Senior Business Analyst - Medicaid Claims

Gainwell Technologies is a company dedicated to improving health and well-being through innovative technology solutions. As a Senior Business Analyst - Medicaid Claims, you will play a crucial role in analyzing client business requirements, designing business processes, and ensuring that the technology solutions meet the needs of clients in the healthcare sector.

Responsibilities:

• Plans, designs and recommends business processes to improve and support business activities
• Analyzes and documents client business requirements and processes and communicates these requirements by constructing conceptual data and process models, including data dictionaries and volume estimates from organization
• Creates test scenarios and develops test plans to be used in testing the business applications in order to verify that client requirements are incorporated into the system design and assists in analyzing testing results throughout the project
• Provides input into developing and modifying systems to meet client needs and develops business specifications to support these modifications
• Facilitates meetings with clients to gather and document requirements and explore potential solutions
• Assists in coordinating business analyst tasks on information technology projects and provide support to other team members
• Assists in analyzing testing results in all phases
• Participates in technical reviews and inspections to verify intent of change is carried out through the entire project
• Assists in providing time estimates for project related tasks
• Assists with developing the methods and procedures required to identify whether current business goals and objectives meet organizational needs

Requirements:

• 6 or more years of Business Analyst experience in Healthcare industry with 3 or more years of Medicaid and Medicare experience preferred
• Experience working with MMIS Claims (but no EDI please)
• Experience working with the interface of information technology with functional groups within an organization
• Experience working with business processes and re-engineering
• Experience working with computer programming concepts and basic language
• Interpersonal skills to interact with customers and team members
• Strong communication skills
• Good analytical and problem-solving skills
• Presentation skills to present to management and customers
• Personal computer and business solutions software skills
• Good ability to work in a team environment with multiple team members
• Willingness to travel
• Pharmacy Claims experience is a plus
• Bachelor's degree in business administration, information systems, or a related field preferred; or an equivalent combination of education and experience