Experienced Business Analyst (Fraud, Waste and Abuse Solutions)

Be part of a team that unleashes the power of leading-edge technologies to help improve the health and well-being of those most vulnerable in our country and communities. Working at Gainwell carries its rewards. You’ll have an incredible opportunity to grow your career in a company that values work flexibility, learning, and career development. You’ll add to your technical credentials and certifications while enjoying a generous, flexible vacation policy and educational assistance. We also have comprehensive leadership and technical development academies to help build your skills and capabilities.

 

Summary

As an Experienced Business Analyst (Fraud, Waste and Abuse Solutions) 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.

 

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. 

• Serves as a member of a Product team responsible for a web-based SaaS solution that provides clients the means to detect and investigate healthcare fraud, waste and abuse (FWA)
• Utilizes product knowledge combined with extensive Payment/Program Integrity subject matter expertise to lead requirement elicitation meetings with clients and stakeholders
• Proactively identifies system enhancements that increase the value of the product
• Develops detailed UI mock-ups and business requirements that guide development efforts 
• Creates test scenarios and develops test plans to be used in testing the business applications in order to verify that client requirements are incorporated in to the system design
• Participates in post-deployment testing sessions that occur after normal business hours (Typically one Thursday evening every month)
• Communicates effectively with both technical and non-technical audiences and capable of building and maintaining relationships with key stakeholders
• Strong analytical and problem-solving skills

What we're looking for

• 5+ years of experience detecting and investigating healthcare fraud or experience working on systems designed for those purposes
• 2+ years of experience in requirement elicitation, analyzing and documenting business processes and system requirements that are leveraged by development teams
• Healthcare Fraud, Waste & Abuse subject matter expertise is required
• Excellent communication and interpersonal skills
• Strong analytical and problem-solving skills
• Ability to work on complex projects with general direction and minimal guidance

What you should expect in this role

• Fully remote opportunity with the option to work anywhere within the United States 
• May be required to travel at least 10% of time based on business needs

Note

• Video cameras must be used during all interviews, as well as during the initial week of orientation.

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The pay range for this position is $86,800.00 - $124,000.00 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 consideration for employment without regard to race, religion, color, national origin, gender (including pregnancy, childbir