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Gainwell Technologies
Gainwell Technologies
H1B Visa SponsorConsultingHealthcare InsuranceLogistics
Gainwell Technologies develops digital and cloud-enabled solutions for the human services and public health ecosystem. The company works with clients across all 50 U.S. states on healthcare initiatives including Medicaid Enterprise modernization, data analytics, provider services, and pharmacy solutions. Its work connects technology with public health delivery, healthcare administration, and efforts to improve health outcomes and community well-being.
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Senior Medicaid Claims and Eligibility Business Analyst - Remote

Senior Business Analyst role at Gainwell Technologies focused on Medicaid claims and eligibility operations. Translate healthcare client needs into requirements, improve processes, and validate technology project outcomes.

USUnited States
$69,400 – $99,200 / year
RemoteFull-timeSeniorEnglish RequiredBusiness Analyst
SQL

Description

  • Lead business analyst team activities across IT projects
  • Guide and support newer business analysts
  • Connect clients, project managers, and technical teams
  • Define, document, and communicate business requirements and expected outcomes
  • Create business specifications with clients at the outset of technical projects
  • Assess, design, document, and recommend business process improvements
  • Advance clients’ technology objectives through process improvement
  • Confirm requirements through test-result approval and validation
  • Apply Excel or SQL to measure expected business impact
  • Support healthcare initiatives involving Medicaid programs, claims, and eligibility operations

Requirements

  • At least six years of experience in a relevant business analyst role
  • Three or more years of Medicaid and Medicare experience preferred
  • Experience with Medicaid claims processing and eligibility functions strongly preferred
  • Understanding of programming concepts including configuration, development, and batch processing
  • Advanced Microsoft Excel or SQL skills
  • Experience using requirements-mapping tools such as Application Lifecycle Management tools
  • Strong client communication skills
  • Strong analytical, process re-engineering, and business process modeling abilities
  • Ability to gather, elicit, analyze, document, and validate business requirements
  • Strong critical thinking and problem-solving skills
  • Strong executive presence and communication skills
  • Working proficiency in Microsoft Word and Microsoft Excel required from day one
  • Ability to learn client-specific systems, applications, and business process tools
  • Video cameras are required for all interviews and the first week of orientation
  • A photo will be taken during screening to verify identity throughout the recruitment process
  • Attend screenings, interviews, and meetings from a quiet location with reliable internet
  • Video participation is required for screenings and interviews
  • AI tools, virtual backgrounds, filters, and visual enhancements are not permitted during interviews

Benefits

  • Flexible work arrangements
  • Learning and career growth opportunities
  • Generous vacation policy with flexible use
  • 401(k) employer matching
  • Comprehensive health coverage
  • Educational assistance
  • Leadership and technical development academies
  • Support for video cameras and reliable internet during interviews and orientation; these are participation requirements, not compensation

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