Experienced Business Analyst - Medicaid 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 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 position supports the Claims functional area of the Arkansas Title XIX fiscal agent account. Primarily responsible for being the liaison between the client and the development team to ensure that system modifications or enhancements are appropriately implemented. This includes gathering and documenting requirements, facilitating recommendations for system design based on the requirement(s) using their overall knowledge of the system and Medicaid policies and procedures, coordinating the requirements with the development team, and testing the changes to ensure that the requirements are met and there are no negative downstream implications.  Here are the details on this position.

Your role in our mission

Take charge and focus on how we can meet critical needs to help clients deliver better health and human services outcomes. 

• Coordinate workstreams and teams on IT projects to align solutions with client business priorities  
• Demonstrate your knowledge as SME and liaison for clients and internally between technical and non-technical workers to transform requirements into real results
• Delegate work across teams, and coach and monitor project team members to plan, design and improve complex business processes and modifications 
• Streamline workflows across clients and technical personnel to determine, document and oversee carrying out system requirements
• Support quality control as you approve and validate test results to verify that all requirements have been met

What we're looking for

• 5+ more years of experience working as a business analyst or ‘requirements translator’ between technical and non-technical personnel, with 3 or more years of Medicaid and Medicare experience preferred.
  Experience and knowledge with HCPCS and ICD procedure codes and ICD diagnosis code is a plus
• Knowledge of Microsoft Excel advanced features such as macros and/or relational database software
• Ability to clearly and concisely translate technical requirements to a non-technical audience 
• Skills working with business processes and re-engineering
• Curiosity to solve complex problems and strong interpersonal skills to interact with and influence clients and team members
• A caring team leader who motivates and coaches less experienced resources

What you should expect in this role

• Fully remote, only US location options will be considered
• Client is in Central time zone
• Video cameras must be used during all interviews, as well as during the initial week of orientation

#LI-HC1

#LI-Medicaid Claims

 

The pay range for this position is $64,900.00 - $92,700.00 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 qualified applicants will receive con