Early Career Business Analyst - Operations

Gainwell Technologies LLC; Ohio; Remote; USD 45.000 - 64.000; Vollzeit

Benefits dieser Stelle

Education assistance

Leadership academies

Generous vacation policy

Zusammenfassung

Gainwell Technologies LLC, HMS, a Gainwell Company, seeks an Early Career Operations Business Analyst to support posting payments and AR reconciliation for medical claims across paper and electronic EOBs. This remote role emphasizes collaboration with client teams and adherence to SLAs while building your technical credentials.

You will generate monthly invoices via PeopleSoft, analyze posting errors, and participate in requirements gathering to improve business processes.

Qualifikationen

• Bachelor’s degree in Business, Healthcare Administration, Finance, or a related field; OR 3–5 years of experience in medical claims posting and reconciliation.
• Solid understanding of medical and pharmacy claims adjudication and Medicaid reclamation claims.
• Proficiency in SQL and ability to extract and analyze data from relational databases.
• Familiarity with PeopleSoft Finance or similar enterprise financial systems.
• Experience working with healthcare data analytics or reporting tools.
• Prior experience in a remote or hybrid work environment.
• Knowledge of healthcare payment cycles and insurance reimbursement processes.

Aufgaben

• Post payments to medical and pharmacy claims from paper and electronic EOBs daily.
• Identify, analyze, and resolve errors in claim postings and payments.
• Participate in meetings with client engagement to gather and document requirements and explore potential solutions.
• Assist in analyzing and documenting client's business requirements and processes following established approach and methodology; Plans and designs standard business processes following established approach and methodology; assists in formulating recommendations to improve and support business activities.
• Generate and distribute monthly invoices using PeopleSoft Finance based on claims posted during the reporting period.
• Create, run, and deliver posting and reconciliation reports; Maintain accurate documentation for audit and compliance purposes.
• Collaborate with other departments to resolve issues related to claims and payments.
• Work independently in a remote environment while meeting deadlines and service level agreements (SLAs).

Kenntnisse

SQL

PeopleSoft Finance

Healthcare data analytics

Remote work experience

Ausbildung

Bachelor’s degree in Business/Healthcare Administration/Finance

3–5 years of experience in medical claims posting and reconciliation

Tools

PeopleSoft Finance

Jobbeschreibung

About the Role

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. 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. As an Early Career Business Analyst - Operations 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. We are seeking a highly motivated and detail-oriented Operations Business Analyst to join our team. This position is responsible for the daily posting and accounts receivable (AR) reconciliation of medical payments to claims, based on both paper and electronic Explanation of Benefits (EOBs) from insurance carriers. The analyst will correct errors, modify posting issues, and generate monthly invoices based on claims processed during the reporting period.

Responsibilities

• Post payments to medical and pharmacy claims from paper and electronic EOBs daily.
• Identify, analyze, and resolve errors in claim postings and payments.
• Participates in meetings with client engagement to gather and document requirements and explore potential solutions.
• Assists in analyzing and documenting client's business requirements and processes following established approach and methodology; Plans and designs standard business processes following established approach and methodology; assists in formulating recommendations to improve and support business activities.
• Generate and distribute monthly invoices using PeopleSoft Finance based on claims posted during the reporting period.
• Create, run, and deliver posting and reconciliation reports; Maintain accurate documentation for audit and compliance purposes.
• Collaborate with other departments to resolve issues related to claims and payments.
• Work independently in a remote environment while meeting deadlines and service level agreements (SLAs).

Qualifications

• Bachelor’s degree in Business, Healthcare Administration, Finance, or a related field; OR 3–5 years of experience in medical claims posting and reconciliation.
• Solid understanding of medical and pharmacy claims adjudication and Medicaid reclamation claims.
• Proficiency in SQL and ability to extract and analyze data from relational databases.
• Familiarity with PeopleSoft Finance or similar enterprise financial systems.
• Experience working with healthcare data analytics or reporting tools.
• Prior experience in a remote or hybrid work environment.
• Knowledge of healthcare payment cycles and insurance reimbursement processes.

Location

Fully remote options from Contiguous US locations only.

Interview Requirements

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

Pay and Benefits

The pay range for this position is $44,500.00 - $63,500.00 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.

Application Deadline

The deadline to submit applications for this posting is November 5, 2026.

About the Company

You’ll be joining a company where collaboration, innovation, and inclusion fuel our growth.

Equal Opportunity Employer

HMS, a Gainwell Company, 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. HMS 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.