Senior Configuration Business Analyst - Medicaid Claims - QNXT

Gainwell Technologies; Missouri; Remote; USD 69,000 - 100,000; Full time

Job summary

An established industry leader is seeking a Senior Configuration Business Analyst to enhance healthcare solutions. In this fully remote role, you will leverage your expertise in Medicaid and Medicare to drive impactful projects. Collaborate with clients and technical teams to define business requirements, analyze processes, and validate outcomes. Join a company that values flexibility, learning, and career growth while making a difference in the lives of vulnerable communities. This position offers a dynamic environment where your contributions will help shape innovative healthcare solutions.

Benefits

Flexible Vacation Policy

401(k) Employer Match

Comprehensive Health Benefits

Educational Assistance

Leadership Development Academies

Technical Development Academies

Qualifications

• 6+ years in Business Analysis with Medicaid and Medicare experience preferred.
• Strong system skills to design complex queries of healthcare data.

Responsibilities

• Coordinate business analyst team duties and support newer members.
• Define and document business requirements with clients and technical staff.

Skills

Business Analysis

Medicaid Experience

Analytical Skills

Relational Database Software

Pharmacy Billing

Education

Bachelor's Degree

Tools

Excel

SQL

QNXT

FACETS

Job description

Senior Configuration Business Analyst - Medicaid Claims - QNXT

Date: Apr 6, 2025

Location: Any city, MO, US, 99999

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 Configuration Business Analyst - Medicaid Claims - QNXT 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.

• Help coordinate a business analyst team’s duties and activities on IT projects and nurture newer team members by providing guidance and support.
• Be a knowledgeable bridge between clients, project managers, and technical staff to define, document, and share business requirements and expected impact.
• Work with the client to develop business specs at the start of a technical project.
• Analyze, plan, design, document, or make recommendations to improve business processes to support client’s technology goals.
• Help verify that all requirements have been met by approving and validating test results.
• Exercise your ability to use basic analytical or relational database software — such as Excel or SQL — to quantify the anticipated impact of work.

What we're looking for

• 6 or more years of experience in a relevant Business Analyst position with 3 or more years of Medicaid and Medicare experience preferred.

Medicaid System Pharmacy Configuration experience with QNXT and FACETS.

Pharmacy billing experience.

Working knowledge of pharmacy claims data, prescription drug events (PDE), industry drug databases, pharmacy financial data, and formulary data.

Strong system skills including the ability to design and create moderate to complex queries of health care data.

What you should expect in this role

• Fully remote options from continental US locations only.
• 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.

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 Gainwell. 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 Gainwell, an industry leader. You’ll be joining a company where collaboration, innovation, and inclusion fuel our growth. Learn more about Gainwell at our company website and visit our Careers site for all available job role openings.

Gainwell Technologies is committed to a diverse, equitable, and inclusive workplace. We are proud to be 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), sexual orientation, gender identity, gender expression, age, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics. We celebrate diversity and are dedicated to creating an inclusive environment for all employees.