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Business Analyst - Financials (Healthcare)

Role overview

Qualifications

  • 4–8 years of experience in a Business Analyst role
  • Minimum 1+ year experience in Medicaid financial domain
  • Strong knowledge of financial processes, including Accounts Receivable, Expenditure, and Healthcare transactions (835, 834, capitation)
  • Strong analytical skills and ability to perform data-driven analysis.

Responsibilities

  • Gather, analyze, and document business requirements related to financial processes.
  • Conduct research and analysis to understand business needs and translate them into detailed functional and design documentation.
  • Work closely with stakeholders to elicit, validate, and prioritize requirements.
  • Support business process re-engineering efforts, identifying opportunities for efficiency and improvement.

Key facts

Hard skills

Other skills

  • Microsoft Excel
  • Analytical Skills
  • Communication
  • Collaboration
  • Problem Solving

About the company

Gainwell Technologies LLC logo

Gainwell Technologies LLC

Digital Health & Health Tech

For 50 years, our nation’s federal Medicaid program has worked to improve the health, safety and well-being of America’s most vulnerable populations: low-income families, women and children, seniors, and those with disabilities. With positive health and cost outcomes that pierce inequities and impact economies, the success of these programs is inextricably tied to the prosperity of communities, individual states and the nation as a whole. We think that demands respect and, more importantly, is deserving of a lifetime commitment from innovators who can help those who operate within and around health and human services evolve — in any market at any stage. At Gainwell Technologies, that’s our sole focus. Built across more than five decades, Gainwell has intentionally seized opportunities to advance its digitally enabled services to meet agencies, health plans and MCOs where they are on their modernization journeys and propel them into the future of public health. Our commitment to innovation, deep experience and ability to leverage insights from customers across 50 states has allowed us to expand on next-generation, cloud-enabled technologies. Today, Gainwell offers one of the most comprehensive suites of scalable services and solutions on the market — all proven to deliver cost savings, better patient outcomes and an improved provider experience. Equally important to our expanding technologies and results: We bring ideas that bring policies to life.

Company details

Company typeLarge
IndustryDigital Health & Health Tech
Company size10001

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Job description

 

Summary

As a Business Analyst - Financials (Healthcare) at Gainwell you will support Gainwell’s Medicaid financial operations by analyzing business requirements, documenting functional designs, and enabling process improvements across financial systems and workflows. The role requires experience in healthcare financial domains, including Accounts Receivable, expenditures, and transaction processing (835/834/capitation).

You will collaborate closely with business stakeholders, project teams, and technical teams to translate business needs into clear, actionable requirements and ensure alignment with Gainwell delivery standards and regulatory expectations.

This role is strictly involved in business analysis, requirements gathering, and financial process support activities and does not involve direct access to Protected Health Information (PHI), Personally Identifiable Information (PII), or any secured or confidential client data. The work is limited to financial data analysis, business process documentation, and requirements management using approved and governed datasets and does not include handling or processing of sensitive health or personal information.

Your role in our mission

Having 4–8 years of experience, this position will be responsible for supporting financial business analysis activities across healthcare programs.

  • Gather, analyze, and document business requirements related to financial processes, including Accounts Receivable, expenditures, and healthcare transaction flows (835, 834, capitation).
  • Conduct research and analysis to understand business needs and translate them into detailed functional and design documentation.
  • Work closely with stakeholders to elicit, validate, and prioritize requirements, ensuring clarity and completeness.
  • Translating business needs into actionable objectives for technical teams and delivery stakeholders.
  • Support business process re‑engineering efforts, identifying opportunities for efficiency and improvement.
  • Develop and maintain requirement artifacts, including business requirement documents (BRDs), functional specifications, and process flows.
  • Utilize tools such as Microsoft Excel, SQL, and ALM tools for analysis, tracking, and documentation.
  • Support testing activities, including validation of requirements and assistance with defect triage.
  • Participate in stakeholder meetings and provide clear communication and updates to both business and technical audiences.
  • Ensure alignment of deliverables with Gainwell quality and documentation standards.

What we're looking for

Required Skills:

  • 4–8 years of experience in a Business Analyst role.
  • Minimum 1+ year experience in Medicaid financial domain.
  • Strong knowledge of financial processes, including - Accounts Receivable , Expenditure,Healthcare transactions (835, 834, capitation)
  • Experience in requirements gathering, analysis, and documentation.
  • Strong experience with Microsoft Excel and working knowledge of SQL for data analysis.
  • Experience using Application Lifecycle Management (ALM) tools or similar requirement‑tracking tools.
  • Strong analytical skills and ability to perform data‑driven analysis.
  • Experience in business process analysis and reengineering.
  • Excellent communication skills, with ability to interact with business users, technical teams, and leadership.
  • Ability to work independently and collaboratively in a matrixed enterprise environment.
  • Experience working in Medicaid programs or state healthcare systems.
  • Familiarity with healthcare financial systems and revenue cycle processes.
  • Experience with data reporting or data quality validation.
  • Exposure to Agile or hybrid delivery methodologies.

What you should expect in this role

Remote working environment with shift starts from 2pm- 11pm IST

 

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Marcus Rivera

Chief Revenue Officer

m.rivera@company.com
linkedin.com/in/marcusrivera
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