Senior Business Analyst

🔥 1 minute ago

⚔️ Virginia, West Virginia – Remote

⚔️ Virginia – Remote ⛰️ West Virginia – 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

• Post payments to medical and pharmacy claims from paper and electronic EOBs daily • Reconcile AR and correct discrepancies or posting issues • Identify, analyze, and resolve errors in claim postings and payments • Participate in meetings with client engagement to gather and document requirements and explore potential solutions • Assist in analyzing and documenting client business requirements and processes following established methodologies • Communicate business requirements to technical personnel

🎯 Requirements

• Bachelor’s degree in Business, Healthcare Administration, Finance, or a related field; OR 3–5 years of experience in medical claims posting and reconciliation • Solid understanding of medical and pharmacy claims adjudication and Medicaid reclamation claims • Proficiency in SQL and ability to extract and analyze data from relational databases • Familiarity with PeopleSoft Finance or similar enterprise financial systems • Strong critical thinking and problem-solving skills; able to troubleshoot independently • Experience with FTP protocols and secure file transfer • Excellent written and verbal communication skills • Strong attention to detail and organizational skills • Video cameras must be used during all interviews and during the initial week of orientation

🏖️ Benefits

• Work flexibility • Learning and career development • Technical credentials and certifications • Generous, flexible vacation policy • Educational assistance • Leadership and technical development academies • 401(k) employer match • Comprehensive health benefits