Expert Business Analyst - Member/Managed Care

Gainwell Technologies LLC
PA, US
$86.8K-$124K a year
Full-time

Great companies need great teams to propel their operations. Join the group that solves business challenges and enhances the way we work and grow.

Working at Gainwell carries its rewards. You’ll have an incredible opportunity to grow your career in a company that values your contributions and puts a premium on work flexibility, learning, and career development.

Summary

As an Expert Business Analyst - Member / Managed Care 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.

Your role in our mission

Take charge and focus on how we can meet critical needs to help clients deliver better health and human services outcomes.

  • Coordinate workstreams and teams on IT projects to align solutions with client business priorities
  • Demonstrate your knowledge as SME and liaison for clients and internally between technical and non-technical workers to transform requirements into real results
  • Delegate work across teams, and coach and monitor project team members to plan, design and improve complex business processes and modifications
  • Streamline workflows across clients and technical personnel to determine, document and oversee carrying out system requirements
  • Support quality control as you approve and validate test results to verify that all requirements have been met

What we're looking for

  • Nine or more years of experience working as a business analyst or requirements translator’ between technical and non-technical personnel, with 5 or more years of Medicaid and Medicare experience required
  • Five or more years of Medicaid Member / Managed Care experience
  • Knowledge of Microsoft Excel advanced features such as macros and / or relational database software
  • Fluent with Oracle SQL Developer to construct complex queries as needed in response to customer requests and Help Desk tickets
  • Experience with Application Lifecycle Manager (ALM) and its use throughout the SDLC
  • Ability to clearly and concisely translate technical requirements to a non-technical audience and to document requirements into a Business Requirements Document (BRD) for customer signoff
  • Skills working with business processes and re-engineering
  • Curiosity to solve complex problems and strong interpersonal skills to interact with and influence clients and team members
  • A caring team leader who motivates and coaches less experienced resources

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
  • The deadline to submit applications for this posting is July 5, 2024

The pay range for this position is $86,800.00 - $124,000.00 per year, however, the base pay offered may vary depending on geographic region, internal equity, job-related knowledge, skills, and experience among other factors.

Put your passion to work at Gainwell. You’ll have the opportunity to grow your career in a company that values work flexibility, learning, and career development.

All salaried, full-time candidates are eligible for our generous, flexible vacation policy, a 401(k) employer match, comprehensive health benefits , and educational assistance.

We also have a variety of leadership and technical development academies to help build your skills and capabilities.

We believe nothing is impossible when you bring together people who care deeply about making healthcare work better for everyone.

Build your career with Gainwell, an industry leader. You’ll be joining a company where collaboration, innovation, and inclusion fuel our growth.

Learn more about Gainwell at our company website and visit our Careers site for all available job role openings.

Gainwell Technologies is committed to a diverse, equitable, and inclusive workplace. We are proud to be an Equal Opportunity Employer, where all qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical condition), sexual orientation, gender identity, gender expression, age, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics.

We celebrate diversity and are dedicated to creating an inclusive environment for all employees.

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