Business Analyst - Medicaid Claims

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

Job summary

Gainwell Technologies is seeking a Business Analyst - Medicaid Claims to support clients in a fully remote capacity nationwide. You will analyze, design and document business processes, bridge between clients and technical teams, and help ensure requirements are delivered in system design.

The role requires 3+ years in healthcare/Medicaid BA, 2–5 years claims experience, strong Excel and analytical skills, and clear communication with business leaders and technical staff.

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 motivates others to action and communicates key technical ideas clearly.

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

Healthcare BA experience

Claims experience

Excel proficiency

Analytical skills

Communication skills

Team player

Tools

Basic programming concepts

Job description

Business Analyst - Medicaid Claims

Date: Oct 6, 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 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. 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 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

What you should expect in this role

• 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
• Photo will be taken during screening for verification in all steps of the recruitment process.
• The deadline to submit applications for this posting is October 22, 2026

Please ensure you join all screenings, interviews and meetings from a quiet location with a stable internet connection.

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. 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.