Business Analyst Professional (US Healthcare / Medicaid) - Provider

Gainwell Technologies; United States; Remote; USD 60,000 - 80,000; Full time

Job summary

An established industry player is seeking a Business Analyst to support vital healthcare technology solutions. In this dynamic role, you will assist in planning and designing business processes, analyze client requirements, and collaborate with technical teams to ensure effective system design. The position offers a fast-paced and rewarding environment, with a focus on work-life balance and a hybrid office setup. You will be part of a mission-driven team that significantly impacts healthcare services nationwide, making this an exciting opportunity for those passionate about improving health outcomes through technology.

Qualifications

• 3+ years experience in Business Analyst, Medicaid or Medicare.
• Strong SQL knowledge; ability to write complex queries.

Responsibilities

• Assist in planning and designing business processes.
• Analyze and document client's business requirements.

Skills

Business Analysis

SQL

Requirements Gathering

Documentation

Microsoft Excel

Tools

Microsoft Office

Job description

Gainwell Technologies LLC

Summary

Gainwell Technologies is the leading provider of technology solutions that are vital to the administration and operations of health and human services programs. We are the key player in the Medicaid space with a presence in 51 of the 56 U.S. states and territories with offerings including Medicaid Management Information Systems (MMIS),
Fiscal Agent Services, Program Integrity, Care Management, Immunization Registry, and Eligibility Services.

We generate over $2 billion in annual revenue, and we’ve been innovating in the industry for more than 50 years. Powered by more than 14,000 employees, Gainwell solutions support more than 60 million Medicaid beneficiaries nationwide and manage 1 billion encounters annually. Additionally, about 1.5 billion immunization records are maintained, and we serve more than 3 million providers annually.
We do this while saving our state and commercial clients ~5.5 billion dollars annually in cost avoidance.
Our commitment to clients drives continuous improvement in the quality of healthcare for beneficiaries nationwide
through vital healthcare technology.

In summary, there’s no company better positioned in the Medicaid and HHS (Health and Human Services) market than Gainwell.

For more information on Gainwell, visit www.gainwelltechnologies.com

Your role in our mission

Essential Job Functions

• Assists in planning and designing business processes; assists in formulating recommendations to improve and support business activities.
• Assists in analyzing and documenting client's business requirements and processes; communicates these requirements to technical personnel by constructing basic conceptual data and process models, including data dictionaries and volume estimates.
• Assists in creating basic test scenarios to be used in testing the business applications in order to verify that client requirements are incorporated into the system design.
• Assists in developing and modifying systems requirements documentation to meet client needs.
• Participates in meetings with clients to gather and document requirements and explore potential solutions.
• Executes systems tests from existing test plans. Assists in analyzing test results in various phases.
• Participates in technical reviews and inspections to verify 'intent of change' is carried through phase of project.

What we're looking for

Basic Qualifications

• 3+ years of experience in Business Analyst, Provider, Claims adjudication, Medicaid or Medicare, SQL.
• 3+ years of business functional experience in one or more areas such as Eligibility, Claims, Provider.
• Strong SQL knowledge. Ability to write complex queries.
• Ability to gather requirements effectively; document requirements and confirm observations with business owners. Also, to perform fit/gap analysis based on requirements.
• Experience using Microsoft Office Tools, specifically Excel.
• Ability to create detailed and thorough design documents and test plans/execution for medium to large initiatives.
• Being able to research, analyze, validate and document business requirements.

What you should expect in this role

Fast-paced, challenging and rewarding work environment.
Work life balance.
Hybrid Office environment.
Will require late evening work to overlap US work hours.

Business Analyst Professional (US Healthcare / Medicaid) - Provider