Business Analyst - Reference

Gainwell Technologies LLC

2d • Remote

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.
 SummaryAs a Business Analyst - Reference 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.

In this role, you will support Benefit Plan Administration (BPA) by analyzing and documenting benefit structures, eligibility rules, and plan configurations, while partnering closely with configuration teams to ensure requirements are accurately translated into system setup and reference data updates. You’ll collaborate with cross‑functional teams to design effective processes, enhance system functionality, and contribute to the continuous improvement of critical Medicaid and Medicare programs.Your role in our mission

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 
• Experience with Benefit Plan Administration (BPA), including benefit plan setup, rules interpretation, configuration validation, and plan change impact assessment
• Hands-on knowledge of system configuration processes, including configuration design, reference data updates, business rule maintenance, or similar configuration lifecycle activities
• Bachelor’s Degree in IT, MIS, Computer Science, or similar is preferred
• 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

• All salaried, full-time candidates are eligible for our generous, flexible vacation policy, a 401(k) employer match, comprehensive health benefits, and educational assistance.
• We also have a variety of 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