Remote Senior Business Analyst: Healthcare Claims & Data

Gainwell Technologies; Northern (KY); Hybrid; USD 69,000 - 99,000; Full time

Job summary

HMS, a Gainwell Company, is seeking a Senior Business Analyst for a fully remote role across most US locations. You will post payments to medical and pharmacy claims, reconcile AR, and analyze data to support client goals in healthcare services.

Ideal candidates have a bachelor’s degree or 3–5 years in medical claims and strong SQL skills, with familiarity in PeopleSoft Finance, excellent communication, and attention to detail. This role emphasizes flexibility and growth opportunities.

Qualifications

• Bachelor’s degree or 3–5 years in medical claims posting.
• Solid understanding of medical and pharmacy claims adjudication.
• SQL data extraction and analysis skills.
• Familiarity with FTP protocols and secure transfer.
• Strong written and verbal communication skills.

Responsibilities

• Post payments to medical and pharmacy claims daily.
• Reconcile AR and resolve discrepancies.
• Identify and resolve errors in claim postings and payments.
• Meetings with client engagement to gather requirements.
• Document client business requirements for technical teams.

Skills

Bachelor's degree

SQL proficiency

PeopleSoft Finance

Medicaid claims

Data extraction

Claims adjudication

FTP experience

Attention to detail

Education

Bachelor's degree or higher

Tools

PeopleSoft Finance

Job description

HMS, a Gainwell Company, is seeking a Senior Business Analyst for a fully remote role across most US locations. You will post payments to medical and pharmacy claims, reconcile AR, and analyze data to support client goals in healthcare services.

Ideal candidates have a bachelor’s degree or 3–5 years in medical claims and strong SQL skills, with familiarity in PeopleSoft Finance, excellent communication, and attention to detail. This role emphasizes flexibility and growth opportunities.