Senior Population Health Management Analyst

Job not on LinkedIn

🔥 8 minutes ago

🏄 California – Remote

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💵 $74.3k - $99.2k / year

⏰ Full Time

🟠 Senior

🧐 Business Analyst

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Gainwell Technologies

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

• Lead discovery and analysis for complex or cross-functional population health capabilities • Define problems, scope, stakeholders, outcomes, assumptions, dependencies, milestones, and analysis approaches • Plan, design, and recommend business processes and service improvements • Synthesize clinical, operational, technical, contractual, and data perspectives into options and recommendations • Facilitate client and internal workshops, resolve requirement conflicts, drive decisions, and communicate tradeoffs • Translate program objectives into analysis scope, work packages, milestones, estimates, owners, and completion criteria • Coordinate priorities and dependencies across contributors • Lead analysis of cohort identification, eligibility and attribution, risk stratification, care and quality gaps, outreach workflows, intervention tracking, outcomes, utilization, cost, and equity-oriented segmentation • Ensure population and measure logic is unambiguous and reproducible • Evaluate multi-source healthcare data and analytics for lineage, consistency, completeness, timeliness, bias, privacy, and fitness for use • Create and govern requirements and analysis artifacts, including process models, data requirements, data dictionaries, measure specifications, report definitions, user stories, acceptance criteria, and traceability • Use Jira as the system of record for analysis delivery • Monitor progress, communicate metrics and status, identify risks, recommend mitigations, and escalate threats to commitments • Own test strategy inputs and business validation, including test planning, defect triage, user acceptance readiness, release decision support, and post-implementation validation • Coordinate technical reviews across design, build, integration, testing, release, adoption, and operations • Mentor analysts and promote reusable standards

🎯 Requirements

• Six or more years of business analysis, healthcare analytics, health information technology, product or solution delivery, or related experience; equivalent education and experience considered • Experience leading complex requirements and process-analysis efforts across business, clinical, data, and technical stakeholders • Strong command of project delivery fundamentals, including scope, work planning, milestones, dependencies, estimation, status, risk and issue management, change control, quality, and stakeholder communication • Advanced practical experience with Jira or a comparable work-management platform, Excel, process modeling, and requirements traceability • Proficiency using SQL or equivalent methods to interrogate and validate data is strongly valued • Ability to influence without direct authority, resolve ambiguity, mentor colleagues, and present complex recommendations clearly to clients and leadership • Experience with Medicaid, Medicare, health plans, accountable care, public-sector healthcare, provider organizations, or enterprise population health platforms • Familiarity with quality measurement, value-based care, care management, health equity, social drivers of health, risk adjustment or stratification, healthcare data models, interoperability, and privacy-sensitive analytics • Experience coordinating multi-workstream technology delivery, leading user acceptance testing, supporting implementation readiness, and developing executive or client-facing recommendations • Bachelor’s degree in business, health administration, public health, information systems, analytics, or a related field is preferred • Business analysis, agile, healthcare quality, analytics, or project management certification is valued • Required availability from 8:00 AM to 5:00 PM Pacific Time • Fully remote options from most US locations and territories

🏖️ 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

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