Business Analyst - Medicaid Encounter Claims

March 20

🧀 Wisconsin – Remote

Although this job is listed in Wisconsin, this company may be open to hiring remote in other states.

💵 $55.6k - $71.5k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

🧐 Business Analyst

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Gainwell Technologies

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Gainwell Technologies is the nation’s leading provider of digital and cloud-enabled solutions across the human services and public health ecosystem. With a mission-driven approach, Gainwell serves clients in all 50 U. S. states, focusing on improving health outcomes and delivering intuitive, human-centered experiences. Their comprehensive suite of solutions includes Medicaid Enterprise modernization, data analytics, provider services, and pharmacy solutions, all designed to advance the future of healthcare and enhance community well-being.

10,000+ employees

⚕️ Healthcare Insurance

💰 Grant on 2023-06

📋 Description

• Play a critical part in ensuring Gainwell is meeting our clients’ objectives in important areas. • Leads small to mid-sized projects, defining scope, requirements, and design. • 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. • 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.

🎯 Requirements

• 4+ years of experience in a relevant Business Analyst position with 2-3 or more years of Medicaid and Medicare experience • 2 or more years of Claims experience, preferably Claims Encounters experience • Detail oriented with good documentation skills and the ability to juggle multiple projects at one time • Knowledge of computer programming concepts such as configuration, development and batch processing • Advanced knowledge in analytical software such as Microsoft Excel or SQL and other requirement-mapping tools such as Application Lifecycle Management (ALM) tools while integrating your strong analytical and business process re-engineering skills • Strong communication skills to deliver messages to business leaders, clients and technical personnel by translating client needs to actionable objectives • Formulate and define system scope and objectives using knowledge of information technology and industry knowledge/ requirements • Research, identify, and specify solutions to problems • Support and conduct visualization, user experience and configuration elements of solution design • Document requirements specifications using high-maturity methods, processes and tools • Support requirements management and change management processes • Consider the business implications of the application of technology to the current business environment

🏖️ Benefits

• Generous, flexible vacation policy • 401(k) employer match • Comprehensive health benefits • Educational assistance • Leadership and technical development academies