Business Analyst - Medicaid

Gainwell Technologies LLC

1d•Remote

About The Position

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. SummaryAs a Business Analyst - Medicaid 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. We are seeking a mission-driven Business Analyst to support the State Medicaid program. This role is ideal for someone who thrives at the intersection of data, policy, and compassionate care. Your insights will help improve program efficiency, service delivery, and ensure compliance with Medicaid regulations. Here are the details on this position.Your role in our missionPlay a critical part in ensuring Gainwell is meeting our clients’ objectives in important areas.

Requirements

Bachelor’s degree or 4+ years of equivalent related experience in business analysis, healthcare programs, Medicaid, or human services
Familiarity with state Medicaid systems and regulations
Three or more years’ experience developing Business Requirements
Client-facing experience is a must
Proficiency in Excel, data analytics tools, and/or state Medicaid information systems (e.g., ForwardHealth, CARES, MMIS)
Strong written and verbal communication skills—especially when translating policy and data into understandable insights
Knowledge of HIPAA, data privacy, and federal reporting standards

Nice To Haves

Knowledge of Medicaid programs and CMS reporting requirements
Mainframe Experience
Hands-on experience with case management platforms or EHR systems
Background in policy research or grant-funded public programs
Occasional travel may be required to attend stakeholder meetings, site visits, or regional training events.

Responsibilities

Analyze and optimize service delivery processes and workflows
Collaborate with program coordinators, case managers, and system vendors to gather requirements and translate into technical and operational solutions
Conduct policy and compliance analysis in relation to Medicaid and CMS guidelines
Develop dashboards and reports to track enrollment, service utilization, and performance metrics
Support data audits, quality improvement initiatives, and system enhancements (e.g., CMS reporting, waiver documentation)
Facilitate training and support change management during system or policy updates
Other duties as assigned