Business Analyst - Claims Adjudication / Financial

Gainwell Technologies; Texas; Remote; USD 56,000 - 79,000; Full time

Benefits offered by this job

401(k) match

Health benefits

Educational assistance

Generous vacation policy

Job summary

Gainwell Technologies is seeking a Business Analyst - Claims Adjudication / Financial to help client health plans optimize their claims processing and financial workflows. This remote role welcomes candidates who can translate business needs into technical requirements and work with clients, PMs and technical teams.

You will analyze processes, design improvements, and validate changes through testing while collaborating with stakeholders to deliver concrete health outcomes.

Qualifications

• Three or more years of Business Analyst experience translating technical goals into client actions.
• Fundamental understanding of healthcare claims adjudication and financial processing.
• Knowledge of basic programming concepts such as configuration, development and batch processing.
• Advanced knowledge in Microsoft Excel and other software for quantitative analysis.

Responsibilities

• Analyze, plan, design, document and make recommendations to improve business processes to support client’s technological aspirations
• Be a supportive bridge between clients, project managers and technical personnel to define, track and communicate business requirements and their expected impact by building basic conceptual data and process models
• Create, execute or analyze basic test scenarios to verify that client requirements are built into system design
• Ensure that “intent of change” is carried out through every project phase by participating in technical reviews and inspections

Skills

Business analysis

Healthcare claims adjudication

Excel

Communication skills

Requirements gathering

Job description

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Business Analyst - Claims Adjudication / Financial

Date: Oct 15, 2026

Location: Any city, TX, US, 99999

Work Mode: Virtual (Exception only)

Great companies need great teams to propel their operations. Join the group that solves business challenges and enhances the way we work and grow. Working at Gainwell carries its rewards. You’ll have an incredible opportunity to grow your career in a company that values your contributions and puts a premium on work flexibility, learning, and career development.

Summary

As aBusiness Analyst - Claims Adjudication / Financial 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 some of healthcare’s biggest challenges. Here are the details on this position.

Your role in our mission

Gainwell empowers you show you’re a pro and help clients deliver better health and human services outcomes using innovative technology and solutions.

• Analyze, plan, design, document and make recommendations to improve business processes to support client’s technological aspirations
• Be a supportive bridge between clients, project managers and technical personnel to define, track and communicate business requirements and their expected impact by building basic conceptual data and process models
• Create, execute or analyze basic test scenarios to verify that client requirements are built into system design
• Ensure that “intent of change” is carried out through every project phase by participating in technical reviews and inspections

What we're looking for

• Three or more years of Business Analystexperience translating technical goals and requirements into real action for clients
• A fundamental understanding of healthcare claims adjudication and financial processing
• Knowledge of basic computer programming concepts such as configuration, development and batch processing
• Advanced knowledge in Microsoft Excel and other software for conducting quantitative analysis
• Strong analytical and business process re‑engineering skills
• Strong written and oral communication and presentation skills to deliver messages to business leaders, clients and technical personnel
• An influencer and team player who that motivates others to action and communicates key technical ideas in a digestible way

What you should expect in this role

• Fully remote options from most US locations and territories
• Video cameras must be used during all interviews, as well as during the initial week of orientation
• Photo will be taken during screening for verification in all steps of the recruitment process.
• The deadline to submit applications for this posting is November 5, 2026

#LI-HC1

#LI-Business Analyst Financial

The pay range for this position is$55,600.00-$79,400.00 per year, however, the base pay offered may vary depending on geographic region, internal equity, job-related knowledge, skills, and experience among other factors. Put your passion to work at Gainwell. You’ll have the opportunity to grow your career in a company that values work flexibility, learning, and career development. All salaried, full-time candidates are eligible for our generous, flexible vacation policy, a 401(k) employer match, comprehensive health benefits , and educational assistance. We also have a variety of leadership and technical development academies to help build your skills and capabilities.

We believe nothing is impossible when you bring together people who care deeply about making healthcare work better for everyone. Build your career with Gainwell, an industry leader. You’ll be joining a company where collaboration, innovation, and inclusion fuel our growth. Learn more about Gainwell at our company website and visit our Careers site for all available job role openings.

Gainwell Technologies is an Equal Opportunity Employer, where all qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical condition), age, sexual orientation, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics. Gainwell Technologies defines “wages” and “wage rates” to include “all forms of pay, including, but not limited to, salary, overtime pay, bonuses, stock, stock options, profit sharing and bonus plans, life insurance, vacation and holiday pay, cleaning or gasoline allowances, hotel accommodations, reimbursement for travel expenses, and benefits.