Remote Operations Business Analyst – Healthcare Claims

Gainwell Technologies LLC; Columbus (OH); Remote; USD 45,000 - 64,000; Full time

Benefits offered by this job

Generous vacation policy

Educational assistance

401(k) employer match

Health benefits

Job summary

HMS, a Gainwell Company, is seeking an Early Career Operations Business Analyst to join a healthcare payments team. You will post payments, reconcile AR, and generate invoices using PeopleSoft Finance in a fully remote role from contiguous US locations.

You’ll work with clinical and financial data, analyze discrepancies, document requirements, and support process improvements. Strong SQL skills and experience with secure file transfer are valued, along with excellent communication.

Qualifications

• Bachelor’s degree in Business, Healthcare Administration, Finance, or related field; OR 3–5 years of medical claims posting and reconciliation.
• Solid understanding of medical and pharmacy claims adjudication, and Medicaid reclamation.
• SQL proficiency and ability to extract and analyze data from relational databases.
• Familiarity with PeopleSoft Finance or similar enterprise financial systems.
• Strong problem-solving and independent work abilities.
• Experience with FTP protocols and secure file transfer.
• Excellent written and verbal communication skills.

Responsibilities

• Post payments to medical and pharmacy claims from paper and electronic EOBs daily.
• Reconcile AR and correct discrepancies or posting issues.
• Identify, analyze, and resolve errors in claim postings and payments.
• Participate in client meetings to gather requirements and explore solutions.
• Document client business requirements and communicate to technical personnel.
• Plan and design standard business processes and propose improvements.
• Develop and modify systems requirements documentation.
• Generate monthly invoices using PeopleSoft Finance.
• Create, run posting and reconciliation reports; analyze trends.
• Use FTP to securely transfer files.
• Maintain audit documentation and collaborate with departments to resolve issues.
• Work remotely and meet deadlines and SLAs.

Skills

SQL

Data extraction

Communication

Problem solving

FTP protocols

Education

Bachelor’s degree in Business/Healthcare Administration/Finance

Tools

PeopleSoft Finance

Job description

HMS, a Gainwell Company, is seeking an Early Career Operations Business Analyst to join a healthcare payments team. You will post payments, reconcile AR, and generate invoices using PeopleSoft Finance in a fully remote role from contiguous US locations.

You’ll work with clinical and financial data, analyze discrepancies, document requirements, and support process improvements. Strong SQL skills and experience with secure file transfer are valued, along with excellent communication.