Job Opportunities in United States


October 28, 2024

Gainwell Technologies LLC

Lakewood

FULL TIME


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 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. Here are the details on this position.
Your role in our mission
Gainwell empowers you show you’re a pro and help clients deliver better health and human services outcomes using innovative technology and solutions.
  • Analyze, plan, design, document and make recommendations to improve business processes to support client’s technological aspirations
  • Be a supportive bridge between clients, project managers and technical personnel to define, track and communicate business requirements and their expected impact by building basic conceptual data and process models
  • Create, execute or analyze basic test scenarios to verify that client requirements are built into system design
  • Ensure that “intent of change” is carried out through every project phase by participating in technical reviews and inspections
What we're looking for
  • Three or more years of Business Analyst experience working with the following:
    • Healthcare Claims
    • Different Claims Pricing Models (Alternative Payment Methodology
    • Fee for Service Model
  • Advanced knowledge in Microsoft Excel and other software for conducting quantitative analysis
  • Knowledge of basic computer programming concepts such as configuration, development, and batch processing
  • Strong analytical and business process re-engineering skills
  • Strong written and oral communication and presentation skills to deliver messages to business leaders, clients and technical personnel
    • Working with multiple stakeholders and being able to lead requirement elicitation meetings.
  • Eliciting and documenting business requirements/policy that impact system change.
  • Able to manage system changes to guide stakeholders through the SDLC process in conjunction with system Project Managers.
Independent skills
  • Takes initiative and ownership of learning to come up to speed and ensure system change request action items are getting done in a timely fashion.
  • Someone with the ability to work independently without a lot of guidance
  • An influencer and team player who that motivates others to action and communicates key technical ideas in a digestible way
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 November 12, 2024
#LI-HC1


The pay range for this position is $55,600.00 - $79,400.00 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, childbirth, or related medical condition), sexual orientation, gender identity, gender expression, age, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics. We celebrate diversity and are dedicated to creating an inclusive environment for all employees.

Latest Job Opportunities


October 29, 2024

TEKsystems
Customer Service Representative

Berlin

TEMPORARY

View Details

October 29, 2024

Vaco
Tax Analyst

Greenwich

View Details

October 29, 2024

Actalent
Lab Technician - Entry Level No Experience Needed

Windham

FULL TIME

View Details

October 29, 2024

Actalent
Manufacturing Manager

Danbury

FULL TIME

View Details

October 29, 2024

Onsite Women's Health
Mammography Coordinator

Manchester

FULL TIME

View Details

October 29, 2024

Onsite Women's Health
Breast Imaging Support Specialist

Westport

FULL TIME

View Details

October 29, 2024

WALGREENS
Emerging Store Manager

Torrington

FULL TIME

View Details

Similar Jobs


August 28, 2024

Uber
Supply Business Development Representative, Uber Shuttle

Washington

FULL TIME

View Details

September 9, 2024

Idaho National Laboratory
Administrative Business Coordinator

Idaho Falls

FULL TIME

View Details

September 4, 2024

WAYNE RESA
Student Application Business Analyst

Wayne

FULL TIME

View Details

September 4, 2024

Michigan Association of School Boards
Student Application Business Analyst

Wayne

FULL TIME

View Details

September 7, 2024

NewYork-Presbyterian Hospital
Administrative Business Associate (ABA) - Operations - Weill Cornell

Manhattan

FULL TIME

View Details

September 8, 2024

Vermont Public Co
Human Resources Business Partner

Colchester

FULL TIME

View Details

New Jobs from This Company


October 28, 2024

Gainwell Technologies LLC
Business Analyst - Medicaid Claims

Lakewood

FULL TIME

View Details

September 11, 2024

Gainwell Technologies LLC
Nurse Reviewer (Registered Nurse) - Remote in US

FULL TIME & OTHER

View Details

September 1, 2024

Gainwell Technologies LLC
Mailroom Clerk - Onsite

Frankfort

FULL TIME

View Details

August 23, 2024

Gainwell Technologies LLC
Call Center Specialist

Anchorage

FULL TIME

View Details

August 14, 2024

Gainwell Technologies LLC
Claims Lead

Anchorage

FULL TIME

View Details