Senior Business Analyst – Medicaid Claims, Eligibility

🔥 14 hours ago

🇺🇸 United States – Remote

💵 $69.4k - $99.2k / year

⏰ Full Time

🟠 Senior

🧐 Business Analyst

🦅 H1B Visa Sponsor

This company has sponsored H1B visas in the past.

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Gainwell Technologies

WebsiteLinkedInAll Job Openings

10,000+ employees

💼 Consulting

📦 Logistics

⚕️ Healthcare Insurance

💰 Grant on 2023-06

Consulting • Logistics • Healthcare Insurance

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

• Coordinate a business analyst team’s duties and activities on IT projects • Nurture newer team members by providing guidance and support • Serve as a bridge between clients, project managers, and technical staff • Define, document, and share business requirements and expected impact • Develop business specifications with clients at the start of technical projects • Analyze, plan, design, document, or recommend improvements to business processes • Support clients’ technology goals through process improvement • Verify requirements have been met by approving and validating test results • Use Excel or SQL to quantify anticipated business impact • Support critical healthcare initiatives involving Medicaid programs, claims, and eligibility operations

🎯 Requirements

• 6 or more years of experience in a relevant Business Analyst position • 3 or more years of Medicaid and Medicare experience preferred • Experience in Medicaid claims processing and eligibility business functions strongly preferred • Knowledge of computer programming concepts such as configuration, development, and batch processing • Advanced knowledge of Microsoft Excel or SQL • Experience with requirement-mapping tools such as Application Lifecycle Management (ALM) tools • Strong client communication skills • Strong analytical, business process re-engineering, and business process modeling skills • Ability to gather, elicit, analyze, document, and validate business requirements • Strong critical thinking and problem-solving capabilities • Strong executive presence and communication skills • Proficiency with Microsoft Word and Microsoft Excel required on day one • Ability to learn client-specific systems, applications, and business process tools • Video cameras must be used during all interviews and the initial week of orientation • Photo will be taken during screening for verification in all steps of the recruitment process • Must join screenings, interviews, and meetings from a quiet location with stable internet • Video is required for screenings and interviews • Do not use AI tools, virtual backgrounds/filters, or visual enhancements during the interview

🏖️ Benefits

• Work flexibility • Learning and career development • Generous, flexible vacation policy • 401(k) employer match • Comprehensive health benefits • Educational assistance • Leadership and technical development academies • Video cameras and stable internet support for interviews and orientation (requirements rather than compensation)