Business Analyst - Ad hoc Investigative Reporting

Gainwell Technologies LLC

3d•Hybrid

About The Position

Great companies need great teams to propel their operations. Join the group that solves business challenges and enhances the way we work and grow. Working at Gainwell carries its rewards. You’ll have an incredible opportunity to grow your career in a company that values your contributions and puts a premium on work flexibility, learning, and career development. As a Business Analyst - Ad hoc Investigative Reporting 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. Gainwell empowers you show you’re a pro and help clients deliver better health and human services outcomes using innovative technology and solutions.

Requirements

Three or more years’ experience in the healthcare industry in insurance, provider support, IT, and operations.
Knowledge of Google Data Analytics and Citrix
Strong analytical and business process re-engineering skills
Excellent verbal and written communication skills.
Attention to detail and strong organization skills.
Must be a resident of the state of California.
The office is in West Sacramento (must reside within commuting distance, no more that 2 hours)

Responsibilities

Work independently to review and analyze requests for Medi-Cal claims data which may include, but not limited by, building queries within a database, exporting, and filtering data for secure delivery. Data supplied may be used for audits and/or investigations of provider billing practices.
Analyze, plan, design, document and make recommendations to improve business processes to support client’s technological aspirations
Be a supportive bridge between clients, project managers and technical personnel to define, track and communicate business requirements and their expected impact by building basic conceptual data and process models
Create, execute, or analyze basic test scenarios to verify that client requirements are built into system design
Other administrative duties related to Medi-Cal litigation support activities such as supplying claims data reports in response to subpoenas.