Senior Business Analyst - Medicaid Eligibility

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 Senior Business Analyst - Medicaid 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

Play a critical part in ensuring Gainwell is meeting our clients' objectives in important areas.

• 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

What we're looking for

• 6+ years of experience in a Business Analyst role, including 3+ years focused on Medicaid and Medicare
• Hands-on experience with Medicaid Eligibility, Care and Case Management, Prior Authorization, and a solid understanding of Medicaid waivers
• Advanced proficiency in analytical tools such as Microsoft Excel and SQL
• Strong ability to translate client needs into actionable objectives through clear communication
• Working knowledge of programming concepts, including configuration, development, and batch processing
• Proven expertise in business process analysis and re-engineering
• Exceptional executive presence with the ability to communicate effectively with business leaders, clients, and technical teams
• Demonstrated leadership skills, motivating teams and simplifying complex technical ideas for diverse audiences

Additional Requirements

• Strong analytical experience
• Knowledge of healthcare plans
• Proficiency in Microsoft Word and Outlook
• Ability to understand and document requirements
• Skill in reading and interpreting State and Local policy
• Logical and detail-oriented mindset

What you should expect in this role

• Must be available for meetings during Colorado office hours (8a-5p mountain)
• Fully remote options from most US locations and territories
• 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 has been extended until a suitable candidate is selected.
• #LI-HC1
• #LI-Medicaid Eligiblity
• #LI- Medicaid Prior Authorization
• #LI-Care & Case Management
• #LI-SQL

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 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), age, sexual orientation, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics.