About this role
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.
Summary
As an Advisor Business Analyst - Member Eligibility 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.
Your role in our mission
Take charge and focus on how we can meet critical needs to help clients deliver better health and human services outcomes.
- Coordinate workstreams and teams on IT projects to align solutions with client business priorities
- Demonstrate your knowledge as SME and liaison for clients and internally between technical and non-technical workers to transform requirements into real results
- Delegate work across teams, and coach and monitor project team members to plan, design and improve complex business processes and modifications
- Streamline workflows across clients and technical personnel to determine, document and oversee carrying out system requirements
- Support quality control as you approve and validate test results to verify that all requirements have been met
What we're looking for
- 10+ years of experience in a relevant Business Analyst position
- 8+ years of State-level Medicaid experience with Member Eligibility and Claims Payments
- Demonstrated ability to articulate knowledge of Medicare, Medicaid and LTSS Programs and Services
- Demonstrated ability to interpret high level requirements and translate them into detailed functional, technical specifications and Testable Systems Requirements
- Demonstrated ability to develop, execute and direct Medicaid Systems Testing
- Demonstrated experience in Client Facing roles for Systems Development and Testing Activities
- Strong client communication skills, including the ability to translate customer requests and State Health Policies into actionable objectives
- Polished executive presence and communication skills to deliver messages to business leaders, clients and technical personnel
- Leadership to train, guide and mentor the work of junior colleagues
- Experience in performing requirements traceability management (RTM)
- Advanced Excel capabilities (e.g., ability to create and use pivot tables)
- Proficiency in Word, Excel, PowerPoint, ALM and AI
- Technical writing skills
Preferred skills and experience
- 3+ years of experience supporting or working within Healthcare Case Management
- 3+ years of experience supporting or working within Medicaid Provider Management, Managed Care or Financial areas
- Proficiency in Visio
- PowerBI
What you should expect in this role
- Fully remote options from continental US locations only
- Video cameras must be used during all interviews, as well as during the initial week of orientation
- The deadline to submit applications for this posting has been extended until a suitable candidate is selected
#LI-HC1
#LI-Medicaid Member Eligibility
#LI-Medicaid Long-Term Services and Supports (LTSS)
The pay range for this position is $86,800.00 - $124,000.00 per year, however, the base pay offered may vary depending on geographic region, internal equity, job-related knowledge, skills, and experience among other factors. Put your passion to work at Gainwell. You’ll have the opportunity to grow your career in a company that values work flexibility, learning, and career development. All salaried, full-time candidates are eligible for our generous, flexible vacation policy, a 401(k) employer match, comprehensive health benefits, and educational assistance. We also have a variety of leadership and technical development academies to help build your skills and capabilities.
We believe nothing is impossible when you bring together people who care deeply about making healthcare work better for everyone. Build your career with Gainwell, an industry leader. You’ll be joining a company where collaboration, innovation, and inclusion fuel our growth. Learn more about Gainwell at our company website and visit our Careers site for all available job role openings.
Gainwell Technologies is an Equal Opportunity Employer, where all qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical condition), age, sexual orientation, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics.
Other facts
About Gainwell Technologies LLC
For 50 years, our nation’s federal Medicaid program has worked to improve the health, safety and well-being of America’s most vulnerable populations: low-income families, women and children, seniors, and those with disabilities. With positive health and cost outcomes that pierce inequities and impact economies, the success of these programs is inextricably tied to the prosperity of communities, individual states and the nation as a whole. We think that demands respect and, more importantly, is deserving of a lifetime commitment from innovators who can help those who operate within and around health and human services evolve — in any market at any stage. At Gainwell Technologies, that’s our sole focus.
Built across more than five decades, Gainwell has intentionally seized opportunities to advance its digitally enabled services to meet agencies, health plans and MCOs where they are on their modernization journeys and propel them into the future of public health. Our commitment to innovation, deep experience and ability to leverage insights from customers across 50 states has allowed us to expand on next-generation, cloud-enabled technologies.
Today, Gainwell offers one of the most comprehensive suites of scalable services and solutions on the market — all proven to deliver cost savings, better patient outcomes and an improved provider experience. Equally important to our expanding technologies and results: We bring ideas that bring policies to life.
What you'll do
- Coordinate workstreams and teams on IT projects to align solutions with client business priorities. Support quality control by approving and validating test results to ensure all requirements are met.
Ready to join Gainwell Technologies LLC?
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