Senior Business Analyst, Medical Coding – Policy

🕒 June 26

🧀 Wisconsin – Remote

🧀 Wisconsin – Remote

💵 $69.4k - $99.2k / year

⏰ Full Time

🟠 Senior

🧐 Business Analyst

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Gainwell Technologies

WebsiteLinkedInAll Job Openings

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

• combine deep medical coding expertise with strong business analysis capability to support healthcare system operations and implementations • act as a bridge between operational areas, delivery teams, and client stakeholders • ensuring that coding, billing, and policy requirements are clearly defined, accurately implemented, and well documented • develop and own structured solution artifacts and operational deliverables that define coding, billing, or policy-related changes

🎯 Requirements

• Six or more years of experience as a Business Analyst, coding analyst, or in a related healthcare role • Certified Professional Coder (CPC) or equivalent deep medical coding expertise (required) • Experience supporting healthcare or Medicaid claims processing, coding, or related system implementations (required) • Strong knowledge of requirements elicitation and writing, SDLC/PLC processes, and alignment of requirements to testing and validation activities • Experience working across functional areas such as claims, billing, policy, and operations • Sufficient technical aptitude to understand system and claims processing impacts (not a development role)

🏖️ Benefits

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