Senior Business Analyst – Medicaid Claims, Eligibility
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Job Description
Senior Business Analyst improving Medicaid claims and eligibility operations for Gainwell Technologies. Translating healthcare client needs into requirements, process improvements, and validated IT project outcomes.
Responsibilities:
- Coordinate a business analyst team’s duties and activities on IT projects
- Nurture newer team members by providing guidance and support
- Serve as a bridge between clients, project managers, and technical staff
- Define, document, and share business requirements and expected impact
- Develop business specifications with clients at the start of technical projects
- Analyze, plan, design, document, or recommend improvements to business processes
- Support clients’ technology goals through process improvement
- Verify requirements have been met by approving and validating test results
- Use Excel or SQL to quantify anticipated business impact
- Support critical healthcare initiatives involving Medicaid programs, claims, and eligibility operations
Requirements:
- 6 or more years of experience in a relevant Business Analyst position
- 3 or more years of Medicaid and Medicare experience preferred
- Experience in Medicaid claims processing and eligibility business functions strongly preferred
- Knowledge of computer programming concepts such as configuration, development, and batch processing
- Advanced knowledge of Microsoft Excel or SQL
- Experience with requirement-mapping tools such as Application Lifecycle Management (ALM) tools
- Strong client communication skills
- Strong analytical, business process re-engineering, and business process modeling skills
- Ability to gather, elicit, analyze, document, and validate business requirements
- Strong critical thinking and problem-solving capabilities
- Strong executive presence and communication skills
- Proficiency with Microsoft Word and Microsoft Excel required on day one
- Ability to learn client-specific systems, applications, and business process tools
- Video cameras must be used during all interviews and the initial week of orientation
- Photo will be taken during screening for verification in all steps of the recruitment process
- Must join screenings, interviews, and meetings from a quiet location with stable internet
- Video is required for screenings and interviews
- Do not use AI tools, virtual backgrounds/filters, or visual enhancements during the interview
Benefits:
- Work flexibility
- Learning and career development
- Generous, flexible vacation policy
- 401(k) employer match
- Comprehensive health benefits
- Educational assistance
- Leadership and technical development academies
- Video cameras and stable internet support for interviews and orientation (requirements rather than compensation)
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