Business Analyst - Medicaid Provider

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 Provider 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

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

• Support workstreams and teams on IT projects to align solutions with client business priorities.
• Demonstrate your knowledge as Provider and liaison for clients and internally between technical and non-technical staff to transform requirements into real results.
• Work across teams and monitor project teams members to plan, design and improve complex business processes and modifications.
• Support quality control as you approve and validate test result to verify that all requirements have been met.
• Assist Gainwell leadership and functional Advisors to innovate and streamline business solutions and technology enabled business models to implement CMS mandated or State directed initiatives.
• Analyze current business processes and determine new processes to solve complex Healthcare initiatives more effectively.
• Excellent written and verbal communication skills interfacing at all Gainwell and client management levels.

What we're looking for

Education - Bachelors / Masters

6+ years’ experience

• Through self-directed activities act as a liaison between client and technical groups, using superior communication skills to elicit, document, analyze and validate requirements.
• Apply industry-specific expertise to recommend and coordinate the development, enhancement, and maintenance of a client’s business systems, processes, and products using high-maturity methods, processes and tools.
• Combine industry expertise with a thorough understanding of information technology to develop innovative business solutions.

Influence the strategic direction of clients.

• Support analysis teams on large projects. Lead requirements management and change management processes.
• Support development of visualization, and user experience elements of solution design.
• Develop and maintain internal and external relationships to manage scope, schedule, budgets and expectations.
• Support business studies and present study results to the company and client senior management.
• Support and coordinate and participate in proposals, feasibility studies, and new business development activities.

Knowledge and Experience

• Demonstrated Provider Experience : Proven track record showcasing expertise and competencies in delivering services or solutions.
• Support Provider subject matter expert, possessing a comprehensive understanding from both business and system perspectives.
• Client Interaction : Strong ability to interact effectively with clients, understanding needs, and providing appropriate provider solutions or services.
• Service Delivery : Proficient in delivering high-quality provider services, meeting client expectations, and ensuring client satisfaction.
• Compliance and Regulations : Knowledge of regulations and compliance requirements.
• Serve as a liaison between clients and technical groups by engaging in self-directed activities.
• Utilize exceptional communication skills to gather, document, analyze and validate requirements effectively.
• Leads analysis efforts, collaborating with teams to gather requirements and devise innovative design solutions.
• Accurately estimate project resources and deliver effective resource assessments.

Project Complexity / Impact

• SDLC Change Order
• Professional Level SME
• Support Requirement work
• Support Design work
• Approval of Test Cases
• Driving Solution Discussions with Client

What you should expect in this role

• Fully remote with in the continental US (48)
• 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 June 25, 2024

LI-HC1

LI-Medicaid Provider

LI-Support Provider SME

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.