Business Analyst - Claims

Gainwell Technologies

6d • Remote

About The Position

As a Business Analyst - Claims 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 Assists in planning and designing business processes; assists in formulating recommendations to improve and support business activities. Assists in analyzing and documenting client's business requirements and processes; communicates these requirements to technical personnel by constructing basic conceptual data and process models, including data dictionaries and volume estimates. Assists in creating basic test scenarios to be used in testing the business applications in order to verify that client requirements are incorporated into the system design. Assists in developing and modifying systems requirements documentation to meet client needs. Participates in meetings with clients to gather and document requirements and explore potential solutions. Executes systems tests from existing test plans. Assists in analyzing test results in various phases. Participates in technical reviews and inspections to verify 'intent of change' is carried through phase of project.

Requirements

• 3 or more years of experience in a relevant Business Analyst position with 2 or more years of Medicaid and Medicare experience preferred
• 2+ years of Claims experience required
• Bachelors Degree required
• Technical & Analytical Expertise: Skilled in computer programming concepts (configuration, development, batch processing) with advanced proficiency in analytical tools such as Microsoft Excel, SQL, and requirement-mapping platforms like ALM.
• Business Process Optimization: Strong analytical skills with proven experience in business process re-engineering and translating complex requirements into actionable solutions.
• Strategic Communication: Exceptional ability to convey technical and business concepts clearly to executives, clients, and technical teams, ensuring alignment and informed decision-making.
• Leadership & Influence: A motivating leader who inspires action, fosters collaboration, and simplifies technical ideas for diverse audiences to drive successful outcomes.

Responsibilities

• Assists in planning and designing business processes; assists in formulating recommendations to improve and support business activities.
• Assists in analyzing and documenting client's business requirements and processes; communicates these requirements to technical personnel by constructing basic conceptual data and process models, including data dictionaries and volume estimates.
• Assists in creating basic test scenarios to be used in testing the business applications in order to verify that client requirements are incorporated into the system design.
• Assists in developing and modifying systems requirements documentation to meet client needs.
• Participates in meetings with clients to gather and document requirements and explore potential solutions.
• Executes systems tests from existing test plans. Assists in analyzing test results in various phases.
• Participates in technical reviews and inspections to verify 'intent of change' is carried through phase of project.

Benefits

• generous, flexible vacation policy
• a 401(k) employer match
• comprehensive health benefits
• educational assistance
• leadership and technical development academies to help build your skills and capabilities

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Number of Employees: 5,001-10,000 employees