Business Analyst - Reference

Gainwell Technologies is a company dedicated to improving healthcare through innovative solutions. As a Business Analyst - Reference, you will support Benefit Plan Administration by analyzing benefit structures and collaborating with teams to enhance system functionality for 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 with 2 or more years of Medicaid and Medicare experience preferred
• 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
• Bachelor's Degree in IT, MIS, Computer Science, or similar is preferred
• Technical & Analytical Expertise: Skilled in computer programming concepts (configuration, development, batch processing) with advanced proficiency in analytical tools such as Microsoft Excel, SQL, and requirement-mapping platforms like ALM
• Business Process Optimization: Strong analytical skills with proven experience in business process re-engineering and translating complex requirements into actionable solutions
• Strategic Communication: Exceptional ability to convey technical and business concepts clearly to executives, clients, and technical teams, ensuring alignment and informed decision-making
• Leadership & Influence: A motivating leader who inspires action, fosters collaboration, and simplifies technical ideas for diverse audiences to drive successful outcomes