Expert Business Analyst - Member 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 an Expert Business Analyst - Member 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

Take charge and focus on how we can meet critical needs to help clients deliver better health and human services outcomes.

• Coordinate workstreams and teams on IT projects to align solutions with client business priorities
• Demonstrate your knowledge as SME and liaison for clients and internally between technical and non-technical workers to transform requirements into real results
• Delegate work across teams, and coach and monitor project team members to plan, design and improve complex business processes and modifications
• Streamline workflows across clients and technical personnel to determine, document and oversee carrying out system requirements
• Support quality control as you approve and validate test results to verify that all requirements have been met

What we're looking for

• 10+ years of experience in a relevant Business Analyst position
• 8+ years of State-level Medicaid experience with Member Eligibility and Claims Payments
• Demonstrated ability to articulate knowledge of Medicare, Medicaid and LTSS Programs and Services
• Demonstrated ability to interpret high level requirements and translate them into detailed functional, technical specifications and Testable Systems Requirements
• Demonstrated ability to develop, execute and direct Medicaid Systems Testing
• Demonstrated experience in Client Facing roles for Systems Development and Testing Activities
• Strong client communication skills, including the ability to translate customer requests and State Health Policies into actionable objectives
• Polished executive presence and communication skills to deliver messages to business leaders, clients and technical personnel
• Leadership to train, guide and mentor the work of junior colleagues
• Experience in performing requirements traceability management (RTM)
• Advanced Excel capabilities (e.g., ability to create and use pivot tables)
• Proficiency in Word, Excel, PowerPoint, ALM and AI
• Technical writing skills

Preferred skills and experience

• 3+ years of experience supporting or working within Healthcare Case Management
• 3+ years of experience supporting or working within Medicaid Provider Management, Managed Care or Financial areas
• Proficiency in Visio
• PowerBI

What you should expect in this role

• Fully remote options from continental US locations only
• 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 Member Eligibility

#LI-Medicaid Long-Term Services and Supports (LTSS)

The pay range for this position is $86,800.00 - $124,000.00 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.