Experienced Business Analyst - BPM/Training Lead

Gainwell Technologies provides healthcare technology and services that support government and healthcare operations. The Experienced Business Analyst - BPM/Training Lead will lead business analysis, process modeling, requirements documentation, stakeholder collaboration, and training activities, applying Medicaid pharmacy and care management expertise to support solution delivery and operational readiness.

Responsibilities:

• Lead the analysis, design, documentation, and optimization of business processes to support organizational and project objectives
• Facilitate stakeholder workshops and client meetings to gather, validate, and document business requirements, identify gaps, and recommend effective solutions
• Develop and maintain business process models, workflows, use cases, and supporting documentation using BPMN 2.0 and other industry-standard methodologies
• Ensure requirements, design artifacts, and project documentation align with business needs, operational goals, and stakeholder expectations
• Lead and coordinate business analysis activities across multiple projects, providing guidance and mentorship to junior team members
• Develop project estimates and support planning efforts for business analysis, process modeling, and training-related activities
• Partner with business, operational, technical, clinical, and vendor stakeholders to evaluate impacts, define business rules, and support end-to-end solution delivery
• Maintain documentation standards, perform quality reviews, and manage the publication of process models and other knowledge assets
• Assess training needs and oversee the development and delivery of training programs, eLearning content, job aids, procedures, and operational readiness materials
• Support Learning Management System (LMS) administration activities, including learning paths, training surveys, content deployment, and instructor-led training coordination
• Apply Medicaid pharmacy and care management expertise to analyze, document, and optimize workflows related to utilization management, prior authorization, appeals, formularies, drug utilization review, clinical edits, member lock-in programs, and care coordination
• Collaborate with pharmacists, clinicians, care management teams, policy staff, operations, product, configuration, and technical teams to elicit requirements and validate pharmacy-related business processes
• Translate pharmacy policies, clinical criteria, system configurations, and operational procedures into business requirements, process models, training materials, user guides, and job aids
• Develop scenario-based training, demonstrations, and validation materials for pharmacy and care management users, including state agencies, providers, prescribers, pharmacists, operational teams, and support staff

Requirements:

• • Bachelor's degree or equivalent combination of education and experience
• • 9+ years of business analysis experience, including healthcare or government healthcare system implementations
• • Experience analyzing and designing business processes, workflows, use cases, and functional requirements using BPMN 2.0 or similar methodologies
• • Strong understanding of CMS, MITA, Medicaid operations, compliance requirements, data management, and customer service delivery processes
• • Expertise in relational databases, system integrations, technical documentation, and translating complex healthcare concepts into business and training solutions
• • Experience developing and delivering training programs, including LMS administration, eLearning content, learning paths, surveys, and instructor-led training
• • Exceptional interpersonal and communication skills for collaborating with clients, stakeholders, and team members
• • Advanced leadership and project coordination skills
• • Strong analytical, presentation, and client-facing capabilities
• • Willingness to travel based on project needs