Senior Healthcare Analytics Analyst - Remote

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

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