Remote Claims Analyst — Healthcare Process Improvement

Gainwell Technologies LLC; Columbus (OH); À distance; USD 87 000 - 124 000; Plein temps

Avantages offerts par ce poste

Generous vacation policy

401(k) employer match

Comprehensive health benefits

Educational assistance

Leadership academies

Résumé du poste

Gainwell Technologies LLC is seeking a seasoned Claims Business Analyst to help healthcare clients improve outcomes through technology-enabled processes. You will analyze workflows, design requirements, and collaborate with clients, PMs, and technical teams to drive solutions that align with business goals.

With 9+ years in healthcare BA, you will leverage Excel-driven analysis, benchmark best practices, and support end-to-end project delivery.

Qualifications

• 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.
• Hands‑on Claims and Encounter Processing experience across multiple Claim Types, with the ability to communicate effectively with business and technical stakeholders.

Responsabilités

• 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.

Connaissances

Healthcare Business Analysis

Excel proficiency

Programming concepts knowledge

Claims & Encounter Processing

Description du poste

Gainwell Technologies LLC is seeking a seasoned Claims Business Analyst to help healthcare clients improve outcomes through technology-enabled processes. You will analyze workflows, design requirements, and collaborate with clients, PMs, and technical teams to drive solutions that align with business goals.

With 9+ years in healthcare BA, you will leverage Excel-driven analysis, benchmark best practices, and support end-to-end project delivery.