Senior Medicaid Policy & Configuration Analyst (Remote)

Gainwell Technologies; Texas; À distance; USD 69 000 - 99 000; Plein temps

Avantages offerts par ce poste

Fully remote options

401(k) employer match

Comprehensive health benefits

Educational assistance

Flexible vacation policy

Résumé du poste

Gainwell Technologies is seeking a Senior Medicaid Business Analyst (Configuration & Policy) to translate state and federal Medicaid policy into product features and configurations. You will support domain delivery end-to-end, collaborating with Domain Lead, Technical Analysts, and cross-functional teams to ensure successful implementation and operational readiness.

The role requires translating policy into design artifacts, maintaining domain design documents, and ensuring accuracy of

Qualifications

• Bachelor’s degree in Computer Science, Information Systems, Health Informatics, or a related field.
• 5 to 8 years of hands-on experience supporting healthcare system implementations (MMIS, Medicaid Pharmacy).
• Experience with QNXT healthcare provider/claims management systems.
• Strong knowledge of state and federal Medicaid policy, regulations, and program rules.
• Strong understanding of Medicaid domains: claims, member, provider, and prior authorization.

Responsabilités

• Serve as primary Domain SME; advise on business processes and regulatory impacts.
• Validate design/configuration align with CMS guidance and policy rules.
• Lead design sessions with clients and internal teams to validate needs.
• Translate Medicaid policy into product features, configurations, and rules.
• Develop and maintain domain design documentation including workflows and reports.

Connaissances

SQL

Stakeholder communication

SDLC & Agile

Policy translation

Domain SME

Formation

Bachelor's degree in Computer Science / Information Systems / Health Informatics

Outils

QNXT

EDI/X12

Description du poste

Gainwell Technologies is seeking a Senior Medicaid Business Analyst (Configuration & Policy) to translate state and federal Medicaid policy into product features and configurations. You will support domain delivery end-to-end, collaborating with Domain Lead, Technical Analysts, and cross-functional teams to ensure successful implementation and operational readiness.

The role requires translating policy into design artifacts, maintaining domain design documents, and ensuring accuracy of