Advisor Business Analyst – Fraud, Waste & Abuse

🕒 April 13

❄️ Minnesota – Remote

❄️ Minnesota – Remote

💵 $86.8k - $124k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

🧐 Business Analyst

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Gainwell Technologies

WebsiteLinkedInAll Job Openings

10,000+ employees

⚕️ Healthcare Insurance

💰 Grant on 2023-06

Healthcare Insurance • Human Services • Healthcare

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

• Translate business needs into detailed UI mock-ups and requirements/user stories that guide development efforts • Proactively identify opportunities for system enhancements or gaps that increase product value and operational efficiency • Define acceptance criteria and expected system behavior • Apply the test scenarios to execute User Acceptance Testing • Participate in post-deployment testing sessions that occur after normal business hours • Communicate effectively with both technical and non-technical audiences • Create and maintain organized product project plans to support product development • Lead requirement elicitation meetings with clients and stakeholders • Configure and tailor client system environments • Deliver product demos, walkthroughs, and training as needed

🎯 Requirements

• 5+ years of SME experience leading healthcare fraud and abuse detection and investigations • 2+ years of experience in requirement elicitation, analyzing and documenting business processes and system requirements that are leveraged by development teams • Certification: Professional certification as a Certified Fraud Examiner (CFE) or Accredited Health Care Fraud Investigator (AHFI) is desirable • Curiosity to solve complex problems and strong interpersonal skills to interact with and influence clients and team members • Ability to clearly and concisely translate technical requirements to a non-technical audience

🏖️ Benefits

• generous, flexible vacation policy • educational assistance • comprehensive health benefits • 401(k) employer match