Experienced Reference / Technical Analyst

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 Experienced Reference / Technical Analyst 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. Here are the details on this position.

Your role in our mission

• Adheres to and supports configuration team approach and other configuration principles, methodologies, and practices
• Supports configuration team with solution development, proof of concept testing, and the development of audit reports and data validation checkpoints
• Completes configuration/data loads within schedule timelines and configuration best practices
• Experience with coordinating and managing incoming referential data, validating & obtaining approvals, and investigate data variances
• Reference Data Management - support and trouble shoot data variances in conversion and other phases of the DDI

What we're looking for

• Four or more years of configuration experience; or working with the Data Schema of QNXT or FACETS applications (Focus on the following areas: Contracts, Benefits, Successful Data Points for X12 Transactions, CARCs/RARCs, Fee Schedules/Different Payment Methodologies, Capitation, & Rules)
• Understands relational database concepts and schemas
• Experience writing & executing SQL queries for data analysis
• Experience working with Medicaid/MMIS systems. Experience includes DDI (Design, Development, and Implementation) and operations & maintenance phase, preferred
• Support configuration team with triage & root cause analysis of Medicaid claims and encounters adjudication results
• Experience with Requirement Traceability Matrices.
• Preferred experience working with HP Application Lifecycle Management (ALM)

 

What you should expect in this role

• Fully remote options from most US locations and territories
• Video cameras must be used during all interviews, as well as during the initial week of orientation
• The deadline to submit applications for this posting is October 7, 2024

#LI-HC1

 

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 with Gainwell, an industry leader. You’ll be joining a company where collaboration, innovation, and inclusion fuel our growth. Learn more about Gainwell at our company website and visit our Careers site for all available job role openings.

 

Gainwell Technologies is committed to a diverse, equitable, and inclusive workplace. We are proud to be an Equal Opportunity Employer, where all qualifi