Gainwell Technologies is an award-winning digital health technology company that supports the administration of healthcare and human services programs. In past
Business Analyst, Reference Data
Location
India
Posted
2 days ago
Salary
0
Seniority
Lead
Job Description
Business Analyst, Reference Data
Gainwell Technologies
• Analyze, design, and document business requirements related to healthcare claims, reference data, and code sets • Work with stakeholders to gather and define requirements involving ICD, CPT, HCPCS, UB‑04, revenue codes, provider taxonomy, and other healthcare reference data • Develop and maintain business analysis artifacts such as BRDs, functional specifications, process flows, decision tables, and traceability matrices • Translate business, policy, and coding requirements into clear functional objectives for technical teams • Perform impact analysis for code‑set changes, regulatory updates, and policy changes across claims processing systems • Support testing activities, including defining test scenarios and validating system outputs • Participate in technical reviews and project discussions to ensure requirement alignment across lifecycle phases • Identify opportunities for business process improvement and data governance enhancements • Collaborate with developers, testers, and stakeholders for issue resolution, defect triage, and root‑cause analysis • Communicate effectively with business and technical teams through documentation, meetings, and presentations
Job Requirements
- 10+ years of experience in a Business Analyst role
- Strong experience in healthcare domain (Medicaid / Medicare / claims processing)
- Working knowledge of healthcare code sets, including: ICD‑10‑CM / ICD‑10‑PCS CPT, HCPCS UB‑04 institutional billing elements Revenue codes, modifiers, type of bill, place of service
- Experience in requirements gathering, analysis, and documentation
- Strong understanding of claims lifecycle, adjudication, and reference data workflows
- Experience working with SDLC processes, testing, and system configuration concepts
- Strong analytical and problem‑solving skills
- Proficiency in Microsoft Excel and data analysis tools
- Experience with SQL for data analysis and validation
- Strong communication and stakeholder management skills.
Benefits
- Remote Opportunity
Related Guides
Related Categories
Related Job Pages
More Business Analyst Jobs
Analyst - Business Data Services
BrightClaimGenpact is an Equal Opportunity Employer and considers applicants for all positions without regard to race, color, religion or belief, sex, age, national origin, citizenship status, marital status, military/veteran status, genetic information, sexual orientation, gender identity, physical or mental disability or any other characteristic protected by applicable laws. Genpact is committed to creating a dynamic work environment that values respect and integrity, customer focus, and innovation. Furthermore, please do note that Genpact does not charge fees to process job applications and applicants are not required to pay to participate in our hiring process in any other way.
Role Description Ready to turn bold ideas into real-world impact? At Genpact, we don’t just adapt to change, we lead it. AI and digital innovation are transforming the way businesses work, and we’re at the forefront of it. Genpact’s AI Gigafactory, our industry-first accelerator, exemplifies how we scale advanced technology solutions to help global enterprises work smarter, grow faster, and transform at scale. Whether tackling complex challenges through large-scale models or agentic AI, our breakthrough solutions tackle companies’ most complex challenges. If you thrive in a fast-moving, innovation-driven environment, love building and deploying cutting-edge AI solutions, and want to push the boundaries of what’s possible, this is your moment. Job Description Responsibilities: - Supports data analysis and reporting tasks. - Learns analytics tools and delivery processes. - Assists in report preparation and formatting. - Collaborates with team for task execution. - Ensures accuracy and completeness of work. Qualifications - Bachelors - Business Analytics - Bachelors - Computer Science - Bachelors - Statistics - Masters - Data Science - Certified Data Management Professional - Riversand - Certified Data Processor (CDP) - LinkedIn Learning - Microsoft Certified: Azure Data Engineer Associate - Microsoft - Microsoft Certified: Power BI Data Analyst Associate - Microsoft - Tableau Desktop Specialist - Edureka Requirements - Agile Methodology - Collaboration Tools - Data Governance - Data Modeling - Data Quality - Design Thinking - Inclusion - Master Data Management (MDM) - Microsoft Excel - Microsoft Power BI - Microsoft SQL Server - Microsoft SQL Server Analysis Services (SSAS) - Microsoft SQL Server Reporting Services - Oracle DRM - Personal Effectiveness - Project Management - SQL Server Integration Services (SSIS) - Veeva - English (Required) - Language Proficiency - Proficient - C2 Benefits - Lead AI-powered transformation – Drive innovation and solve real-world business challenges that matter - Make an impact – Help global enterprises solve business challenges that matter - Accelerate your career – Gain hands-on