Business Analyst - Medicaid Claims

Gainwell Technologies; Ohio; Remote; USD 51,000 - 75,000; Full time

Job summary

Join a forward-thinking company as a Business Analyst specializing in Medicaid Claims. This role offers you the chance to bridge the gap between business needs and technology solutions, ensuring that healthcare services are enhanced through innovative practices. You will collaborate with diverse teams, utilizing your analytical skills to identify opportunities for improvement. With a focus on flexibility and career development, this position allows you to make a meaningful impact in the healthcare sector while growing your expertise in a supportive environment.

Benefits

Flexible vacation policy

401(k) employer match

Comprehensive health benefits

Educational assistance

Leadership development academies

Technical development academies

Qualifications

• 2-4 years experience as a business analyst in SDLC projects.
• Excellent verbal and written communication skills.

Responsibilities

• Act as a liaison between business users and technology staff.
• Participate in the elicitation and analysis of business processes.

Skills

Business Analysis

SDLC Methodologies

Communication Skills

Medicaid Claims

Analytical Skills

Education

Bachelor’s Degree in Computer Science or related field

Tools

Microsoft Office Suite

Visio

Job description

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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 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. Connect your passion with purpose, teaming with people who thrive on finding innovative solutions to some of healthcare’s biggest challenges.

This position will act as a liaison between business users and technology staff to identify, prioritize, and complete systems projects for the assigned areas of responsibility. This includes completion of assigned projects of medium to high complexity through utilization of a standard system development life cycle methodology, to include requirements elicitation and analysis, business design, requirements traceability, participation in testing strategies, test reviews, defect resolution, and post-production follow-up. The Business Analyst role must build, demonstrate, and maintain a detailed knowledge of the business functions, processes, and controls in place within the assigned area of responsibility from an end-user point of view and must be able to bridge business needs with system capabilities needed to support these business needs.

Here are the details on this position.

Your role in our mission

• Maintain an understanding of current business issues, objectives, and strategies within assigned business area and recognize issues and opportunities to optimally apply technology to enhance existing or build new business capabilities.
• Work directly with the business user to formulate and define project scope and objectives that encapsulate end-user business needs.
• Participate in the elicitation, documentation, analysis, and validation of business processes, systems, and requirements.
• Translate high level business requirements into proper detailed requirements specifications using high maturity methods, processes, and tools.
• Work with other Business Analysts to ensure that business design is cohesive across all impacted areas.
• Develop as-is and to-be business process models.
• Support requirements management and change management processes.
• Ensure that all relevant business documentation is updated in a timely and accurate manner.
• Support technical teams to ensure that business requirements are appropriately and comprehensively translated into solid technical designs.
• Support testing team to ensure that test plans and test cases comprehensively address business requirements.
• Effectively communicate project status, risks, issues, and constraints to project management.

What we're looking for

• Bachelor’s degree with an analytical focus (Computer Science, Music, Finance, Math, Economics, etc.)
• Two to four years’ experience as a business analyst working on SDLC projects using waterfall or agile methodologies.
• Excellent verbal and written communication skills with a demonstrated ability to successfully interact with a diverse group of professionals across all levels of an organization.
• Experience within the Medicaid industry supporting business processes and/or technology.
• Experience with Medicaid Claims required
• Strong working knowledge of Microsoft Office Suite of tools – MS Word, Excel, PowerPoint, Visio.

Recommended Additional Skills / Experience

• Ability to think both broadly and at a detailed level.
• Ability to work collaboratively within and across teams.
• Ability to work independently under general direction of project leadership.
• High tolerance for ambiguity matched with desire to organize it.
• Demonstrated ability to drive to results.
• Ability to successfully engage in multiple initiatives simultaneously.
• Excellent organizational skills
• Strong presentation skills
• Strong critical thinking skills

What you should expect in this role

• Fully remote opportunity from Continental US locations only
• This position supports a client who operates in the Eastern Time zone. Office hours 8a-5p EST
• This posting is intended for pipelining. This is a developing position; therefore, the job description is subject to change.

Claims

The pay range for this position is $51,900 - $74,200 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 committed to a diverse, equitable, and inclusive workplace. We are proud to be 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), sexual orientation, gender identity, gender expression, age, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics. We celebrate diversity and are dedicated to creating an inclusive environment for all employees.

Seniority level

• Mid-Senior level

Employment type

• Full-time

Job function

• Research, Analyst, and Information Technology

Industries

• IT Services and IT Consulting