Senior Business Analyst

Gainwell Technologies is hiring a Senior Business Analyst to support healthcare claims payment and reconciliation operations. The role posts medical and pharmacy claim payments, resolves posting issues, and gathers and documents client business requirements for technical teams.

Responsibilities:

• Post payments to medical and pharmacy claims from paper and electronic EOBs daily
• Reconcile AR and correct any discrepancies or posting issues
• Identify, analyze, and resolve errors in claim postings and payments
• Participates in meetings with client engagement to gather and document requirements and explore potential solutions
• Assists in analyzing and documenting client's business requirements and processes following established approach and methodology; communicates these requirements to technical personnel
• Reconcile AR and correct any discrepancies or posting issues
• Identify, analyze, and resolve errors in claim postings and payments
• Participates in meetings with client engagement to gather and document requirements and explore potential solutions
• Assists in analyzing and documenting client's business requirements and processes following established approach and methodology; communicates these requirements to technical personnel

Requirements:

• Bachelor's degree in Business, Healthcare Administration, Finance, or a related field; OR 3–5 years of experience in medical claims posting and reconciliation
• Solid understanding of medical and pharmacy claims adjudication and Medicaid reclamation claims
• Proficiency in SQL and ability to extract and analyze data from relational databases
• Familiarity with PeopleSoft Finance or similar enterprise financial systems
• Strong critical thinking and problem-solving skills; able to troubleshoot independently
• Experience with FTP protocols and secure file transfer
• Excellent written and verbal communication skills
• Strong attention to detail and organizational skills