Experienced Business Analyst - SDLC & Medicaid Provider

Be part of a team that unleashes the power of leading-edge technologies to help improve the health and well-being of those most vulnerable in our country and communities. Working at Gainwell carries its rewards. You’ll have an incredible opportunity to grow your career in a company that values work flexibility, learning, and career development. You’ll add to your technical credentials and certifications while enjoying a generous, flexible vacation policy and educational assistance. We also have comprehensive leadership and technical development academies to help build your skills and capabilities.

Summary

As a Experienced Business Analyst - SDLC & 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. This position will function as a liaison between business users and technology staff to identify, prioritize, and complete systems projects for the assigned areas of responsibility. This includes completion of assigned projects of medium to high complexity through utilization of a standard system development life cycle methodology, to include requirements elicitation and analysis, business design, requirements traceability, participation in testing strategies, test reviews, defect resolution, and post-production follow-up. The Business Analyst role must build, demonstrate, and maintain a detailed knowledge of the business functions, processes, and controls in place within the assigned area of responsibility from an end-user point of view and must be able to bridge business needs with system capabilities needed to support these business needs. Here are the details on this position.

Your role in our mission

• Maintain an understanding of current business issues, objectives, and strategies within assigned business area and recognize issues and opportunities to optimally apply technology to enhance existing or build new business capabilities.
• Work directly with the business user to formulate and define project scope and objectives that encapsulate end-user business needs.
• Participate in the elicitation, documentation, analysis, and validation of business processes, systems, and requirements.
• Translate high level business requirements into proper detailed requirements specifications using high maturity methods, processes, and tools.
• Work with other business analysts to ensure that business design is cohesive across all business areas impacted.
• Develop as-is and to-be business process models.
• Support requirements management and change management processes.
• Ensure that all relevant business documentation is updated in a timely and accurate manner.
• Support technical teams to ensure that business requirements are appropriately and comprehensively translated into solid technical designs.
• Support testing team to ensure that test plans and test cases comprehensively address business requirements.
• Effectively communicate project status, risks, issues, and constraints to project management

What we're looking for

• Bachelor’s degree or equivalent combination of education and experience.
• Excellent verbal and written communication skills with a demonstrated ability to successfully interact with a diverse group of professionals across all levels of an organization.
• 5+ years’ experience as a business analyst within the Medicaid, pharmacy, or healthcare industry.
• The ability to conceptualize components of a business process or need to aid in the analysis and definition of functional and non-functional requirements.
• Strong working knowledge of Microsoft Office Suite of tools – MS Word, Excel, PowerPoint, Visio
• Ability to analyze provider relationships, demographics, contracts / pricing, designs / configures provider affiliations, configuration validation, configuration peer review.
• Experience with leading efforts to resolve provider set up issues to identify root cause, facilitate resolution efforts to completion. 
• Understand the Provider management process flow and requirements for loading provider information into QNXT (Administrator).
• Experience in waterfall SDLC.

Additional skills & experience

1. Excellent organizational skills
2. Ability to think both broadly and at a detailed level.
3. Strong presentation skills
4. Strong critical thinking skills
5. Ability to work collaboratively within and across teams.
6. Ability to work independently under general direction of project leadership.
7. High tolerance for ambiguity matched with desire to organize it.
8. Demonstrated ability to drive to results.
9. Ability to successfully engage in multiple initiatives simultaneously

What you should expect in this role

• Fully remote options from most US locations and territories
• Work Hours: Eastern Time Zone
• Supports the Gainwell Ohio Medicaid Account
• 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 December 17, 2024

• #LI-HC1

The pay range for this position is $69,400.00 - $99,200.00 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.