Gainwell Technologies logo
Gainwell Technologies

Gainwell Technologies is an award-winning digital health technology company that supports the administration of healthcare and human services programs. In past

Experienced Business Analyst – Provider Enrollment

Location

New Jersey

Posted

1 day ago

Salary

$86.8K - $124K / year

Seniority

Lead

Bachelor Degree9 yrs expEnglish

Job Description

Experienced Business Analyst – Provider Enrollment

Gainwell Technologies

• Work with the client, Gainwell business teams, Gainwell technical teams, and other vendors to identify and develop business and technical solutions • Analyze CoreMMIS reports to resolve discrepancies/errors • Develop requirements, business designs, and business processes for required system changes • Develop and/or coordinate creation of ad hoc reports to monitor, support, and analyze Provider Enrollment processes • Participate in internal and external committees and workgroups as requested • Project a positive, professional attitude in a fast-paced environment • Effectively manage time and work independently in a strong team environment

Job Requirements

  • 9+ years of Business Analyst experience in Healthcare Industry
  • Familiarity with private health insurance and Medicaid is required
  • Prior experience with health insurance including knowledge of Member and Provider Relations, Systems Life Cycle, and Project Management
  • Strong understanding of accounting and finance functions
  • Strong written and oral communication skills
  • Strong presentation skills
  • Advanced PC skills (Word, Excel, and PowerPoint)
  • Demonstrated analytical, research, and problem-solving skills

Benefits

  • Generous, flexible vacation policy
  • Educational assistance
  • Comprehensive health benefits
  • 401(k) employer match
  • Leadership and technical development academies

Related Categories

Related Job Pages

More Business Analyst Jobs

Role Description - Assist in gathering, structuring, and analyzing large and complex data sets from multiple sources to identify patterns and trends. - Assist in health care claims analysis for the identification of billing opportunities. - Assist in the development and enhancement of dashboards and reports for external or internal reporting purposes. - Produce effective professional presentations of data and analyses. - Assist in automating report and dashboard delivery. - Perform data integrity checks between databases. - Run reports from databases and prepare spreadsheets for reporting. Qualifications - Pursuing a Bachelor’s degree in Economics, Mathematics, Finance, Statistics, Computer Science or Business. - 0-3 years’ experience (Healthcare/Medical background a plus); no experience required. - Proficiency in MS Excel. - Sufficient written and verbal skills. - Strong organizational skills with an eye for detail. - Must be able to problem solve and adjust priorities with little advance notice to meet deadlines and requests. - Basic proficiency in SQL, ability to use AI to build SQL queries. - Basic proficiency in PowerBI. - Understanding of statistics. Requirements - We are an Equal Opportunity Employer and committed to providing reasonable accommodations to individuals with disabilities. If you require accommodations during the application or interview process, please contact hradmin@principlehs.com. - Monday-Friday 8:00AM-5:00PM (30-40 hours depending on availability and business needs). - Internship Opportunity-Remote role.

United States
$20 - $22 / hour
Atos logo

Technical Business Analyst

Atos

Advancing what matters

Full TimeRemoteTeam 10,001+H1B Sponsor

• Lead analysis activities across discovery, design and delivery, bringing structure and clarity to complex business and technology change. • Elicit, analyse and document business, functional and non-functional requirements using appropriate techniques. • Translate business needs into clear user stories, epics, acceptance criteria, business rules and supporting artefacts that are ready for technical design, build and test. • Analyse end-to-end processes, customer journeys, system interactions and operational impacts. • Work closely with engineers, architects and solution designers to define system behaviour, integration points, interface requirements, API interactions and technical dependencies. • Produce and maintain high-quality technical analysis artefacts including process models, data mappings, and traceability documentation. • Support backlog refinement and prioritisation with Product Owners and delivery teams. • Champion customer and colleague needs throughout analysis and delivery.

United Kingdom
Highmark Health logo

Business Analyst – Sponsored Programs, Financial Services, Clinical Trials

Highmark Health

Creating remarkable health experiences, freeing people to be their best.

Full TimeRemoteTeam 10,001+Since 1852H1B Sponsor

• Responsible for implementation and execution of various post-award and financial management activities for grants, contracts and/or clinical trials within the Sponsored Programs Financial Services (SPFS). • Responsibilities include award set-up, transaction processing, compliance review, cash management, collections, financial reporting and project close-out. • Analyze financial results and outcomes, trends/projections, and performance metrics and provide root cause analysis to facilitate business decisions. • Develop full understanding of payment terms and payment schedules as outlined in agreements. • Independently prepares simple to complex financial reports and monitors all internal and Sponsor stipulated deadlines and content requirements. • Ensure all invoices and payments are complete. Close project cost center in all financial systems. • Prepare journal entries to support the monthly close process and ensures all financial transactions/entries agree with GAAP and institutional policies.

Louisiana + 4 moreAll locations: Louisiana | North Carolina | Maryland | Pennsylvania | Washington
$25 - $40 / hour
Air InfoSec logo

ERP Business Analyst

Air InfoSec

Where mission meets momentum. Veteran-built. Future-focused.

ContractRemoteTeam 1-10Since 2023H1B No Sponsor

• Configure and maintain TAM/CG and OnBoarding functionality, including recruiting statuses, templates, onboarding tasks, screening levels, and candidate application workflows. • Configure and maintain Performance Management templates, evaluation documents, rating scales, competency models, and annual ePM cycle workflows. • Administer and maintain TAM/CG, OnBoarding, and Performance Management security roles, permission lists, and row-level security in compliance with State policies. • Provide end-user support for the Candidate Gateway applicant portal and ePM document routing, troubleshooting, and evaluation processing issues. • Maintain reporting tools and dashboards for recruiting metrics, onboarding task completion, and Performance Management compliance and workforce insights. • Support cross-functional integration between TAM/CG, OnBoarding, Performance Management, and other CAPPS modules, troubleshooting data flow and batch process issues. • Provide Level 2 Service Desk support, including complex ticket handling, advanced troubleshooting, and documentation, in coordination with the Managed Services Tier 3 vendor. • Create and review Functional Design Documents (FDDs) and perform functional configuration changes for CAPPS HR/Payroll applications. • Develop test scripts and execute structured UAT and regression testing for PeopleSoft HCM functional enhancements, patches, and PUM updates. • Ensure digital products and content meet WCAG 2.1 accessibility standards, reviewing and remediating content as issues are identified.

Texas
$85 - $95 / hour