Business Analyst - Medicaid Claims / Eligibility

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 / Eligibility 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
  • Eligibility and Financial Reporting
  • Different Claims Pricing Models (Alternative Payment Methodology
  • Fee for Service Model
  • Value Based Payment 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
  • Working in an Agile Framework
• 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 …