Be part of a team that unleashes the power of leading-edge technologies to help improve the health and well-being of those most vulnerable in our country and communities. Working at Gainwell carries its rewards. You’ll have an incredible opportunity to grow your career in a company that values work flexibility, learning, and career development. You’ll add to your technical credentials and certifications while enjoying a generous, flexible vacation policy and educational assistance. We also have comprehensive leadership and technical development academies to help build your skills and capabilities. Summary As a Business Analyst - NCPDP 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 Gainwell empowers you show you’re a pro and help clients deliver better health and human services outcomes using innovative technology and solutions. - Analyze, plan, design, document and make recommendations to improve business processes to support client’s technological aspirations - Be a supportive bridge between clients, project managers and technical personnel to define, track and communicate business requirements and their expected impact by building basic conceptual data and process models - Create, execute or analyze basic test scenarios to verify that client requirements are built into system design - Ensure that “intent of change” is carried out through every project phase by participating in technical reviews and inspections What we're looking for - Three or more years of Business Analysis experience in Healthcare industry translating technical goals and requirements into real action for clients - Understanding of NCPDP standards - Experience with EDI processing, pharmacy claims and Medicaid Management Information Systems (MMIS). - Familiar with system design, solutioning, configuration, and testing phases. - Facilitates meetings with clients to gather and document requirements and secure design sign-off as needed. - Creating, documenting, and presenting system test plans/scenarios to the client. .... what we're looking for continued - Knowledge of basic computer programming concepts such as configuration, development and batch processing - Advanced knowledge of Microsoft Excel and other software for conducting quantitative analysis - Strong analytical and business process re-engineering skills - Strong written and oral communication and presentation skills to deliver messages to business leaders, clients and technical personnel - An influencer and team player who motivates others to action and communicates key technical ideas in a digestible way Audit & Compliance - Conduct regular audits of business processes, policy documentation, and operational workflows to ensure compliance with internal standards and regulatory requirements. - Review and validate policy implementation across departments, identifying inconsistencies, risks, and areas for improvement. - Develop audit plans, checklists, and methodologies to support consistent and repeatable audit practices. - Document audit findings and prepare clear, actionable reports for leadership and stakeholders. - Familiar with audit frameworks, risk management principles, or quality assurance methodologies. - Analyze, estimate, design, document, and implement configurable policy-based system updates in the Claims, Reference Data Maintenance, and Business Policy Administration (BPA) functional areas. - Experience with all four claim forms: Physician, Institutional, Dental, and Pharmacy. - Experience with member benefit plan configuration updates - Experience solutioning and creating new system functionality to audit / deny claims based on client’s needs. - Implement quarterly code set updates, adding coverage/reimbursement rules and updating state specific service restrictions for all procedure, revenue, NDC/GSN/STC code types. What you should expect in this role - Fully remote options from continental US locations only - 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 has been extended until a suitable candidate is selected. #LI-HC1 #LI_NCPDP #LI-Audit and Compliance #LI-Claims The pay range for this position is $49,400.00 - $70,600.00 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 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), age, sexual orientation, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics. Gainwell Technologies defines “wages” and “wage rates” to include “all forms of pay, including, but not limited to, salary, overtime pay, bonuses, stock, stock options, profit sharing and bonus plans, life insurance, vacation and holiday pay, cleaning or gasoline allowances, hotel accommodations, reimbursement for travel expenses, and benefits.

This description is a summary of our understanding of the job description. Click on 'Apply' button to find out more. Role Description This role offers a unique opportunity to shape and optimize healthcare business processes by bridging business needs with technical solutions. You will lead end-to-end requirements gathering, functional design, and solution implementation for complex health plan systems, working closely with internal teams, clients, and vendors. The position involves analyzing claims, enrollment, provider, authorization, and payment workflows to ensure accurate and efficient system configurations. You will play a key role in driving automation, improving process efficiency, and supporting strategic initiatives that impact multiple stakeholders. The ideal candidate thrives in a collaborative, hybrid work environment, is highly analytical, and enjoys delivering scalable solutions that directly influence operational excellence and customer satisfaction. - Lead business requirement discussions with clients, internal teams, and third-party partners to define system needs and processes. - Develop and document functional and business requirements for claims, enrollment, provider, authorization, and payment systems. - Translate business requirements into technical specifications, workflows, and user stories for implementation teams. - Collaborate with solution architects to design scalable, effective solutions within the core-admin ecosystem. - Support Agile project methodologies, including sprint planning, retrospectives, demos, and go-live evaluations. - Identify opportunities for automation, performance improvement, and process reusability. - Conduct requirement walkthroughs and ensure alignment across internal and external stakeholders, including offshore teams. Qualifications - Bachelor’s degree or higher in business, technology, or a related field. - 12+ years of experience in business analysis, with deep knowledge of healthcare payer domains (Medicare, Medicaid, ACA, commercial insurance). - Experience with healthcare ecosystems and core-admin platforms such as HealthEdge, TriZetto, NASCO, Advantasure, or Change Healthcare. - Strong expertise in EDI healthcare transactions (837, 834, 835, 270/271, 276/277, 278) and mapping requirements to technical solutions. - Experience documenting requirements, user stories, and functional specifications; effective communication with technical and non-technical teams. - Familiarity with SQL, XSDs, Agile tools, and Scrum methodologies is a plus. - Ability to work in a hybrid/remote model across multiple time zones and manage onshore/offshore collaboration. - Exceptional analytical, problem-solving, and stakeholder management skills, with strong attention to detail. Benefits - Competitive base salary ranging from $100,000 to $125,000 per year, dependent on experience and qualifications. - Fully remote work environment with flexibility to manage your schedule. - Comprehensive health coverage including medical, dental, and vision plans. - Paid time off and holidays to support work-life balance. - Opportunities for professional growth and engagement with complex, high-impact healthcare projects. - Inclusive and collaborative work culture fostering learning, mentorship, and innovation.

