Gainwell TechnologiesRemote
Senior Business Analyst - Benefit Plan Administration Job Details | Gainwell Technologies LLC
United States of America
Full Time
3 weeks ago
$69,000 - $99,000 USD
No H1B
Key skills
MedicaidMedicareClaims testingBenefit Plan AdministrationBusiness analysisRequirements documentationEdits and audits configurationComputer programming conceptsBatch processingMicrosoft ExcelSQLRequirement-mapping toolsLeadershipCommunication
About this role
Gainwell Technologies is a company dedicated to improving healthcare through innovative technology solutions. They are seeking a Senior Business Analyst - Benefit Plan Administration to help clients enhance the health and well-being of vulnerable populations by analyzing and improving business processes related to Medicaid and Medicare. The role involves coordinating a team, documenting business requirements, and ensuring that project objectives are met efficiently.
Responsibilities:
- Help coordinate a business analyst team’s duties and activities on IT projects and nurture newer team members by providing guidance and support
- Be a knowledgeable bridge between clients, project managers and technical staff to define, document and share business requirements and expected impact
- Work with the client to develop business specs at the start of a technical project
- Analyze, plan, design, document or make recommendations to improve business processes to support client’s technology goals
- Help verify that all requirements have been met by approving and validating test results
- Exercise your ability to use basic analytical or relational database software — such as Excel or SQL — to quantify the anticipated impact of work
Requirements:
- 6+ years of experience as a Business Analyst in the Healthcare industry including 5+ years of Medicaid and Medicare experience
- Experience documenting requirements for claims, reference, and Benefits Plan Administration (BPA) areas
- Experience with claims testing
- Knowledge of how edits and audits work and how to configure them
- Knowledge of computer programming concepts such as configuration, development, and batch processing
- Advanced proficiency in analytical tools such as Microsoft Excel, SQL, and requirement-mapping tools (e.g., ALM)
- Strong analytical and business process re-engineering skills
- Strong problem-solving skills
- Ability to work independently and collaboratively in team environments
- Strong client communication skills, with the ability to translate needs into actionable objectives
- Strong executive presence and communication skills, effectively delivering messages to business leaders, clients, and technical teams
- Proven leadership ability, motivating others to action and simplifying complex technical concepts