Expert Technical Analyst – MMIS, Medicaid Pharmacy

🕒 June 2

🦀 Maryland – Remote

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💵 $108.5k - $155k / year

⏰ Full Time

🟠 Senior

🔴 Lead

📞 Support Engineer

🦅 H1B Visa Sponsor

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Logo of Gainwell Technologies

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

• Develop, maintain, and optimize complex SQL queries, views, and stored procedures to support analysis, configuration validation, reporting, and defect resolution. • Perform in-depth data analysis and root-cause investigations to troubleshoot system and production issues. • Use SQL to extract, analyze, reconcile, and validate data across environments to support solutioning, testing, and quality assurance. • Support performance tuning activities by analyzing queries, batch jobs, execution plans, and system throughput. • Perform smoke testing and post-release validation to confirm data integrity and system stability. • Coordinate with data conversion teams to support migration planning, data loads, reconciliation, and validation. • Validate converted and migrated data to ensure accuracy, completeness, and alignment with business and policy intent. • Support and validate configuration syncs (e.g., Redgate) from baseline to upper environments (source-to-target). • Analyze, validate, and reconcile interface outputs, extract files, reports, and database feeds. • Validate X12 EDI transactions (e.g., 834, 837, 835, 820, 999/277) for structure, content, and processing outcomes. • Support System Integration Testing (SIT), User Acceptance Testing (UAT), parallel testing, and performance testing by validating data and system behavior.

🎯 Requirements

• Bachelor’s degree in Computer Science, Information Systems, Health Informatics, or a related field (or equivalent experience) • 12+ years of experience as a Technical Analyst, Data Analyst, or Healthcare Systems Analyst • Advanced SQL skills, including complex joins, transformations, large dataset analysis, and stored procedures • Experience supporting MMIS, Medicaid, or Medicaid Pharmacy systems • Strong understanding of healthcare data and Medicaid domains (Member, Provider, Claims, Pharmacy, Finance, Care Management) • Experience with data analysis, troubleshooting, and validating technical outputs • Strong analytical, documentation, and communication skills • Experience working in SDLC and Agile delivery environments

🏖️ Benefits

• generous, flexible vacation policy • educational assistance • comprehensive health benefits • 401(k) employer match • leadership and technical development academies

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