Senior Business Analyst - Healthcare

Gainwell Technologies; Indianapolis (IN); Remote; USD 69,000 - 100,000; Full time

Job summary

Join a forward-thinking company as a Senior Business Analyst in Healthcare, where you will leverage your expertise to enhance the health and well-being of vulnerable communities. This role offers a unique opportunity to work collaboratively with clients and internal teams, ensuring that business needs are met effectively. You will be instrumental in documenting processes, assisting with claims research, and identifying innovative solutions to complex challenges. With a focus on flexibility, learning, and career development, this position is perfect for those passionate about making a difference in the healthcare industry.

Benefits

Flexible Vacation

401(k) Match

Health Benefits

Educational Assistance

Leadership Development Programs

Technical Development Programs

Qualifications

• 5+ years of experience as a Business Analyst in healthcare.
• Ability to document and interpret complex healthcare coding.

Responsibilities

• Collaborate with clients to document business needs.
• Research and specify solutions to healthcare problems.

Skills

Business Analyst Experience

Healthcare Claims

CPT Coding

ICD-10 Coding

HCPCS Coding

Proficiency in Excel

Effective Communication Skills

Team Collaboration

Job description

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Great companies need great teams to propel their operations. Join the group that solves business challenges and enhances the way we work and grow. Working at Gainwell carries its rewards. You’ll have an incredible opportunity to grow your career in a company that values your contributions and puts a premium on work flexibility, learning, and career development.

Summary

As a Senior Business Analyst - Healthcare 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.

Works collaboratively with the client and team members—both external and internal to the company—to research, validate, and document business needs, and to ensure that those needs are clearly reflected and completed. Assists with translating client requests and changes into the MMIS and may help determine solutions to business problems. Effectively manages client’s expectations.

Here are the details on this position.

Your role in our mission

• Ensure that items are prepared for client/MCE meetings.
• Ensure Operating Procedure Manuals are updated as required.
• Work with the client on claims research and change requests.
• Research, identify, and specify solutions to problems.
• Document creation and updates for projects.
• Assist with Managed Care Entity encounter meetings, questions, and research.

What we're looking for

• 5+ years of Business Analyst experience in Healthcare Claims.
• Previous Managed Care Entity experience is a plus.
• Ability to assist/create manual documentation as well as provider notifications.
• Experience with CPT, HCPCS, and ICD-10 coding, and a proven ability to accurately interpret and apply complex coding standards in healthcare documentation.
• Certified Medical Coder is a plus.
• Proficiency in Excel.
• Ability to work collaboratively in a team environment and build relationships internally and externally.
• Effective verbal and written communication skills.

What you should expect in this role

• Fully remote options from continental US locations only.
• Video cameras must be used during all interviews and during the initial week of orientation.
• The deadline to submit applications for this posting is May 6, 2025.

#LI-HC1

#LI-Certified Medical Coder

#LI-CPT Coding

#LI-ICD-10 Coding

#LI-HCPCS Coding

#LI-Managed Care Entity

The pay range for this position is $69,400.00 - $99,200.00 per year, depending on geographic region, internal equity, job-related knowledge, skills, and experience. Gainwell offers a comprehensive benefits package, including flexible vacation, a 401(k) match, health benefits, and educational assistance. We also provide leadership and technical development programs to enhance your skills.

We believe that bringing together caring people makes healthcare better for everyone. Build your career with Gainwell, an industry leader committed to collaboration, innovation, and inclusion. Learn more about Gainwell on our website and visit our Careers site for current openings.

Gainwell Technologies is committed to a diverse, equitable, and inclusive workplace. We are an Equal Opportunity Employer, considering all qualified applicants regardless of race, religion, color, national origin, gender, sexual orientation, gender identity, age, veteran status, disability, or other protected characteristics. We celebrate diversity and strive to create an inclusive environment for all employees.