Business Analyst - Prior Authorization & Interoperability (PAI Project)

Gainwell Technologies is a company that focuses on improving health and well-being through innovative technology. The Business Analyst will support the Advancing Interoperability and Improving Prior Authorization Processes project by contributing to operational readiness activities, requirements documentation, and testing efforts.

Responsibilities:

• Documents current operational workflows and assists in identifying process gaps or improvement areas
• Supports development of future‑state process flows and operational readiness materials
• Assists with preparing staffing inputs, workload assumptions, and operational support documentation
• Contributes to operational transition and readiness activities for new prior authorization workflows
• Participates in eliciting functional and operational requirements from business and technical stakeholders
• Documents requirements, business rules, and process details using standard formats
• Supports development of workflow diagrams, data flow details, and operational metrics
• Helps maintain traceability of requirements throughout the project lifecycle
• Assists in developing test cases and acceptance criteria with an operational focus
• Participates in system, user acceptance, and operational readiness testing activities
• Tracks defects, monitors issues, and coordinates resolution with project teams
• Helps validate that implemented changes align with intended operational outcomes
• Supports communication between operations, policy teams, and technical project staff
• Assists in identifying operational impacts of system or policy changes
• Helps develop training materials, SOP updates, and documentation for transition to operations
• Supports project planning activities related to analysis and readiness
• Assists in virtual and occasional in‑person training for impacted operational staff

Requirements:

• Bachelor's degree or equivalent combination of education and experience
• Two to four years of business analysis, process documentation, or operations support experience
• Experience with workflow analysis, requirements gathering, or business process mapping
• Experience collaborating with cross‑functional teams in a remote or hybrid environment
• Strong written and verbal communication skills
• Ability to document processes clearly and accurately
• Solid analytical and problem‑solving capabilities
• Ability to manage multiple tasks and meet deadlines
• Proficiency with Microsoft Office and basic business or process modeling tools
• Effective in a remote work environment with strong virtual collaboration skills
• Willingness to travel up to 10% for essential project activities
• Exposure to healthcare operations, prior authorization workflows, or regulatory implementations