Senior Business Analyst - Medicaid - SQL

Gainwell Technologies provides healthcare technology and services focused on improving how healthcare is delivered to vulnerable populations. The Senior Business Analyst will lead analysis of Medicaid claims, financial processing, contact center operations, and related data, using SQL and other analytical tools to identify issues, improve processes, and support client objectives.

Responsibilities:

• Serve as a lead analyst for complex, multi‑system claims and financial processing activities within Gainwell’s DC Medicaid program
• Develop a deep understanding of end‑to‑end medical claims and financial processes, including daily, weekly, and monthly operational cycles. Use this knowledge to evaluate data, confirm systems are performing within expected parameters, and identify processing issues when they arise
• Understand contact center workflows, tools, performance metrics, and SLA requirements. Analyze data to identify adverse trends, anomalies, and opportunities for improvement
• Partner closely with supervisors and managers to support operational data analysis, including querying datasets to assist with performance improvement initiatives and special projects
• Analyze, design, document, and recommend enhancements to business processes that support operational effectiveness
• Apply analytical and relational database tools — such as Excel, Access, and SQL — to quantify trends, assess impacts, and uncover anomalies
• Collaborate with other Business Analysts across multiple functional areas and solution components
• Engage directly with state client stakeholders (DHCF) on data‑related issues when needed

Requirements:

• 6+ years of experience as a Business Analyst in the Healthcare Industry
• Understanding of computer programming concepts, including configuration, development, and batch processing
• Advanced proficiency with analytical tools such as Microsoft Excel, Access, SQL, and requirement‑mapping tools such as ALM platforms
• Strong client‑facing communication skills with the ability to translate client needs into actionable objectives
• Strong analytical and business process re‑engineering capabilities
• Executive presence and the ability to communicate effectively with business leaders, clients, and technical teams
• Remote work environment withoccasional travel to Washington, DC or other Gainwell locations as needed.
• Residency and work location must be within the contiguous United States (48 states)
• Standard working hours are 8:00 AM – 5:00 PM EST
• Flexibility to work outside normal business hours when necessary to support critical processes or remediation efforts
• 3+ years of Medicaid or Medicare experience preferred