Senior Medicaid Policy & Configuration Analyst (Remote)

Gainwell Technologies LLC; Ohio; A distancia; USD 69.000 - 99.000; Jornada completa

Ventajas ofrecidas por este puesto de trabajo

Vacation policy

401(k)

Health benefits

Educational assistance

Descripción de la vacante

Gainwell Technologies is seeking a Senior Medicaid Business Analyst (Configuration & Policy) to translate state and federal Medicaid policy into product features and system configuration. The role acts as a domain SME, ensuring CMS guidance alignment and successful implementation.

Responsibilities include building design docs, validating configurations, and supporting SIT/UAT. Remote work options are available from most US locations, with a strong focus on policy interpretation and healthcare

Formación

• Experience translating policy and program rules into system requirements, configuration support, and design artifacts.
• Strong knowledge of state and federal Medicaid policy, regulations, and program rules (required).
• Demonstrated experience translating policy into configuration and design documents.
• Experience with healthcare IT implementations and Medicaid MMIS projects.

Responsabilidades

• Translate state and federal Medicaid policy and program requirements into product features, system configuration, and design artifacts.
• Serve as the domain SME to advise on business processes and regulatory impacts.
• Validate solution design and configuration against CMS guidance and policy.
• Provide domain SME support during SIT/UAT and defect analysis, root-cause investigations, and readiness validation.
• Develop and maintain domain design documentation, including workflows, interfaces, X12 EDI transactions, letters, and reports.
• Support domain-specific configuration within Design, Development, and Implementation (DDI) projects.

Conocimientos

SQL

Policy knowledge

SDLC

Agile

Stakeholder comms

Educación

Bachelor’s degree in Computer Science, Information Systems, Health Informatics, or a related field

Herramientas

QNXT

Descripción del empleo

Gainwell Technologies is seeking a Senior Medicaid Business Analyst (Configuration & Policy) to translate state and federal Medicaid policy into product features and system configuration. The role acts as a domain SME, ensuring CMS guidance alignment and successful implementation.

Responsibilities include building design docs, validating configurations, and supporting SIT/UAT. Remote work options are available from most US locations, with a strong focus on policy interpretation and healthcare