Senior Business Analyst - Prior Authorization

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 Senior Business Analyst - Prior Authorization 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.

Requirements

6 or more years of experience as a Business Analyst in the healthcare industry with 3 or more years of Medicaid and Medicare experience preferred
Bachelors degree or higher
Advanced knowledge in analytical software: Microsoft Excel and SQL
Hands on experience with Claims Professional Benefit Administration (PBA) and Prior Authorization utilizing InRule
Strong communicator with executive presence who translates client needs into actionable objectives, motivates teams, and conveys complex technical and business concepts in a clear, digestible way
Client facing experience required

Nice To Haves

Requirement-mapping tools such as Application Lifecycle Management (ALM) tools, preferred

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