experience, mentorship, and world-class learning opportunities to stay ahead - Work with the best – Join 140,000+ bold thinkers and problem-solvers who push boundaries every day - Thrive in a values-driven culture – Our courage, curiosity, and incisiveness - built on a foundation of integrity and inclusion - allow your ideas to fuel progress Come join the 140,000+ coders, tech shapers, and growth makers at Genpact and take your career in the only direction that matters: Up. Let’s build tomorrow together. Genpact is an Equal Opportunity Employer and considers applicants for all positions without regard to race, color, religion or belief, sex, age, national origin, citizenship status, marital status, military/veteran status, genetic information, sexual orientation, gender identity, physical or mental disability or any other characteristic protected by applicable laws. Genpact is committed to creating a dynamic work environment that values respect and integrity, customer focus, and innovation. Furthermore, please do note that Genpact does not charge fees to process job applications and applicants are not required to pay to participate in our hiring process in any other way. Examples of such scams include purchasing a 'starter kit,' paying to apply, or purchasing equipment or training.
Associate Business Analyst
SapiensFor more than 30 years, global computer software company Sapiens has served the insurance industry and businesses within the financial services sector. Founded in 1982, and interna
Role Description Sapiens is on the lookout for an Associate Business Analyst to become a key player in our North America team. If you meet the requirements and are ready to take your career to new heights with an established, globally successful company, this role could be the perfect fit. The Associate Business Analyst works under guided supervision to support the implementation and enhancement of software products for new and existing clients. Supports the project team to ensure that technology solutions completely and accurately resolve the needs and objectives of the business. Assists in identifying and documenting business requirements and verifying quality assurance of the delivered product. Performs testing to ensure that products meet design specifications. Responsibilities - Developing product knowledge and gaining insight into the insurance industry. - Learning and following internal processes, standards, and best practices. - Building foundational skills in business modeling, requirements analysis, and iterative software development methodologies. - Participates in collaborative sessions with clients to understand business goals and gather requirements. - With mentorship, helps create key project deliverables like requirement documents, test plans, and user guides. - Supports functional and user acceptance testing efforts as needed. - Assists in investigating and analyzing client-reported issues and defects. - Joins internal design and review meetings to learn about technical system implementations. - Helps the project management team by identifying and communicating potential risks or improvement areas. - Supports the project management team in proactively identifying and communicating issues in scope or opportunities for work. Requirements - Some experience working with life, health, or annuity insurance products in a professional or academic setting. - Assisted in gathering business requirements and helped document functional specifications. - Supported the creation of test plans, test cases, and Acceptance Criteria for system testing. - Basic experience working with XML files; exposure to ACORD Standards is a plus. - Experience working within a born-in-the-cloud environment, with demonstrated familiarity in cloud-native platforms, SaaS-based Life and Annuity solutions, and modern cloud infrastructure (e.g., AWS, Azure, or GCP) as applied to insurance product delivery, policy. - Excellent written, verbal and presentation skills. - Ability to work independently within a team environment. - Excellent organizational, analytical and problem-solving skills. - Must be systems-oriented, enjoy learning new products and tools, and be a self-motivated learner. - Willingness to follow verbal or written instructions. - Learn basic technical skills for implementing product configuration, testing or problem analysis. - Exhibit good judgment when solving problems in assessing which decisions are within personal scope and which must be referred to supervisor or manager. - Proficiency with Microsoft Office Outlook, Visio, Word, Excel, etc. - Travel: Up to 20% based on Client needs. - Employee must perform all the essential functions/responsibilities for classification in this position. Years of Experience - 1 to 2 years’ experience working with Life Insurance Systems or with Insurance Carrier - Must. - Associate degree preferably in Computer Science, Information Technology, Business Technology (or related field of study) or equivalent life insurance industry work experience. - LOMA or any other equivalent industry certification is a Plus. Company Description Sapiens is an equal-opportunity employer. We value diversity and strive to create an inclusive work environment that embraces individuals from diverse backgrounds.
