Business Analyst - Medicaid Claims

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

Benefits offered by this job

401(k) employer match

Health benefits

Educational assistance

Flexible vacation policy

Job summary

Gainwell Technologies LLC is hiring a Business Analyst for Medicaid Claims. The role focuses on analyzing and improving healthcare business processes, communicating requirements between clients and technical teams, and ensuring changes are implemented across project phases.

Candidates should have 3+ years as a Business Analyst in healthcare, 2–5 years in claims, and strong Excel/data analysis skills. Fully remote from contiguous US locations; salary ranges from $55,600 to $79,400 per year.

Qualifications

• Three or more years of Business Analyst experience in healthcare, Medicaid experience preferred.
• Approximately 2–5 years of Claims experience is required.
• Knowledge of basic programming concepts and data/process modeling is beneficial.

Responsibilities

• Analyze, plan, design, document and recommend improvements to business processes.
• Bridge between clients, project managers and technical personnel to define and communicate requirements.
• Ensure change intent is carried through during project phases via technical reviews.

Skills

Healthcare domain knowledge

Business analysis

Requirements gathering

Communication

Analytical thinking

Tools

Microsoft Excel

Job description

Great companies need great teams to propel their operations. Join the group that solves business challenges and enhances the way we work and grow. As a Business Analyst - Medicaid Claims 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. Gainwell empowers you show you’re a pro and help clients deliver better health and human services outcomes using innovative technology and solutions.

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
• Ensure that “intent of change” is carried out through every project phase by participating in technical reviews and inspections

Qualifications

• Three or more years of Business Analyst experience in healthcare, Medicaid experience preferred
• ~2-5 years of Claims Experience required
• ~ 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

Fully remote options from Contiguous US locations only

Video cameras must be used during all interviews, as well as during the initial week of orientation

The deadline to submit applications for this posting is October 22, 2026

#Video is required for screenings and interviews, so please test your camera and microphone in advance.

Do not use AI tools, virtual backgrounds/filters, or visual enhancements during the interview.

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. 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.

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.