Senior Business Analyst

Gainwell Technologies LLC•Any city, OH

29d•$69,400 - $99,200•Remote

About The Position

HMS, a Gainwell Company, is seeking a Senior Business Analyst to support healthcare clients by posting payments to medical and pharmacy claims, reconciling accounts receivable, and resolving posting and payment issues. The role also supports client engagement by gathering and documenting business requirements, analyzing client processes, exploring potential solutions, and communicating requirements to technical personnel. The position is fully remote from most US locations and territories.

Requirements

Bachelor’s degree in Business, Healthcare Administration, Finance, or a related field, or 3–5 years of experience in medical claims posting and reconciliation.
Solid understanding of medical and pharmacy claims adjudication and Medicaid reclamation claims.
Proficiency in SQL and ability to extract and analyze data from relational databases.
Familiarity with PeopleSoft Finance or a similar enterprise financial system.
Strong critical-thinking and problem-solving skills, including ability to troubleshoot independently.
Experience with FTP protocols and secure file transfer.
Excellent written and verbal communication skills.
Strong attention to detail and organizational skills.

Responsibilities

Post payments to medical and pharmacy claims from paper and electronic EOBs daily.
Reconcile accounts receivable and correct discrepancies or posting issues.
Identify, analyze, and resolve errors in claim postings and payments.
Participate in meetings with client engagement to gather and document requirements and explore potential solutions.
Assist in analyzing and documenting client business requirements and processes using established approaches and methodology.
Communicate client requirements to technical personnel.