Senior Business Analyst - Healthcare

Great companies need great teams to propel their operations. Join the group that solves business challenges and enhances the way we work and grow. Working at Gainwell carries its rewards. You’ll have an incredible opportunity to grow your career in a company that values your contributions and puts a premium on work flexibility, learning, and career development. 

 

Summary

As a Senior Business Analyst - Healthcare at Gainwell, you can contribute your skills as we harness the power of technology to help our clients improve the health and well-being of the members they serve — a community’s most vulnerable. Connect your passion with purpose, teaming with people who thrive on finding innovative solutions to some of healthcare’s biggest challenges.

Works collaboratively with the client and team members-both external and internal to the company - to research, validate and document business needs, and to ensure that those needs are clearly reflected and completed. Assists with translating client requests and changes into the MMIS and may help determine solutions to business problems. Effectively manages client’s expectations.

Here are the details on this position.

Your role in our mission

• Ensure that items are prepared for client/MCE meetings. 
• Ensure Operating Procedure Manuals are updated as required
• Work with the client on claims research. change requests
• Research, identify, and specify solutions to problems.
• Document creation and updates for projects. 
• Assist with Managed Care Entity encounter meetings, questions and research

What we're looking for

• 5+ years of Business Analyst experience in Healthcare Claims
• Previous Managed Care Entity experience is a plus
• Ability to assist/create manual documentation as well as provider notifications
• Experience with CPT, HCPCS, and ICD-10 coding, and a proven ability to accurately interpret and apply complex coding standards in healthcare documentation
• Certified Medical coder is a plus
• Must be proficient in Excel
• Must work collaboratively in a team environment with the ability to build relationships and working collaboratively internally and externally
• Effective verbal and written communication.

What you should expect in this role

•  Fully remote options from continental US locations only
• Video cameras must be used during all interviews, as well as during the initial week of orientation
• The deadline to submit applications have been extended until suitable candidate has been selected

#LI-HC1

#LI-Certified Medical Coder

#LI- CPT Coding

#LI-ICD-10 Coding

#LI-HCPCS Coding

#LI-Managed Care Entitiy

 

 

 

The pay range for this position is $69,400.00 - $99,200.00 per year, however, the base pay offered may vary depending on geographic region, internal equity, job-related knowledge, skills, and experience among other factors. Put your passion to work at Gainwell. You’ll have the opportunity to grow your career in a company that values work flexibility, learning, and career development. All salaried, full-time candidates are eligible for our generous, flexible vacation policy, a 401(k) employer match, comprehensive health benefits, and educational assistance. We also have a variety of leadership and technical development academies to help build your skills and capabilities.

 

We believe nothing is impossible when you bring together people who care deeply about making healthcare work better for everyone. Build your career wi