Senior Business Analyst - Benefit Plan Administration

Gainwell Technologies LLC•Any city, OH

6d•$69,400 - $99,200•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. As a Senior Business Analyst - Benefit Plan Administration 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 looking for a professional with solid experience with Medicaid/Medicare specifically in the Claims/Reference area with excellent communication and research skills. This candidate will work in a fast-paced environment with tight deadlines for deliverables to the client.

Requirements

6+ years of experience as a Business Analyst in the Healthcare industry including 5+ years of Medicaid and Medicare experience (required)
Experience documenting requirements for claims, reference, and Benefits Plan Administration (BPA) areas
Experience with claims testing
Knowledge of how edits and audits work and how to configure them
Knowledge of computer programming concepts such as configuration, development, and batch processing
Advanced proficiency in analytical tools such as Microsoft Excel, SQL, and requirement-mapping tools (e.g., ALM)
Strong analytical and business process re-engineering skills
Strong problem-solving skills
Ability to work independently and collaboratively in team environments
Strong client communication skills, with the ability to translate needs into actionable objectives
Strong executive presence and communication skills, effectively delivering messages to business leaders, clients, and technical teams
Proven leadership ability, motivating others to action and simplifying complex technical concepts

Responsibilities

Help coordinate a business analyst team’s duties and activities on IT projects and nurture newer team members by providing guidance and support
Be a knowledgeable bridge between clients, project managers and technical staff to define, document and share business requirements and expected impact
Work with the client to develop business specs at the start of a technical project
Analyze, plan, design, document or make recommendations to improve business processes to support client’s technology goals
Help verify that all requirements have been met by approving and validating test results
Exercise your ability to use basic analytical or relational database software — such as Excel or SQL — to quantify the anticipated impact of work