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Gainwell Technologies

Business Analyst - Medicaid

Gainwell Technologies, Providence, Rhode Island, United States

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Business Analyst - Medicaid

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Overview As a

Business Analyst - Medicaid

at Gainwell, you can contribute your skills as we harness the power of technology to help our clients improve the health and well-being of the members they serve — a community’s most vulnerable. Connect your passion with purpose, teaming with people who thrive on finding innovative solutions to some of healthcare’s biggest challenges. Here are the details on this position.

Under general direction, interfaces with the customer in developing requirements for major projects of considerable complexity; coordinates and manages project teams in the development of large multi-system, multi-platform projects; prepares system design specifications; conducts research to resolve customer-initiated issues related to Medicaid claims processing.

Your role in our mission Gainwell empowers you show you’re a pro and help clients deliver better health and human services outcomes using innovative technology and solutions.

Responsibilities

Works closely with customer to elicit business requirements, and coordinate with systems analysts to develop system requirements for major projects of considerable complexity.

Prepares general system design specifications.

Creates, reviews, analyzes, and estimates project requests.

Provides excellent customer service to internal and external customers handling all aspects of client relations concerning technical projects, including notifying the client of implementation schedules and coordination and assistance in presentation of results.

Understands the connections between multiple State initiatives and their cross-impact.

Fields direct questions from Gainwell Operations Staff regarding business, technical and operations rules.

Develops technical solutions to complex business and system problems.

Leads development teams through project implementation.

Reviews and validates test results per requirements.

Supports Integrated Test Facility (QA), as needed.

Qualifications

Experience working directly with customers eliciting and defining requirements. Demonstrated ability to interpret policy and translate into system requirements.

Knowledge of policy for Medicaid and other State health programs a plus

Excellent written and verbal communication skills

Excellent problem solving and analytical skills and attention to detail

Ability to manage multiple projects at a given time and adapt to changing priorities and manage workload accordingly

Ability to abide by Gainwell policies

Maintain confidentiality and comply with Health Insurance Portability and Accountability Act (HIPAA)

Ability to establish and maintain positive, effective work relationships with clients, coworkers, customers, and development staff

Requirements Education: Bachelor's degree or equivalent experience

Required Experience: 3-5 years’ experience as a Business Analyst in healthcare industry

What You Should Expect In This Role

Fully remote options from most US locations and territories

Video cameras must be used during all interviews, as well as during the initial week of orientation

Job Details

Seniority level: Mid-Senior level

Employment type: Full-time

Job function: Research, Analyst, and Information Technology

Industries: IT Services and IT Consulting

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