Experienced Business Analyst – BPM, Training Lead

🕒 September 18

🇺🇸 United States – Remote

⏰ Full Time

🟠 Senior

🧐 Business Analyst

🦅 H1B Visa Sponsor

This company has sponsored H1B visas in the past.

👻 Ghost score 15%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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Gainwell Technologies

WebsiteLinkedInAll Job Openings

10,000+ employees

💼 Consulting

📦 Logistics

⚕️ Healthcare Insurance

💰 Grant on 2023-06

Consulting • Logistics • Healthcare Insurance

Gainwell Technologies is the nation’s leading provider of digital and cloud-enabled solutions across the human services and public health ecosystem. With a mission-driven approach, Gainwell serves clients in all 50 U. S. states, focusing on improving health outcomes and delivering intuitive, human-centered experiences. Their comprehensive suite of solutions includes Medicaid Enterprise modernization, data analytics, provider services, and pharmacy solutions, all designed to advance the future of healthcare and enhance community well-being.

📋 Description

• Lead analysis, design, documentation, and optimization of business processes • Facilitate stakeholder workshops and client meetings to gather, validate, and document requirements • Identify gaps and recommend effective solutions • Develop and maintain BPMN 2.0 business process models, workflows, use cases, and supporting documentation • Ensure requirements, design artifacts, and project documentation align with business needs and stakeholder expectations • Lead business analysis activities across multiple projects and mentor junior team members • Develop project estimates and support planning for business analysis, process modeling, and training activities • Partner with business, operational, technical, clinical, and vendor stakeholders to evaluate impacts and define business rules • Maintain documentation standards, perform quality reviews, and manage publication of process models and knowledge assets • Assess training needs and oversee training programs, eLearning content, job aids, procedures, and operational readiness materials • Support LMS administration, including learning paths, training surveys, content deployment, and instructor-led training coordination • Apply Medicaid pharmacy and care management expertise to workflows involving utilization management, prior authorization, appeals, formularies, drug utilization review, clinical edits, member lock-in programs, and care coordination • Collaborate with pharmacists, clinicians, care management, policy, operations, product, configuration, and technical teams • Translate pharmacy policies, clinical criteria, system configurations, and operational procedures into requirements, process models, training materials, user guides, and job aids • Develop scenario-based training, demonstrations, and validation materials for pharmacy and care management users

🎯 Requirements

• Bachelor’s degree or equivalent combination of education and experience • 9+ years of business analysis experience, including healthcare or government healthcare system implementations • Experience analyzing and designing business processes, workflows, use cases, and functional requirements using BPMN 2.0 or similar methodologies • Strong understanding of CMS, MITA, Medicaid operations, compliance requirements, data management, and customer service delivery processes • Expertise in relational databases, system integrations, technical documentation, and translating complex healthcare concepts into business and training solutions • Experience developing and delivering training programs, including LMS administration, eLearning content, learning paths, surveys, and instructor-led training • Exceptional interpersonal and communication skills • Advanced leadership and project coordination skills • Strong analytical, presentation, and client-facing capabilities • Willingness to travel based on project needs • Video cameras must be used during interviews and the initial week of orientation • Stable internet connection and a quiet location for screenings, interviews, and meetings • Video required for screenings and interviews • No AI tools, virtual backgrounds/filters, or visual enhancements during the interview

🏖️ Benefits

• Work flexibility • Learning and career development opportunities • Flexible vacation policy • 401(k) employer match • Comprehensive health benefits • Educational assistance • Leadership and technical development academies • Travel expense reimbursement (included among the employer’s defined forms of pay/benefits)