This description is a summary of our understanding of the job description. Click on 'Apply' button to find out more. Role Description 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. - 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 Qualifications - 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 - 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 Requirements - 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 Benefits - Generous, flexible vacation policy - 401(k) employer match - Comprehensive health benefits - Educational assistance - Leadership and technical development academies to help build your skills and capabilities Company Description 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.

• Determine operational objectives by studying business functions; gathering information; evaluating output requirements and formats. • Construct workflow charts and diagrams; studying system capabilities; writing specifications. • Improve systems by studying current practices; designing modifications. • Recommend controls by identifying problems; writing improved procedures. • Define project requirements by identifying project milestones, phases and elements; forming project team; establishing project budget. • Monitor project progress by tracking activity; resolving problems; publishing progress reports; recommending actions. • Maintain user confidence and protect operations by keeping information confidential. • Prepare technical reports by collecting, analyzing and summarizing information and trends.

Our Mission At Owlet, our mission is to empower parents with the right information at the right time, giving them more peace of mind and more sleep. We believe that every parent deserves to feel confident in their journey, and every baby deserves the best care possible. To achieve this, our internal teams need seamless, automated, and efficient systems. That’s where you come in. The Opportunity We are looking for an Associate Business Systems Analyst to join our IT team. This is a unique "utility player" role designed for someone early in their career who loves logic, problem-solving, and making systems talk to each other. In this role, you won't just be maintaining software; you’ll be building the workflows that keep our business moving. You will spend your time mastering Jira automation, supporting our core business platforms, and ensuring our integrations (via Workato) are running smoothly. This role is a high-growth track—you will work directly under our Senior Business System Admin and Integrations Specialist, with the goal of eventually stepping into a specialist role yourself. Your Impact (40/30/30) Your time will be balanced across three key pillars of our technical ecosystem: - 40% Jira Automation & Workflow Architecture: You will be our Jira champion. You'll build out custom automations, design sophisticated workflows, and improve system configurations to make sure our teams are working at peak efficiency. - 30% Business System Administration: You’ll be the right hand to our System Admin. This includes managing user access and provisioning, ensuring security compliance, and pulling critical reports from our key business systems. - 30% Company Integrations & Monitoring: You will help maintain the "connective tissue" of Owlet. You’ll work with our Integration Specialist to  monitor our Workato integration recipes, identify errors, and perform the technical troubleshooting needed to keep data flowing between our apps. Your Day-to-Day - Design and implement no-code automation rules in Jira to streamline project management for various departments. - Monitor Workato integration logs daily, proactively correcting errors and ensuring data integrity across our tech stack. - Facilitate the onboarding and offboarding process by handling user access and permissions for our core software platforms. - Collaborate with stakeholders to understand their data needs and generate insightful reports from our business systems. - Identify opportunities to "clean up" system configurations, removing technical debt and improving the user experience for Owlet employees. - Assist in documentation of system processes and integration maps.

• Assist in the design, build, and implementation of innovative conversational AI solutions. • Serve as the functional expert throughout the customer journey. • Partner closely with customers, internal cross-functional teams, and implementation partners. • Develop and maintain functional documentation, process maps, and implementation of best practice guides. • Analyze AI Agent performance and quality management metrics. • Lead or support partner enablement efforts, including delivering training and facilitating workshops.