Senior Business Analyst - Electronic Visit Verification (EVV)

Gainwell is a company that values contributions and promotes flexibility and career development. As a Senior Business Analyst - Electronic Visit Verification (EVV), you will work on system implementation, testing, and stakeholder engagement to enhance healthcare technology solutions for vulnerable community members.

Responsibilities:

• Partner with IT teams and EVV vendors to define system changes, integrations, and enhancements
• Support API and data?exchange workflows with Medicaid systems, third?party EVV providers, and internal platforms
• Assist in configuring business rules (visit verification logic, call?in/call?out workflows, GPS, FVV)
• Develop test plans and test cases; execute UAT for new releases and defect fixes
• Validate data accuracy across EVV, scheduling, and billing systems
• Act as primary liaison between operations, provider agencies, vendors, and IT
• Lead requirements workshops, design sessions, and process?mapping meetings
• Provide end?user training and maintain system/process documentation
• Monitor EVV compliance metrics and identify improvement opportunities
• Support audits, quality reviews, and state reporting efforts
• Ensure system changes meet Medicaid and CMS EVV requirements

Requirements:

• 6 or more years of experience as a Business Analyst in the Healthcare Industry with 3 or more years of Medicaid and Medicare experience preferred
• Advanced knowledge in analytical software such as Microsoft Excel or SQL and other requirement-mapping tools
• Experience working with Application Lifecycle Management (ALM) tools, including Jira for backlog management and sprint tracking and Confluence for documentation
• Strong understanding of Agile/Scrum methodologies, including participation in sprint ceremonies, backlog refinement, and user story development
• Strong client communication skills translating client needs to actionable objectives
• Strong analytical and business process re-engineering skills
• Strong executive presence and communication skills to deliver messages to business leaders, clients and technical personnel
• Demonstrated leadership skills with the ability to motivate others and communicate key technical ideas in a digestible, business-friendly manner
• Experience supporting EVV or similar healthcare technology platforms, including partnering with IT and vendors to define system changes, integrations, and business-rule configurations (e.g., visit-verification logic, GPS/FVV, call-in/call-out workflows)
• Ability to develop and execute test plans and UAT, validate data across EVV, scheduling, and billing systems, and ensure accuracy of end-to-end workflows
• Skilled in facilitating requirements sessions, process-mapping discussions, and training for provider agencies, operations teams, and other stakeholders
• Demonstrated experience monitoring EVV compliance metrics, supporting audits and state reporting, and ensuring all system updates align with Medicaid, CMS, and state-specific EVV requirements