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 Claims Business Analyst
🕒 June 4
🎰 Nevada, New York – Remote
💵 $86.8k - $124k / year
⏰ Full Time
🟠 Senior
🔴 Lead
🧐 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 end-to-end claims workflow analysis and complex issue resolution • Analyze claims data to identify denial trends and operational bottlenecks • Provide actionable recommendations and documentation for issue resolution • Collaborate with cross-functional teams to ensure data integrity • Develop reporting and monitoring tools for insights
🎯 Requirements
• 9+ years of experience in claims business analysis, configuration, or healthcare operations • Advanced knowledge of healthcare claims processing, including coding (ICD-10, CPT, modifiers) • Strong SQL skills and experience analyzing large datasets to identify trends • Proven ability to solve complex issues and work within client/vendor environments • Strong communication, collaboration, and stakeholder engagement skills
🏖️ Benefits
• flexible vacation policy • educational assistance • comprehensive health benefits • 401(k) employer match • leadership development academies • technical development academies
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