Senior Claims Business Analyst, Healthcare IT — Remote

Gainwell Technologies LLC; Oregon; Hybrid; USD 87,000 - 124,000; Full time

Benefits offered by this job

generous, flexible vacation policy

401(k) employer match

comprehensive health benefits

educational assistance

leadership and technical developmentac

Job summary

Gainwell Technologies LLC is seeking a Claims Business Analyst to help enhance health and human services outcomes through innovative technology. The role involves analyzing and designing business processes, bridging clients with PM/technical teams, and validating requirements across project phases.

Remote within the US with some travel expected. Ideal candidates have extensive healthcareBA experience (Medicaid/Medicare preferred), strong analytical skills, Excel proficiency, and knowledge of

Qualifications

• 9+ years of Business Analyst experience in 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.
• Knowledge of programming concepts, including configuration, development, and batch processing.
• Hands-on Claims and Encounter Processing experience across multiple Claim Types, with the ability to communicate effectively with business and technical stakeholders.

Responsibilities

• 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

Skills

Business Analyst experience

Healthcare industry experience

Analytical skills

Excel proficiency

Programming concepts

Claims and Encounter Processing

Job description

Gainwell Technologies LLC is seeking a Claims Business Analyst to help enhance health and human services outcomes through innovative technology. The role involves analyzing and designing business processes, bridging clients with PM/technical teams, and validating requirements across project phases.

Remote within the US with some travel expected. Ideal candidates have extensive healthcareBA experience (Medicaid/Medicare preferred), strong analytical skills, Excel proficiency, and knowledge of