Claims Business Analyst

Gainwell Technologies LLC; Oregon; Hybrid; USD 87,000 - 124,000; Full time

Benefits offered by this job

generous, flexible vacation policy

401(k) employer match

comprehensive health benefits

educational assistance

leadership and technical developmentac

Job summary

Gainwell Technologies LLC is seeking a Claims Business Analyst to help enhance health and human services outcomes through innovative technology. The role involves analyzing and designing business processes, bridging clients with PM/technical teams, and validating requirements across project phases.

Remote within the US with some travel expected. Ideal candidates have extensive healthcareBA experience (Medicaid/Medicare preferred), strong analytical skills, Excel proficiency, and knowledge of

Qualifications

• 9+ years of Business Analyst experience in the Healthcare Industry (Medicaid and Medicare experience preferred).
• Strong analytical and problem-solving skills with experience in business process improvement and re-engineering.
• Proficiency in Microsoft Excel, including quantitative analysis and data driven decision making.
• Knowledge of programming concepts, including configuration, development, and batch processing.
• Hands-on Claims and Encounter Processing experience across multiple Claim Types, with the ability to communicate effectively with business and technical stakeholders.

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 Analyst experience

Healthcare industry experience

Analytical skills

Excel proficiency

Programming concepts

Claims and Encounter Processing

Job description

Be part of a team that unleashes the power of leading-edge technologies to help improve the health and well-being of those most vulnerable in our country and communities. Working at Gainwell carries its rewards. You'll have an incredible opportunity to grow your career in a company that values work flexibility, learning, and career development. You'll add to your technical credentials and certifications while enjoying a generous, flexible vacation policy and educational assistance. We also have comprehensive leadership and technical development academies to help build your skills and capabilities.

Summary

As an Claims Business Analyst 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

• 9+ years of Business Analyst experience within the Healthcare Industry ; Medicaid and Medicare experience preferred
• Strong analytical and problem-solving skills with experience in business process improvement and re-engineering
• Proficiency in Microsoft Excel, including quantitative analysis and data driven decision making
• Knowledge of programming concepts, including configuration, development, and batch processing
• Hands-on Claims and Encounter Processing experience across multiple Claim Types , with the ability to communicate effectively with business and technical stakeholders

What you should expect in this role

• Remote within the US with occasional travel may be required
• Opportunities to travel through your work (0-10%)
• Willingness to work a flexible schedule to accommodate business needs and travel as required.
• 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 December 30, 2026.

The pay range for this position is $86,800.00 - $124,000.00 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.

Benefits & Perks

• generous, flexible vacation policy
• a 401(k) employer match
• comprehensive health benefits
• educational assistance
• comprehensive leadership and technical development academies

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."