Senior Business Analyst
SapiensFor more than 30 years, global computer software company Sapiens has served the insurance industry and businesses within the financial services sector. Founded in 1982, and interna
Role Description The role of the Senior Business Analyst is to provide an IT interface to the Life Business building out sustainable and consistent business requirements to be incorporated into the long term application lifecycle management across the entire Life Portfolio. The analyst will be working closely with business units and technical development teams on all projects. They will engage in client discussions and capture requirements based on interaction with client’s business users. - Assist in systems / technology requirement gathering sessions for systems integration, update, and configuration. - Provide guidance and support to the business analysis team while acting as a Subject Matter Expert, providing product expertise and leadership on the engagement. - Analyze and define systems scope and objectives based on both user needs and a good understanding of applicable business systems and industry requirements to produce functional design specification documents. - Develop and implement software/system scripts and integrate workarounds to provide fixes to defined technical issues. - Analyze and review test plans, and perform testing of Sapiens software / technologies following development and configuration stages, validating test cases and ensuring full coverage of requirements. - Facilitate and participate in team quality reviews of requirement artifacts to ensure requirements are complete, consistent, comprehensible, feasible, and conform to standards. - Assist the various teams across the organization with problem resolution while prioritizing and gaining approval for defined requirements. - Manage and track the status of requirements throughout the project lifecycle; enforce and redefine as necessary. - Regularly communicate and coordinate with all stakeholders while coordinating and scoping changes and adjustments required. - Provide guidance relative to underwriting (manual and underwriting) measures and processes, including evaluating risk against insurance product characteristics. - Analyze and perform initial configuration and setup of plans, rules, and tables in a system support of product definition preferred. - Analyze implemented solutions to verify objectives are met. Qualifications - Minimum of 3-5 years in an individual contributor Business Analysis role. Priority given to candidates who have led engagements. - 5+ years insurance industry experience in Life and Annuities (L&A) Insurance background, including but not limited to Whole Life, Term, Disability Income, and Universal life products. - Policy administration, Illustration, Underwriting knowledge and implementation experience in the insurance industry, specifically Life and Health solutions. - Requirement gathering and documentation experience. - Experience working with configurable enterprise systems. - Excellent written and verbal communication skills. - Excellent customer communication skills. - Experience working within a born-in-the-cloud environment, with demonstrated familiarity in cloud-native platforms, SaaS-based Life and Annuity solutions, and modern cloud infrastructure (e.g., AWS, Azure, or GCP) as applied to insurance product delivery, policy administration, and digital transformation initiatives. Company Description Sapiens is an equal-opportunity employer. We value diversity and strive to create an inclusive work environment that embraces individuals from diverse backgrounds.
• Use social listening tools such as Brandwatch, Sprout Social, Talkwalker, or Sprinklr to monitor online conversations and audience trends across healthcare and pharma audiences • Analyze sentiment, audience behavior, content performance, and emerging trends to uncover insights that are actually actionable, not just observational • Build and maintain clear, visually engaging dashboards for internal teams and client-facing stakeholders • Translate data into strategic recommendations that improve targeting, messaging, channel effectiveness, and campaign performance • Partner with account managers, content creators, and strategy teams to support data-driven decision-making throughout campaign planning and execution • Research emerging trends in social media, digital marketing, and audience behavior specific to healthcare and pharma to inform client strategy • Support reporting deliverables across channels, understanding data structure, tagging, measurement strategy, and reporting requirements • Ensure reporting accuracy, consistency, and clarity across all analytics deliverables • Gather, process, and interpret data from Facebook, Instagram, LinkedIn, X/Twitter, and other relevant channels • Develop regular and ad hoc reports evaluating campaign performance against KPIs

