Gainwell Technologies is a company focused on leveraging technology to improve health and well-being. As a Senior Business Analyst, you will analyze operational workflows, develop staffing models, and facilitate requirements gathering to enhance prior authorization processes for clients in the healthcare sector.
Responsibilities:
- Analyzes current operational workflows and designs future-state processes
- Develops detailed operational staffing models, workload forecasts, and support structures to maintain new prior authorization capabilities
- Recommends changes to organizational procedures and staffing
- Works closely with operations, technical teams, policy, and business owners to elicit, document, and validate requirements for process changes, system updates, and user needs
- Constructs conceptual business and data models (including process flows, volume estimates, and operational metrics) reflecting current and future operational realities
- Facilitates requirements workshops and working sessions with operational stakeholders to explore potential solutions and ensure alignment with business goals
- Develops operationally focused test scenarios and acceptance criteria to ensure new solutions align with real-world workflows
- Participates in system and operational readiness testing; analyzes results and coordinates resolution of issues impacting business operations
- Ensures 'intent of change' for operational processes is fully realized through development, testing, and implementation
- Serves as a liaison between operations leadership and the systems team to ensure operational needs are understood and incorporated
- Provides input into system modifications needed to support operational process changes
- Supports development of transition-to-operations plans, training materials, standard operating procedures, and performance monitoring structures
- Assists in estimating effort and timelines for analysis, process design, and operational readiness activities
- Conducts or assists in Trainings for Operational Staff impacted by the project solution
Requirements:
- Six or more years of business analysis experience, including work on operations‑heavy or regulatory projects
- Bachelor's degree or equivalent combination of education and experience
- Experience with business process design and re-engineering
- Experience collaborating with operational teams, technical teams, and cross-functional project teams
- Strong interpersonal and facilitation skills for collaborating with operational leaders and project teams
- Excellent written and verbal communication abilities, including documentation of complex business processes
- Strong analytical, problem‑solving, and critical‑thinking skills
- Ability to present findings and recommendations to management and stakeholders
- Proficiency with business analysis tools, process modeling tools, and standard productivity software
- Ability to work effectively in a collaborative team environment
- Willingness to travel as needed
- Degree in business administration, health administration, information systems, or related field preferred
- Familiarity with healthcare operations or federal regulatory implementations preferred