Business Analyst - Reference

Gainwell Technologies LLC is an industry leader focused on improving healthcare services. As a Business Analyst - Reference, you will analyze and document benefit structures and eligibility rules, working closely with cross-functional teams to enhance system functionality and support Medicaid and Medicare programs.

Responsibilities:

• Assists in planning and designing business processes; assists in formulating recommendations to improve and support business activities
• Assists in analyzing and documenting client's business requirements and processes; communicates these requirements to technical personnel by constructing basic conceptual data and process models, including data dictionaries and volume estimates
• Assists in creating basic test scenarios to be used in testing the business applications in order to verify that client requirements are incorporated into the system design
• Assists in developing and modifying systems requirements documentation to meet client needs
• Participates in meetings with clients to gather and document requirements and explore potential solutions
• Executes systems tests from existing test plans. Assists in analyzing test results in various phases
• Participates in technical reviews and inspections to verify 'intent of change' is carried through phase of project

Requirements:

• 3 or more years of experience in a relevant Business Analyst position
• 2+ years of Claims experience required
• Experience with Benefit Plan Administration (BPA), including benefit plan setup, rules interpretation, configuration validation, and plan change impact assessment
• Hands-on knowledge of system configuration processes, including configuration design, reference data updates, business rule maintenance, or similar configuration lifecycle activities
• 2 or more years of Medicaid and Medicare experience preferred
• Bachelor's Degree in IT, MIS, Computer Science, or similar is preferred