Advisor Business Analyst - Medicaid

Gainwell Technologies; Plano (TX); Remote; USD 86,000 - 124,000; Full time

Job summary

Gainwell Technologies is seeking an Advisor Business Analyst - Medicaid to streamline workflows and enhance health services through technological solutions. With a focus on coordinating IT projects and ensuring high-quality outcomes, this fully remote position welcomes candidates with extensive Medicaid systems knowledge and strong leadership skills.

Benefits

Work flexibility

Generous vacation policies

Educational assistance

Leadership and technical development programs

Qualifications

• 10+ years IT experience in a Business Analyst role, with Medicaid Management Information Systems knowledge.
• Strong experience in QNXT Framework development cycle.
• Familiarity with Agile methodologies and software development processes.

Responsibilities

• Coordinate workstreams on IT projects aligning solutions with client priorities.
• Transform requirements into results as the SME and liaison between technical and non-technical teams.
• Coach and monitor project team members to improve complex business processes.

Skills

Client communication

Analytical skills

Process re-engineering

Team leadership

Problem-solving

Tools

Microsoft Excel

SQL

ALM

Azure DevOps

Job description

As an Advisor Business Analyst - Medicaid at Gainwell, you can contribute your skills as we harness the power of technology to help our clients improve the health and well-being of the members they serve — a community’s most vulnerable. Connect your passion with purpose, teaming with people who thrive on finding innovative solutions to healthcare’s biggest challenges. Here are the details of this position.

Your role in our mission

Take charge and focus on how we can meet critical needs to help clients deliver better health and human services outcomes.

• Coordinate workstreams and teams on IT projects to align solutions with client business priorities.
• Demonstrate your knowledge as SME and liaison for clients and internally between technical and non-technical teams to transform requirements into results.
• Delegate work across teams, coach, and monitor project team members to plan, design, and improve complex business processes and modifications.
• Streamline workflows across clients and technical personnel to determine, document, and oversee system requirements.
• Support quality control by approving and validating test results to ensure all requirements are met.

What we're looking for

• 10+ years of relevant IT experience in a Business Analyst role, with experience in Medicaid Management Information Systems (Claims Processing, Adjudication). Knowledge of Medicaid Industry, Payer Systems, and HIPAA / X12 / XML transactions is required.
• Strong background in QNXT Framework (5.0+) development cycle, its capabilities, integrations with third-party products, outlier solutions, and a good understanding of its SQL data models (PlanData).
• Excellent client communication skills, translating needs into actionable objectives, with experience in analytical and business process re-engineering.
• Experience using analytical software (Microsoft Excel, SQL) and requirement-mapping tools (ALM, Azure DevOps).
• Knowledge of software development methodologies such as Agile, Scrum, SAFe.
• Experience with Lean Management and Continuous & Business Process Improvement, with the ability to collaborate with team members, engineering, DDI, and stakeholders following established processes.
• Curiosity to solve complex problems and strong interpersonal skills to interact with and influence clients and team members.
• A caring team leader who motivates and coaches less experienced resources.

What you should expect in this role

• Opportunities to travel (0-10%).
• Fully remote options from most US locations and territories.
• Video cameras must be used during all interviews and the initial week of orientation.

The application deadline has been extended until a suitable candidate is selected.

Additional Information

The pay range for this position is $86,800 - $124,000 per year. The actual offer may vary based on geographic region, internal equity, knowledge, skills, and experience. Gainwell offers work flexibility, learning, career development, generous vacation policies, educational assistance, and leadership and technical development programs.