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Senior Analyst, Government Programs Operations – Analysis & Efficiencies
Location
United States
Posted
84 days ago
Salary
$90K - $105K / year
Seniority
Senior
Job Description
Senior Analyst, Government Programs Operations – Analysis & Efficiencies
Capital Rx
• Analyze complex datasets to identify trends, outliers, and opportunities for operational improvement across Medicare, Medicaid, and Exchange programs • Develop and maintain recurring and ad-hoc reports, dashboards, and analytical tools to support data-driven decision-making • Create and maintain a repository of standardized code templates to streamline report generation and automate routine tasks • Ensure analytical outputs align with regulatory requirements and business objectives by interpreting CMS and state guidance in partnership with internal subject matter experts. • Support the development of scalable processes that enhance efficiency, accuracy, and responsiveness across government program operations • Design and implement automated solutions to reduce manual effort and improve process scalability and accuracy • Implements and uses analytical software to support the department in achieving goals as defined by executive leadership • Facilitate requirements gathering sessions to understand business needs and translate them into actionable analytical deliverables • Analyzes business workflow and system needs for conversions and migrations to ensure that encounter, recovery, and cost savings regulations are met • Presents and communicates complex analytical findings in a clear and concise manner • Participates in user acceptance, and quality assurance testing of new application features and team deliverables • Supports root-cause-analysis and reporting of encounter data issues/errors by partnering with key stakeholders – Will also provide operationally support • Prepares high-level user documentation and training materials as needed • Work with internal and external clients to research, develop, and document new standards to enhance reporting capabilities • Collaborate with cross-functional teams—including compliance, product, sales, marketing, underwriting, implementation, client services, and clinical operations—to refine and enhance operational capabilities
Job Requirements
- 4+ years of healthcare data experience
- 4+ years of experience working with SQL, R, or Python
- 4+ years of experience working with business intelligence tools
- Experience performing analyses on large sets of data
- Knowledge of data management, statistics, modeling concepts
- Experience working with cross-functional teams
- Experience with Power BI or other data visualization tools
- Bachelor's degree in Business Administration, Data Analytics or 4+ years of relevant experience
Benefits
- Health insurance
- Retirement plans
- Paid time off
- Flexible work arrangements
- Professional development
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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. Your role in our mission Project Management: • Assist in the definition of project scope and objectives, involving all relevant internal stakeholders and ensuring technical feasibility • Predict resources needed to reach objectives, ensure resource availability and allocation, and manage resources in an effective and efficient manner • Develop and manage a detailed project schedule and work plan • Provide project updates on a consistent basis to various stakeholders about strategy, adjustments, and progress • Utilize industry best practices, techniques, and standards throughout entire project execution • Monitor progress and make adjustments as needed • Measure project performance to identify areas for improvement • Ensure that all projects are delivered on-time, within scope, and within budget • Manage changes to the project scope, project schedule, and project costs using appropriate verification techniques • Report and escalate to management as needed • Identify possible project risks; recommend and implement risk mitigation solutions as approved and as appropriate Operational Excellence: • Identify and execute against performance improvement opportunities across the enterprise using contemporary process improvement tools • Demonstrates experience in applying contemporary improvement techniques and producing results • Assesses current business performance against enterprise’s business strategy • Works with multiple teams of business practitioners to synthesize findings, develop improvement recommendations, and lead execution of initiatives • Collaborates with customers and suppliers on improvement projects • Leads kaizen and process improvement projects • Applies advanced knowledge and understanding of concepts, principles, and technical capabilities to manage a wide variety of projects • Participates in the development of policies and procedures to achieve specific goals • Recommends new practices, processes, metrics, or models; ability to recommend alternative solutions and translate complex concepts into simplified and understandable examples • Independently determines method for completion of new projects • May act as a mentor to less experienced colleagues What we're looking for Basic Qualifications: • Bachelor's degree or equivalent combination of education and experience, preferably in a healthcare and/or technical discipline • Lean Six Sigma Black Belt Certification required • 5+ years of experience in process improvement with proven ability to lead change through both direct and indirect influencing abilities • Fluency in Microsoft Office (Excel, Outlook, PowerPoint, Visio Word) • Data driven with strong analytical skills • Action and results oriented, with excellent verbal, written, and presentation skills • Understanding of Minitab, or other statistical software tools Preferred Qualifications: • Experience working within a service, transactional, or technology company, preferably in healthcare • Post-secondary education and/or training related to the above essential functions • Other certifications in lean six sigma, project management, and/or quality • Understanding of Power BI or Tableau, or other business intelligence visualization tools • Understanding of Minitab, or other statistical software tool What you should expect in this role - Remote position (US only) - Opportunities to travel through your work (0-20%) - 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 3/30/2026 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 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.



