Senior Business Analyst - BPM/Trainer

Gainwell Technologies LLC•Any city, OH

1d•$69,400 - $99,200•Remote

About The Position

The Senior Business Analyst - BPM/Trainer at Gainwell leads business analysis to align information technology solutions with strategic goals across multiple complex accounts. Acting as a subject matter expert and liaison between technical and non-technical personnel, this role supports collaboration and solution delivery. It oversees requirements validation, business process modeling, documentation, and mentorship of less experienced team members. The position applies Medicaid pharmacy and care management expertise to translate clinical and operational policies into requirements, process models, use cases, and role-based training content that support solution adoption and operational readiness. The role leads analysis, design, documentation, and optimization of business processes; facilitates stakeholder workshops and client meetings; develops and maintains BPMN 2.0 models, workflows, use cases, and documentation; coordinates analysis across projects; and supports estimation, planning, quality reviews, and knowledge-asset publication. It partners with business, operational, technical, clinical, and vendor stakeholders to define requirements and business rules and support end-to-end solution delivery. The position also assesses training needs and oversees training programs, eLearning content, job aids, procedures, and operational readiness materials. It supports LMS activities, including learning paths, surveys, content deployment, and instructor-led training coordination. Pharmacy-related work includes analyzing workflows such as utilization management, prior authorization, appeals, formularies, drug utilization review, clinical edits, member lock-in programs, and care coordination, and translating related policies, clinical criteria, configurations, and procedures into business and training materials. The role offers fully remote options from most U.S. locations, with office hours of 8 a.m. to 5 p.m. Alaska time as needed to support that time zone. Travel may be required based on project needs.

Requirements

Bachelor’s degree or equivalent combination of education and experience.
At least 5 years of business analysis experience, including healthcare or government healthcare system implementations.
Experience analyzing and designing business processes, workflows, use cases, and functional requirements using BPMN 2.0 or similar methodologies.
Strong understanding of CMS, MITA, Medicaid operations, compliance requirements, data management, and customer service delivery processes.
Expertise in relational databases, system integrations, technical documentation, and translating complex healthcare concepts into business and training solutions.
Experience developing and delivering training programs, including LMS administration, eLearning content, learning paths, surveys, and instructor-led training.
Exceptional interpersonal and communication skills for collaborating with clients, stakeholders, and team members.
Advanced leadership and project coordination skills.
Strong analytical, presentation, and client-facing capabilities.
Willingness to travel based on project needs.

Responsibilities

Lead the analysis, design, documentation, and optimization of business processes to support organizational and project objectives.
Facilitate stakeholder workshops and client meetings to gather, validate, and document business requirements, identify gaps, and recommend solutions.
Develop and maintain business process models, workflows, use cases, and supporting documentation using BPMN 2.0 and other industry-standard methodologies.
Ensure requirements, design artifacts, and project documentation align with business needs, operational goals, and stakeholder expectations.
Lead and coordinate business analysis activities across multiple projects, providing guidance and mentorship to junior team members.
Develop project estimates and support planning for business analysis, process modeling, and training activities.
Partner with business, operational, technical, clinical, and vendor stakeholders to evaluate impacts, define business rules, and support end-to-end solution delivery.
Maintain documentation standards, perform quality reviews, and manage publication of process models and other knowledge assets.
Assess training needs and oversee development and delivery of training programs, eLearning content, job aids, procedures, and operational readiness materials.
Support LMS administration activities, including learning paths, training surveys, content deployment, and instructor-led training coordination.
Analyze, document, and optimize Medicaid pharmacy and care management workflows related to utilization management, prior authorization, appeals, formularies, drug utilization review, clinical edits, member lock-in programs, and care coordination.
Collaborate with pharmacists, clinicians, care management teams, policy staff, operations, product, configuration, and technical teams to elicit requirements and validate pharmacy-related business processes.
Translate pharmacy policies, clinical criteria, system configurations, and operational procedures into business requirements, process models, training materials, user guides, and job aids.
Develop scenario-based training, demonstrations, and validation materials for pharmacy and care management users, including state agencies, providers, prescribers, pharmacists, operational teams, and support staff.