Senior Business Analyst – Benefit Plan Administration

🔥 0 minutes ago

🏈 Ohio – Remote

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💵 $69.4k - $99.2k / year

⏰ Full Time

🟠 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

• Play a critical part in ensuring Gainwell is meeting our clients’ objectives in important areas. • Help coordinate a business analyst team’s duties and activities on IT projects and nurture newer team members by providing guidance and support. • Be a knowledgeable bridge between clients, project managers, and technical staff to define, document, and share business requirements and expected impact. • Work with the client to develop business specs at the start of a technical project. • Analyze, plan, design, document or make recommendations to improve business processes to support client’s technology goals. • Help verify that all requirements have been met by approving and validating test results.

🎯 Requirements

• 6+ years of experience as a Business Analyst in the Healthcare industry including 5+ years of Medicaid and Medicare experience (required) • Experience documenting requirements for claims, reference, and Benefits Plan Administration (BPA) areas • Experience with claims testing • Knowledge of how edits and audits work and how to configure them • Knowledge of computer programming concepts such as configuration, development, and batch processing • Advanced proficiency in analytical tools such as Microsoft Excel, SQL, and requirement-mapping tools (e.g., ALM) • Strong analytical and business process re-engineering skills

🏖️ Benefits

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

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