Senior Business Analyst - Medicaid

Gainwell Technologies LLC•Any city, OH

20h•$69,400 - $99,200•Remote

About The Position

As a Senior Business Analyst - Medicaid at Gainwell, you will apply your analytical expertise to help harness the power of data and technology in support of our mission: improving the health and well‑being of the vulnerable populations our clients serve. Bring your passion and purpose to a team that thrives on solving some of healthcare’s most complex challenges. You will serve as a partner and thought leader in transforming data into actionable insights that enhance operational efficiency and effectiveness. While grounded in quantitative analysis, you will also understand the operational realities and complexities that shape how data is applied. Your role in our mission is to play a critical role in ensuring Gainwell meets key client objectives across essential operational areas.

Requirements

6+ years of experience as a Business Analyst in the Healthcare Industry; 3+ years of Medicaid or Medicare experience preferred.
Understanding of computer programming concepts, including configuration, development, and batch processing.
Advanced proficiency with analytical tools such as Microsoft Excel, Access, SQL, and requirement‑mapping tools such as ALM platforms.
Strong client‑facing communication skills with the ability to translate client needs into actionable objectives.
Strong analytical and business process re‑engineering capabilities.
Executive presence and the ability to communicate effectively with business leaders, clients, and technical teams.

Responsibilities

Serve as a lead analyst for complex, multi‑system claims and financial processing activities within Gainwell’s DC Medicaid program.
Develop a deep understanding of end‑to‑end medical claims and financial processes, including daily, weekly, and monthly operational cycles. Use this knowledge to evaluate data, confirm systems are performing within expected parameters, and identify processing issues when they arise.
Understand contact center workflows, tools, performance metrics, and SLA requirements. Analyze data to identify adverse trends, anomalies, and opportunities for improvement.
Partner closely with supervisors and managers to support operational data analysis, including querying datasets to assist with performance improvement initiatives and special projects.
Analyze, design, document, and recommend enhancements to business processes that support operational effectiveness.
Apply analytical and relational database tools — such as Excel, Access, and SQL — to quantify trends, assess impacts, and uncover anomalies.
Collaborate with other Business Analysts across multiple functional areas and solution components.
Engage directly with state client stakeholders (DHCF) on data‑related issues when needed.