Description TEKsystems has a need to add an additional BA with media experience for a client on the PMO team to help support current and upcoming initiatives. They need an experienced Business Analyst (BA) to join their Business Applications team. In this role, you will partner closely with stakeholders across the organization to understand how work gets done, identify opportunities to improve processes and systems, and translate business needs into clear, testable requirements across enterprise applications that power a modern TV and media organization. This role supports a portfolio of business‑critical systems spanning advertising sales and revenue operations (e.g., WideOrbit, Boostr, StarMedia), financial operations and reporting (Oracle NetSuite), content, programming, and rights management (Rightsline, MediaGenix), and enterprise data and reporting solutions (Power BI, SSRS). The Business Applications Analyst is expected to think beyond individual features or requests to understand cross‑system impacts, risks, and long‑term implications, and to guide business partners toward scalable, sustainable solutions. Requirements & Analysis • Partner with business owners, system owners, and end users to define business, financial, and operational needs. • Identify risks, dependencies, and constraints associated with proposed solutions, including impacts to upstream and downstream systems, integrations, and business processes. • Lead structured requirements elicitation and manage requirement changes and approvals. • Translate business needs into business requirements, functional requirements, user stories, and acceptance criteria. • Analyze current-state processes and systems to identify gaps and improvement opportunities. • Develop working knowledge of assigned enterprise applications to recommend best-fit solutions. Process Mapping & Documentation • Document current and future state business processes and workflows. • Maintain requirement traceability from discovery through testing and release. • Create end-user documentation, SOPs, and knowledge articles to support adoption and operations. Solution Collaboration & Stakeholder Management • Serve as a liaison between business partners, technical teams, and vendors. • Participate in discovery, prototyping, and solution design discussions. • Collaborate with technical teams and vendors to assess solution options, tradeoffs, and feasibility, including whether existing platforms can meet business needs or if enhancements or alternative approaches are required. • Manage expectations by clearly communicating decisions, risks, and dependencies. Testing, UAT & Release Readiness • Create test scripts and validation plans mapped to documented requirements. • Support QA and UAT execution and issue resolution. • Assist with training, readiness activities, and post-implementation reviews. Operational Support & Continuous Improvement • Investigate system and workflow issues using structured analysis techniques, document root causes, and provide clear recommendations and solution options. • Maintain awareness of how assigned business applications integrate with other enterprise systems, vendors, and data platforms, and factor those dependencies into analysis and recommendations. • Support planning activities by contributing to effort sizing, timeline considerations, and high‑level cost or resource impacts, and participate in post-mortems and continuous improvement initiatives. • Identify opportunities where automation or AI-enabled capabilities within enterprise platforms can improve efficiency, data quality, or user experience, and help evaluate their business impact and risks. • Performs other related duties as assigned in support of Business Applications initiatives and organizational objectives. What Success Looks Like (First 6–12 Months) • Stakeholders trust your discovery and requirements outputs. • Delivery teams execute with less ambiguity and rework. • Testing and UAT are predictable and well-aligned to requirements. • You build strong domain knowledge of Hallmark Media enterprise systems. Required Qualifications • 5+ years of experience as a Business Analyst or similar role. • Strong experience with requirements elicitation and documentation. • Proficiency with Microsoft Word, Excel, PowerPoint, and Visio. • Experience with tools such as JIRA, Halo ITSM or similar work management platforms. • Knowledge of project management and SDLC methodologies and ITSM principles. Preferred Qualifications • Experience in media, broadcast, streaming, or advertising environments. • Exposure to enterprise SaaS platforms and system integrations. • Experience creating training materials and knowledge base content. Skills & Attributes • Strong relationship management and communication skills. • Detail-oriented with a strong documentation mindset. • Able to independently lead discovery and requirements efforts in ambiguous problem spaces. • Exercises sound judgment and influence without direct authority. • Analytical problem-solver who connects people, process, and technology. • Curious and thoughtful about emerging technologies, including AI and automation, with a focus on practical business value and responsible use. • Business partner focused and collaborative working style. Skills Business analysis, Media Experience, Business Process Documentation, Workflow Documentation, End-User Documentation, UAT, JIRA, SDLC, Agile, SaaS platforms This is a long term contract role. Job Type & Location This is a Contract position based out of Kansas City, MO. Pay and BenefitsThe pay range for this position is $55.00 - $60.00/hr. Eligibility requirements apply to some benefits and may depend on your job classification and length of employment. Benefits are subject to change and may be subject to specific elections, plan, or program terms. If eligible, the benefits available for this temporary role may include the following: • Medical, dental & vision • Critical Illness, Accident, and Hospital • 401(k) Retirement Plan – Pre-tax and Roth post-tax contributions available • Life Insurance (Voluntary Life & AD&D for the employee and