Business Analyst (Medicaid) - Claims

Gainwell Technologies LLC

Summary

As a Sr Business Analyst 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. Here are the details on this position.

Your role in our mission

Play a critical part in ensuring Gainwell is meeting our clients objectives in important areas.

• Help coordinate a business analyst team's duties and activities on IT projects and nurture newer team members by providing guidance and support.
• Be a knowledgeable bridge between clients, project managers and technical staff to define, document and share business requirements and expected impact.
• Work with the client to develop business specs at the start of a technical project.
• Analyze, plan, design, document or make recommendations to improve business processes to support client's technology goals.
• Help verify that all requirements have been met by approving and validating test results.
• Exercise your ability to use basic analytical or relational database software such as Excel or SQL to quantify the anticipated impact of work.

What we're looking for

Business Analyst

Summary

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 multiple accounts.

Basic Qualifications

• 8+ years of experience in Business Analyst, Claims adjudication, Medicaid or Medicare, SQL.
• 8+ years of business functional experience in one or more areas such as Eligibility, Claims.
• Strong SQL knowledge. Ability to write complex queries.
• Ability to gather requirements effectively; document requirements and confirm observations with business owners. Also, to perform fit/gap analysis based on requirements.
• Experience using Microsoft Office Tools, specifically Excel.
• Ability to create detailed and thorough design documents and test plans/execution for medium to large initiatives.
• Being able to research, analyze, validate and document business requirements.

What you should expect in this role

• Fast-paced, challenging and rewarding work environment.
• Work life balance.
• Hybrid Office environment.
• Will require late evening work to overlap US work hours.