Senior Business Analyst

Gainwell Technologies; West Virginia; On-site; USD 69,000 - 99,000; Full time

Benefits offered by this job

401(k) match

Health benefits

Educational assistance

Leadership development academies

Job summary

HMS, a Gainwell Company, seeks a Senior Business Analyst to help improve healthcare claim processing and client outcomes. You will work on posting and reconciling medical and pharmacy claims, gathering requirements, and communicating with technical teams, while supporting client engagements and project delivery.

This fully remote role offers growth, education benefits, and development academies. You will join a team focused on delivering innovative solutions for healthcare stakeholders, with a

Qualifications

• Bachelor's degree or 3-5 years of medical claims posting and reconciliation experience.
• Solid understanding of medical and pharmacy claims adjudication and Medicaid reclamation claims.
• Proficiency in extracting and analyzing data from relational databases; familiarity with enterprise financial systems.

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 meetings with client engagement to gather and document requirements and explore potential solutions.
• Analyze and document client's business requirements and processes; communicate to technical personnel.

Skills

Critical thinking

Problem solving

Attention to detail

Excellent communication

Organizational skills

Education

Bachelor's degree in Business, Healthcare Administration, Finance, or related field

Tools

SQL

PeopleSoft Finance

Job description

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Senior Business Analyst

Date: Aug 27, 2026

Location: Any city, WV, US, 99999

Work Mode: Virtual (Exception only)

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 HMS , a Gainwell Company 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 aSenior 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

Play a critical part in ensuring Gainwell is meeting our clients' objectives in important areas.

• Post payments to medical and pharmacy claims from paper and electronic EOBs daily.
• Reconcile AR and correct any discrepancies or posting issues.
• 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; communicates these requirements to technical personnel.
• Reconcile AR and correct any discrepancies or posting issues.
• 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; communicates these requirements to technical personnel

What we're looking for

• 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.
• Strong critical thinking and problem-solving skills; able to troubleshoot independently.
• Experience with FTP protocols and secure file transfer.
• Excellent written and verbal communication skills.
• Strong attention to detail and organizational skills.

What you should expect in this role

• Fully remote opportunity from most US locations
• Video cameras must be used during all interviews, as well as during the initial week of orientation
• This posting is intended for pipelining. This is a developing position therefore the job description is subject to change.

#LI-HC1

The pay range for this position is $69,400 - $99,200 per year, however, the base pay offered may vary depending on geographic region, internal equity, job-related knowledge, skills, and experience among other factors. Put your passion to work at HMS , a Gainwell Company . You'll have the opportunity to grow your career in a company that values work flexibility, learning, and career development. All salaried, full-time candidates are eligible for our generous, flexible vacation policy, a 401(k) employer match, comprehensive health benefits , and educational assistance. We also have a variety of leadership and technical development academies to help build your skills and capabilities.

We believe nothing is impossible when you bring together people who care deeply about making healthcare work better for everyone. Build your career with HMS , a Gainwell Company , an industry leader. You'll be joining a company where collaboration, innovation, and inclusion fuel our growth.

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."