Gainwell TechnologiesRemote
Senior Business Analyst - Medicaid
United States of America
Full Time
2 hours ago
$69,000 - $99,000 USD
No H1B
Key skills
MedicaidMedicareMedical Claims ProcessingFinancial ProcessingContact Center WorkflowsMicrosoft ExcelMicrosoft AccessSQLRequirement-Mapping ToolsALM PlatformsBusiness Process Re-engineeringClient-Facing CommunicationCommunication
About this role
Gainwell Technologies is a company focused on improving the health and well-being of vulnerable populations through data and technology. As a Senior Business Analyst - Medicaid, you will leverage your analytical expertise to transform data into actionable insights, supporting operational efficiency within the Medicaid program.
Responsibilities:
- Serve as a lead analyst for complex, multi‑system claims and financial processing activities within Gainwell’s DC Medicaid program
- Develop a deep understanding of end‑to‑end medical claims and financial processes, including daily, weekly, and monthly operational cycles. Use this knowledge to evaluate data, confirm systems are performing within expected parameters, and identify processing issues when they arise
- Understand contact center workflows, tools, performance metrics, and SLA requirements. Analyze data to identify adverse trends, anomalies, and opportunities for improvement
- Partner closely with supervisors and managers to support operational data analysis, including querying datasets to assist with performance improvement initiatives and special projects
- Analyze, design, document, and recommend enhancements to business processes that support operational effectiveness
- Apply analytical and relational database tools — such as Excel, Access, and SQL — to quantify trends, assess impacts, and uncover anomalies
- Collaborate with other Business Analysts across multiple functional areas and solution components
- Engage directly with state client stakeholders (DHCF) on data‑related issues when needed
Requirements:
- 6+ years of experience as a Business Analyst in the Healthcare Industry
- Understanding of computer programming concepts, including configuration, development, and batch processing
- Advanced proficiency with analytical tools such as Microsoft Excel, Access, SQL, and requirement-mapping tools such as ALM platforms
- Strong client-facing communication skills with the ability to translate client needs into actionable objectives
- Strong analytical and business process re-engineering capabilities
- Executive presence and the ability to communicate effectively with business leaders, clients, and technical teams
- 3+ years of Medicaid or Medicare experience preferred