Gainwell Technologies
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.
Experienced Business Analyst – MMIS, Medicaid Pharmacy
🕒 May 22
🏛️ District of Columbia – Remote
💵 $86.8k - $124k / year
⏰ Full Time
🟡 Mid-level
🟠 Senior
🧐 Business Analyst
🦅 H1B Visa Sponsor
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Gainwell Technologies
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
• Support business, policy, and technical execution across one or more functional domains within MMIS Medicaid Management Information Systems (MMIS) and/or the Medicaid Pharmacy environment • Translate state and federal Medicaid policy and program requirements into product features, system configuration, and design artifacts • Ensure successful implementation and operational readiness as a domain and policy subject matter expert (SME) • Develop and maintain domain design documentation • Support end‑to‑end domain delivery • Provide domain SME support during System Integration Testing (SIT) and User Acceptance Testing (UAT)
🎯 Requirements
• Bachelor’s degree in Computer Science, Information Systems, Health Informatics, or a related field • 5 to 8 years of hands ‑ on experience supporting healthcare system implementations, including MMIS solutions and Medicaid Pharmacy platforms • Experience with QNXT or similar healthcare claims/encounter management systems • Strong knowledge of state and federal Medicaid policy, regulations, and program rules (required) • Strong understanding of Medicaid domains, including claims, member, provider, and prior authorization processes • Demonstrated experience translating policy and program rules into system requirements, configuration support, and design artifacts • Strong knowledge of SQL is required, particularly for data analysis and validation • Strong client communication skills, with experience interacting directly with business stakeholders • Proven ability to lead or support functional demonstrations, walkthroughs, and collaborative working sessions • Strong documentation, facilitation, and analytical skills • Experience working in SDLC and Agile delivery environments.
🏖️ Benefits
• generous, flexible vacation policy • 401(k) employer match • comprehensive health benefits • educational assistance • variety of leadership and technical development academies
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