Senior Business Analyst - WI Medicaid Provider & Prior Authorization

Gainwell Technologies LLC

10d•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 - WI Medicaid Provider & Prior Authorization on the Wisconsin Medicaid Systems Team, you’ll apply your expertise in the Provider and Prior Authorization (PA) functional areas to support technology solutions that help improve outcomes for Wisconsin Medicaid members — some of the state’s most vulnerable populations. Connect your passion with purpose by teaming with people who thrive on developing innovative, high‑quality solutions to complex healthcare challenges. Here are the details on this position.Your role in our missionPlay a vital part in ensuring Gainwell meets the needs of the Wisconsin Medicaid program across the Provider and Prior Authorization domains.

Requirements

4–6 years of experience as a Business Analyst, with at least 1–2 years supporting Medicaid Provider and/or Prior Authorization functional areas
Strong ability to translate and communicate technical concepts to business stakeholders — and vice versa
Proficiency in Microsoft Excel (advanced functions) and familiarity with relational data concepts or SQL tools
Strong analytical abilities and experience with process evaluation or process improvement
Clear, concise written and verbal communication skills with the ability to create well‑structured requirements and documentation
Ability to work collaboratively with clients and internal teams within a large, complex Medicaid systems environment
A proactive team member who supports collaborative problem‑solving and continuous improvement

Responsibilities

Collaborate with Wisconsin Medicaid business partners, project managers, and technical teams to gather, interpret, and document business requirements for Provider and PA system enhancements
Serve as a knowledgeable liaison who translates business needs into clear, actionable technical specifications
Support project planning activities and coordinate with fellow business analysts to ensure work is aligned with WI Medicaid objectives
Participate in requirements sessions, workflow discussions, and design reviews for Provider enrollment/maintenance, Provider file updates, and Prior Authorization processing workflows
Analyze and document business processes, identifying improvement opportunities that support WI Medicaid operational goals
Validate test results, support UAT activities, and confirm that system changes meet documented requirements and WI Medicaid compliance expectations
Use analytical tools such as Excel or SQL to research issues, analyze trends, interpret requirements, and verify the accuracy of Provider and PA data
Assist in identifying system impacts, dependencies, and risks related to changes in the Provider and PA functional areas
Provide occasional guidance to junior analysts to support team delivery and knowledge growth