Claims Business Analyst

Gainwell Technologies LLC•Any city, OH

7d•$86,800 - $124,000•Remote

About The Position

As a Claims Business Analyst at Gainwell, you will use technology and solutions to help clients improve health and human services outcomes. You will analyze, plan, design, document, and recommend improvements to business processes that support clients’ technology goals. You will act as a bridge between clients, project managers, and technical personnel to define, track, and communicate business requirements and their expected impact, including by building basic conceptual data and process models. You will create, execute, or analyze basic test scenarios to verify that client requirements are incorporated into system design, and participate in technical reviews and inspections to ensure the intent of changes is carried through each project phase. This position is remote within the United States, with occasional travel that may be required (0–10%). A flexible schedule may be needed to accommodate business needs and travel. Video cameras are required during interviews and the initial week of orientation. The application deadline is December 30, 2026. The stated annual pay range is $86,800 to $124,000; the base pay offered may vary based on geographic region, internal equity, job-related knowledge, skills, experience, and other factors.

Requirements

At least 9 years of Business Analyst experience within the healthcare industry.
Strong analytical and problem-solving skills, with experience in business process improvement and re-engineering.
Proficiency in Microsoft Excel, including quantitative analysis and data-driven decision-making.
Knowledge of programming concepts, including configuration, development, and batch processing.
Hands-on claims and encounter processing experience across multiple claim types.
Ability to communicate effectively with business and technical stakeholders.
Willingness to work a flexible schedule to accommodate business needs and travel as required.

Nice To Haves

Medicaid and Medicare experience preferred.

Responsibilities

Analyze, plan, design, document, and recommend business process improvements to support clients’ technological aspirations.
Bridge clients, project managers, and technical personnel to define, track, and communicate business requirements and their expected impact.
Build basic conceptual data and process models.
Create, execute, or analyze basic test scenarios to verify client requirements are reflected in system design.
Participate in technical reviews and inspections to ensure the intent of changes is carried through every project phase.