Senior Business Analyst - Care and Case Management

March 28

⛰️ Colorado – Remote

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

💵 $69.4k - $99.2k / year

⏰ Full Time

🟠 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

• 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. • As a Senior Business Analyst - Care and Case Management 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. • Utilize your Medicaid (Care and case management / prior authorization) experience to support the state Medicaid account.

🎯 Requirements

• BA with minimum of 6 years’ experience eliciting requirements, drafting requirements and managing requirements from initiation to close down. • Experience with Medical Claims Processing, specifically commercial or Medicaid. • Experience in healthcare systems and managing risk, good communication skills and stakeholder management skills. • Defining and managing scope and client expectations, requirements change management and traceability. • Experience in case management, LTSS (Long Term Support Services), prior authorization. • Knowledgeable on interfaces, data management and mapping. • Experienced Business Analyst with focused Training and Testing Experience, and SDLC Processes (multiple methodologies). • Knowledge of basic computer programming concepts such as configuration, development and batch processing. • Create and Maintain Business Requirements and User Stories documentation. • Strong analytical and business process re-engineering skills. • Strong written and oral communication and presentation skills to deliver messages to business leaders, clients and technical personnel. • Team Player and creative thinker. • A leader who motivates others to action and communicates key technical ideas in a digestible way. • Specialized Skills and Experience: • Software Development Life Cycle experience with (multiple methodologies) • Requirements Gathering and creating deliverable documentation • Developing structured user manuals and training • Visualization modeling • Business rules modeling • Develop and executing acceptance test plans. • Requirements Traceability • Experience working with project, change management and editing tools such as Visio Flow, ALM, iTrace, rTrace, CoPilot • Experience with SQL queries • Experience in Health Care/Health Insurance

🏖️ Benefits

• generous, flexible vacation policy • 401(k) employer match • comprehensive health benefits • educational assistance