Senior Professional Business Analyst

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 HMS , a Gainwell Company 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 Professional Business Analyst 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.

We are seeking a mission-driven Business Analyst to support the State Medicaid program, which provides services for children with disabilities to help them live at home and in their communities. This role is ideal for someone who thrives at the intersection of data, policy, and compassionate care. Your insights will help improve program efficiency, service delivery, and ensure compliance with Medicaid regulations.

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.

• Analyze and optimize service delivery processes and workflows
• Collaborate with program coordinators, case managers, and system vendors to gather requirements and translate into technical and operational solutions
• Conduct policy and compliance analysis in relation to Medicaid and CMS guidelines
• Develop dashboards and reports to track enrollment, service utilization, and performance metrics
• Support data audits, quality improvement initiatives, and system enhancements (e.g., CMS reporting, waiver documentation)
• Facilitate training and support change management during system or policy updates
• Other duties as assigned

What we're looking for

• Bachelor's degree or 5+ years of equivalent related experience in business analysis, healthcare programs, Medicaid, or human services
• Familiarity with state Medicaid systems and regulations
• Three or more years experience developing Business Requirements
• Client facing experience is a must
• Proficiency in Excel, data analytics tools, and/or state Medicaid information systems (e.g., ForwardHealth, CARES, MMIS)
• Strong written and verbal communication skills-especially when translating policy and data into understandable insights
• Knowledge of HIPAA, data privacy, and federal reporting standards

Nice to Haves (preferred qualifications)

• Knowledge of Medicaid programs and CMS reporting requirements
• Hands-on experience with case management platforms or EHR systems
• Background in policy research or grant-funded public programs
• Occasional travel may be required to attend stakeholder meetings, site visits, or regional training events.

What you should expect in this role

• Fully remote options from continental US locations only, Office hours 8a-5p central time
• 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 July 22, 2025
• #LI-HC1
• #LI-Medicaid
• #LI-EHR

The pay range for this position is $64,900.00 - $92,700.00 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 HMS , a Gainwell Company . 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 HMS , a Gainwell Company , an industry leader. You'll be joining a company where collaboration, innovation, and inclusion fuel our growth. Learn more about HMS , A Gainwell Technologies Company at our company website and visit our Careers site for all available job role openings.

HMS, a Gainwell Company, 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.