst experience. Typically a Bachelor’s degree in a technical or business discipline or equivalent experience
- Experience working with the interface of information technology with functional groups within an organization
- Experience working with business processes
- Experience working with computer programming concepts and basic language
- Developing and executing test plans preferred
- Experience in Health Care strongly preferred
Essential Skills
- Requirements determination using structured techniques for documentation, analysis, evaluation/ validation
- Decomposition of high- level information into details
- Abstracting low- level information
- Distinguishing requests vs needs
- Distinguishing requirements vs. solutions
- Classifying and prioritizing requirements
- Requirements change management and traceability
- Identifying risks
- Applying creativity to solving complex problems
- Building relationships and working collaboratively
- Effective verbal/ written communication
Professional Skills
- Conflict resolution
- Interpersonal skills to interact with customers and team members
- Analytical and problem-solving skills
- Presentation skills to communicate with management and customers
- Personal computer and business solutions software skills
- Ability to work in a team environment with multiple team members
Tools & Technology Training
- Claims Processing
- SQL Basics
- MS Word
- MS Excel
- MS PowerPoint
- MS SharePoint
- MS Teams
What you should expect in this role
- Fully remote options from Continental US locations only
- 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 April 1, 2025
#LI-HC1
The pay range for this position is $55,600.00 - $79,400.00 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 committed to a diverse, equitable, and inclusive workplace. We are proud to be 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), sexual orientation, gender identity, gender expression, age, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics. We celebrate diversity and are dedicated to creating an inclusive environment for all employees.
