Business Analyst - EDI  $51,900.00 - $74,200.00 per year

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 - EDI 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.

Assists in the research and assessment of business goals, objectives and needs to align information technology solutions with business initiatives for multiple, less complex accounts.

Serves as the liaison between technical personnel and business area for multiple accounts. Here are the details on this position.

Your role in our mission

• Assists in planning and designing business processes; assists in formulating recommendations to improve and support business activities.
• Assists in analyzing and documenting client's business requirements and processes; communicates these requirements to technical personnel by constructing basic conceptual data and process models, including data dictionaries and volume estimates.
• Assists in creating basic test scenarios to be used in testing the business applications in order to verify that client requirements are incorporated into the system design.
• Assists in developing and modifying systems requirements documentation to meet client needs.
• Participates in meetings with clients to gather and document requirements and explore potential solutions.
• Executes systems tests from existing test plans. Assists in analyzing test results in various phases.
• Participates in technical reviews and inspections to verify 'intent of change' is carried through phase of project.

What we're looking for

• Bachelor's degree or equivalent combination of education and experience
• Bachelor's degree in business administration, information systems, or related field preferred
• Three or more years of business analysis experience
• Experience working with the interface of information technology with functional groups within an organization
• Experience working with business processes and re-engineering
• Experience working with computer programming concepts and basic language

Additional Qualifications

• Interpersonal skills to interact with customers and team members
• Hands-on experience and understanding of the Healthcare EDI X12N transactions formats that govern healthcare Electronic Data Interchange (EDI).

Knowledge of and experience with HIPAA / EDI X12 5010 healthcare-related transactions including 270-271, 276-277,277CA,277U, 278, 820, 834, 835, 837, 999, 824, and NCPDP.

• Claims, Financial and MCO experience
• Communication skills
• Analytical and problem solving skills
• Presentation skills to communicate with management and customers
• Personal computer and business solutions software skills
• Ability to work in a team environment with multiple team members and the ability to multitask
• Willingness to travel

Key Technology Requirements

• Sharepoint
• Word / Excel / Powerpoint
• System Delivery Life Cycle (SDLC)
• SNAGIT Nice to have.
• SQL Nice to have.

What you should expect in this role

• Fully remote options from most US locations and territories
• 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
• The deadline to submit applications for this posting is Jun 17, 2024

LI-HC1

LI- EDI

The pay range for this position is $51,900.00 - $74,200.00 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 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.