Experienced Business Analyst - Medicaid Encounter Claims

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 Business Analyst - Medicaid Encounter Claims 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. This is for a Business Lead role over HMO Encounter Claims for the WI Account. Here are the details on this position.

Your role in our mission

Play a critical part in ensuring Gainwell is meeting our clients’ objectives in important areas.

• Leads large to mid sized projects, defining scope, requirements, and design.
• Help coordinate a business analyst team’s duties and activities on IT projects and nurture newer team members by providing guidance and support
• Be a knowledgeable bridge between clients, project managers and technical staff to define, document and share business requirements and expected impact 
• Work with the client to develop business specs at the start of a technical project
• Analyze, plan, design, document or make recommendations to improve business processes to support client’s technology goals
• Verify that all requirements have been met by approving and validating test results    
• Exercise your ability to use basic analytical or relational database software — such as Excel or SQL — to quantify the anticipated impact of work 

What we're looking for

• 8+ years of experience in a relevant Business Analyst position with 4-5 or more years of Medicaid and Medicare experience 
• 5 or more years of Claims experience, preferably Claims Encounters experience
• Detail oriented with good documentation skills and the ability to juggle multiple projects at one time
• Knowledge of computer programming concepts such as configuration, development and batch processing
• Advanced knowledge in analytical software such as Microsoft Excel or SQL and other requirement-mapping tools such as Application Lifecycle Management (ALM) tools while integrating your strong analytical and business process re-engineering skills
• Strong executive presence and communication skills to deliver messages to business leaders, clients and technical personnel by translating client needs to actionable objectives

What you should expect in this role

• Utilize your leadership skills to motivate others to action and communicate key technical ideas
• Remote options available from most US locations
• Opportunities to travel through your work (0-10%)
• Video cameras must be used during all interviews, as well as during the initial week of orientation and all client meetings
• The deadline to submit applications for this posting is November 26, 2024

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#LI-Medicaid Claims Encounters 

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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 compa