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Gainwell Technologies
Gainwell Technologies
H1B वीज़ा प्रायोजकपरामर्शलॉजिस्टिक्सस्वास्थ्य बीमा
Gainwell Technologies मानव सेवाओं और सार्वजनिक स्वास्थ्य के पारिस्थितिकी तंत्र के लिए डिजिटल और क्लाउड-सक्षम समाधान विकसित करती है। कंपनी सभी 50 अमेरिकी राज्यों में ग्राहकों के साथ Medicaid Enterprise के आधुनिकीकरण, डेटा विश्लेषण, प्रदाता सेवाओं और फार्मेसी समाधानों जैसी स्वास्थ्य सेवा पहलों पर काम करती है। इसका कार्य प्रौद्योगिकी को सार्वजनिक स्वास्थ्य सेवाओं की आपूर्ति, स्वास्थ्य सेवा प्रशासन और स्वास्थ्य परिणामों तथा सामुदायिक कल्याण में सुधार के प्रयासों से जोड़ता है।
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कंपनी की नौकरियाँ

Senior Medicaid Business Analyst, Configuration and Policy (Texas Remote)

Translate Medicaid policy into MMIS configuration, business rules, and design documentation. Support testing, deployment, client delivery, and healthcare technology projects for Gainwell Technologies.

USसंयुक्त राज्यTXटेक्सास
$69,400 – $99,200 / वर्ष
रिमोटपूर्णकालिकवरिष्ठआवश्यक भाषा: अंग्रेज़ीव्यवसाय विश्लेषक
SDLCSQL

विवरण

  • Support business, policy, and technical delivery across MMIS and Medicaid Pharmacy functional areas
  • Convert state and federal Medicaid requirements into product features, configurations, business rules, and design documentation
  • Act as the primary domain and policy expert while advising the Engagement Lead
  • Verify solution designs and configurations against CMS guidance, state policy, and approved business rules
  • Assess functional, regulatory, and operational effects to support scope decisions and change control
  • Lead and contribute to client and internal requirements and design workshops
  • Create and maintain domain documentation for workflows, interfaces, X12 EDI transactions, letters, and reports
  • Record and communicate domain decisions, risks, assumptions, dependencies, and downstream effects
  • Contribute to domain configuration and implementation across Design, Development, and Implementation projects
  • Coordinate with technical teams to ensure configurations reflect approved designs, policy interpretations, and business rules
  • Review test cases and provide subject-matter expertise during System Integration Testing and User Acceptance Testing
  • Analyze defects, investigate root causes, support fixes and retesting, and verify functional readiness
  • Contribute to environment, data, process, and staffing readiness; readiness reviews; parallel and performance testing; cutover; operational transition; and hypercare
  • Lead and support client communications, functional demonstrations, solution walkthroughs, and collaborative sessions
  • Maintain documentation, transfer knowledge, and provide continuing operational support

आवश्यकताएँ

  • Bachelor’s degree in Computer Science, Information Systems, Health Informatics, or a related discipline
  • Five to eight years of hands-on experience supporting healthcare system implementations, including MMIS and Medicaid Pharmacy platforms
  • Experience with QNXT or a comparable healthcare provider or claims management system
  • In-depth knowledge of state and federal Medicaid policies, regulations, and program requirements
  • Working knowledge of Medicaid functions such as claims, member, provider, and prior authorization processes
  • Experience converting policy and program rules into system requirements, configuration guidance, and design documentation
  • Strong SQL skills for data analysis and validation
  • Demonstrated ability to communicate directly with clients and business stakeholders
  • Ability to lead or assist with functional demonstrations, walkthroughs, and collaborative working sessions
  • Strong documentation, facilitation, and analytical capabilities
  • Experience delivering work in SDLC and Agile environments
  • Knowledge of MITA, or Medicaid Information Technology Architecture, preferred
  • Preferred experience with system integrations, EDI/X12 transactions, analytics, and reporting
  • Familiarity with state and federal healthcare regulations and compliance standards preferred

लाभ

  • Fully remote work available from most US locations and territories
  • Flexible working arrangements
  • Learning and career growth opportunities
  • Generous flexible vacation policy
  • 401(k) plan with employer match
  • Comprehensive health coverage
  • Educational assistance
  • Leadership and technical development academies
  • Equal opportunity employment

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