Business Analyst - Medicaid Claims / Eligibility
Any city, CO, US, 99999
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 …
This job isn't fresh anymore!
Search Fresh JobsJob Profile
Fully remote Fully remote options from most US locations Orientation Video cameras must be used during all interviews Video cameras required for interviews
Benefits/Perks401(k) employer match Career development Comprehensive health benefits Development academies Educational Assistance Flexible Vacation Flexible vacation policy Fully remote Fully remote options Fully remote options from most US locations and territories Generous, flexible vacation policy Generous vacation policy Health benefits Inclusive workplace Leadership and technical development academies Medical Technical development academies Vacation policy Work flexibility
Tasks- Analyze business processes
- Create test scenarios
- Document requirements
- Leadership
- Participate in technical reviews
- Participating in technical reviews
Agile Agile framework Analysis Analytical Business Analysis Business Processes Business Process Re-engineering Claims Collaboration Communication Computer Computer Programming Configuration Design Development Eligibility Engineering Excel Financial reporting Healthcare Innovation Leadership Medicaid Medical Microsoft Excel Oral communication Presentation Programming Quantitative analysis Reporting SDLC Stakeholder management Technology Written and oral communication
Experience3 years
EducationBusiness Engineering Healthcare
TimezonesAmerica/Anchorage America/Chicago America/Denver America/Los_Angeles America/New_York Pacific/Honolulu UTC-10 UTC-5 UTC-6 UTC-7 UTC-8 UTC-9