dependents) • Short and long-term disability • Health Spending Account (HSA) • Transportation benefits • Employee Assistance Program • Time Off/Leave (PTO, Vacation or Sick Leave) Workplace TypeThis is a fully remote position. Application DeadlineThis position is anticipated to close on Mar 16, 2026. h4>About TEKsystems: We're partners in transformation. We help clients activate ideas and solutions to take advantage of a new world of opportunity. We are a team of 80,000 strong, working with over 6,000 clients, including 80% of the Fortune 500, across North America, Europe and Asia. As an industry leader in Full-Stack Technology Services, Talent Services, and real-world application, we work with progressive leaders to drive change. That's the power of true partnership. TEKsystems is an Allegis Group company. The company is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law. About TEKsystems and TEKsystems Global Services We’re a leading provider of business and technology services. We accelerate business transformation for our customers. Our expertise in strategy, design, execution and operations unlocks business value through a range of solutions. We’re a team of 80,000 strong, working with over 6,000 customers, including 80% of the Fortune 500 across North America, Europe and Asia, who partner with us for our scale, full-stack capabilities and speed. We’re strategic thinkers, hands-on collaborators, helping customers capitalize on change and master the momentum of technology. We’re building tomorrow by delivering business outcomes and making positive impacts in our global communities. TEKsystems and TEKsystems Global Services are Allegis Group companies. Learn more at TEKsystems.com. The company is an equal opportunity employer and will consider all applications without regard to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.

Description PROGRAM BUSINESS ANALYST Provides analytical and documentation support for complex state or federally funded health initiatives. Supports program implementation by assisting with grant administration, procurement and deliverable tracking, reporting workflows, and compliance documentation under the direction of senior staff. Maintains structured trackers for milestones, deliverables, reporting deadlines, and partner/subrecipient documentation. Supports data extraction, cleaning, and validation activities to inform program reporting and performance monitoring. Assists with reconciliation of basic financial and performance information and preparation of supporting materials for recurring reports and deliverables. Contributes to organized, audit-ready documentation practices within compliance-driven environments and supports cross-functional workstreams requiring strong attention to detail and structured execution. Basic Qualifications: - High school diploma or GED required. Associate’s or Bachelor’s degree in public health, public administration, business administration, health policy, data analytics, economics, or related field preferred. - Minimum 1 year of experience supporting administrative, analytical, or program coordination functions, preferably within public-sector, healthcare, or grant-funded environments. - Experience working with structured trackers, documentation systems, and/or reporting workflows preferred. - Comfortable working with data in Excel and maintaining organized documentation; strong attention to detail and ability to follow defined processes. - Exposure to compliance-driven or documentation-intensive environments preferred. #PT26ICF #Indeed #LI-CC1 Working at ICF ICF is a global advisory and technology services provider, but we’re not your typical consultants. We combine unmatched expertise with cutting-edge technology to help clients solve their most complex challenges, navigate change, and shape the future. We can only solve the world's toughest challenges by building a workplace that allows everyone to thrive. We are an equal opportunity employer. Together, our employees are empowered to share their expertise and collaborate with others to achieve personal and professional goals. For more information, please read our EEO policy. We will consider for employment qualified applicants with arrest and conviction records. Reasonable Accommodations are available, including, but not limited to, for disabled veterans, individuals with disabilities, and individuals with sincerely held religious beliefs, in all phases of the application and employment process. To request an accommodation, please email Candidateaccommodation@icf.com and we will be happy to assist. All information you provide will be kept confidential and will be used only to the extent required to provide needed reasonable accommodations.  Read more about workplace discrimination rights or our benefit offerings which are included in the Transparency in (Benefits) Coverage Act. Candidate AI Usage Policy At ICF, we are committed to ensuring a fair interview process for all candidates based on their own skills and knowledge. As part of this commitment, the use of artificial intelligence (AI) tools to generate or assist with responses during interviews (whether in-person or virtual) is not permitted. This policy is in place to maintain the integrity and authenticity of the interview process.  However, we understand that some candidates may require accommodation that involves the use of AI. If such an accommodation is needed, candidates are instructed to contact us in advance at candidateaccommodation@icf.com. We are dedicated to providing the necessary support to ensure that all candidates have an equal opportunity to succeed.   Pay Range - There are multiple factors that are considered in determining final pay for a position, including, but not limited to, relevant work experience, skills, certifications and competencies that align to the specified role, geographic location, education and certifications as well as contract provisions regarding labor categories that are specific to the position. The pay range for this position based on full-time employment is: $61,232.00 - $104,094.00 Nationwide Remote Office (US99)