• Lead business analysis activities supporting solution design, configuration, implementation, testing, and deployment. • Conduct stakeholder interviews, workshops, Joint Application Design (JAD) sessions, discovery meetings, and business process reviews. • Elicit, analyze, document, validate, and manage business, functional, technical, and non-functional requirements. • Collaborate with architects, developers, testers, and configuration teams to clarify requirements and resolve issues.

• Analyze data trends to identify patterns and recommend cost-saving initiatives and productivity improvements • Identify and drive opportunities to improve performance against contractual terms and service level agreements • Review financial performance, track variances against budget, and present actionable recommendations to senior management to reduce costs and increase revenue • Analyze client data to uncover trends aligned with key client priorities and evolving industry dynamics • Deliver accurate and timely monthly, quarterly, and ad hoc reporting; ensure data integrity and quality assurance across all outputs • Drive automation and process improvements to enhance efficiency in report generation and data delivery

Role Description As an Experienced Business Analyst - Provider + 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. This role supports end‑to‑end domain delivery by translating state and federal Medicaid policy and program requirements into product features, system configuration, and design artifacts. - Supports business, policy, and technical execution across one or more functional domains within MMIS Medicaid Management Information Systems (MMIS) and/or the Medicaid Pharmacy environment. - Acts as the primary Domain SME, serving as a trusted advisor to the Engagement Lead (EL) on business processes and associated regulatory and operational impacts. - Ensures compliance alignment by validating that solution design and configuration conform to CMS guidance, state policy, and documented business rules. - Supports the EL with in‑scope negotiations and change control, providing domain expertise to assess scope trade‑offs and the functional, regulatory, and operational impacts of change requests. - Leads and participates in collaborative requirements and design sessions with clients and internal teams to validate functional and technical needs. - Interprets state and federal Medicaid policy, regulations, and program rules and translates them into product features, system configuration, business rules, and design artifacts. - Develops and maintains domain design documentation, with the Design Document as a core deliverable, covering workflows, interfaces, X12 EDI transactions, letters, and reports. - Ensures accuracy, completeness, and traceability of requirements and acceptance criteria. - Documents and communicates domain‑level decisions, risks, assumptions, and dependencies, assessing downstream impacts. - Supports domain-specific configuration and implementation activities within Design, Development, and Implementation (DDI) projects. - Responsible for configuration and partners with technical teams to ensure solutions align with approved design documentation, Medicaid policy interpretation, and documented business rules. - Reviews test cases to ensure alignment with requirements, policy interpretation, and acceptance criteria. - Provides domain SME support during System Integration Testing (SIT) and User Acceptance Testing (UAT). - Supports operational readiness activities, including environment, data, process, and staffing readiness. - Works closely with the Domain Lead and Technical Analysts, acting as a trusted domain and policy SME. - Plans and delivers functional demos and solution walkthroughs to showcase product features and validate alignment with client requirements. Qualifications - Bachelor’s degree in Computer Science, Information Systems, Health Informatics, or a related field. - 5 to 8 years of hands-on experience supporting healthcare system implementations, including MMIS solutions and Medicaid Pharmacy platforms. - Experience with QNXT or similar healthcare claims/encounter management systems. - Strong knowledge of state and federal Medicaid policy, regulations, and program rules. - Strong understanding of Medicaid domains, including claims, member, provider, and prior authorization processes. - Demonstrated experience translating policy and program rules into system requirements, configuration support, and design artifacts. - Strong knowledge of SQL, particularly for data analysis and validation. - Strong client communication skills, with experience interacting directly with business stakeholders. - Proven ability to lead or support functional demonstrations, walkthroughs, and collaborative working sessions. - Strong documentation, facilitation, and analytical skills. - Experience working in SDLC and Agile delivery environments. Requirements - Knowledge of MITA (Medicaid Information Technology Architecture). - Experience with system integrations, EDI/X12 transactions, analytics, and reporting. - Familiarity with state and federal healthcare regulations and compliance standards. Benefits - Fully remote options from Contiguous US locations only. - 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.

Role Description The OSP Controls & Governance team is seeking a skilled and motivated Business Systems Analyst (BSA) to support and enhance our Sitetracker environment, the project management platform used across both Outside Plant (OSP) and Inside Plant (ISP) operations. This role acts as the bridge between business needs and technical solutions, ensuring that Sitetracker and its underlying Salesforce platform are optimized to support the complex requirements of large-scale infrastructure projects. The BSA will play a key role in analyzing business processes, gathering requirements, and designing solutions that drive efficiency, consistency, and governance for the team. You will work closely with project managers, stakeholders, and technical teams to ensure that system configurations, integrations, and workflows meet operational needs and align with governance standards. As the Business Systems Analyst, you will have a direct impact on how OSP and ISP projects are planned, managed, and delivered. By aligning Sitetracker functionality with business processes, you will drive efficiency, improve data accuracy, and enable better decision-making across the organization. Your contributions will enhance the reliability and scalability of project delivery, supporting both operational teams and executive leadership. This position requires both technical expertise and business acumen. The BSA will operate independently on key initiatives, while also collaborating closely with project managers, governance leaders, and technical teams. Responsibilities - Partner with stakeholders to gather, analyze, and document business requirements related to project management processes in Sitetracker. - Translate business needs into clear functional specifications and system configurations. - Collaborate with developers, administrators, and project teams to design, test, and implement solutions in Sitetracker/Salesforce. - Maintain system integrity by monitoring data quality, workflows, and integrations, resolving issues proactively. - Support ongoing enhancements by identifying opportunities for process automation, improved reporting, and system optimization. - Act as a subject matter expert on Sitetracker functionality, providing guidance, training, and documentation to end users. - Develop and maintain governance documentation, ensuring compliance with organizational standards. - Partner with OSP and ISP Controls & Governance leadership to prioritize the systems roadmap and ensure alignment with broader strategic initiatives. Qualifications - Bachelor's degree in business, Information Systems, Computer Science, or related field (or equivalent practical experience). - Proven experience as a Business Systems Analyst or similar role (5+ years of experience), with a focus on Salesforce-based platforms. - Hands-on experience in Salesforce configuration, workflows, and reporting (required). - Experience with Sitetracker is strongly preferred. - Strong analytical and problem-solving skills, with the ability to translate complex business needs into technical solutions. - Excellent communication skills with the ability to work effectively across business and technical teams. - Familiarity with project management concepts and telecom/infrastructure operations as a plus. Skills - Strong communication and collaboration skills with the ability to own an intended result, and communicate in and across teams. - Excellent organizational and multitasking abilities, with strong attention to detail in managing day-to-day tasks and execution. - Proactive problem-solver who tackles challenges head-on, thrives in ambiguity, and confidently drives progress in uncertain areas with moderate supervision and guidance. Miscellaneous Requirements - Strong knowledge of MS Office (Excel, Word, etc.) and Google Suite products. - Travel as required (Less than 10% estimated) for critical meetings. - Approved to work in the United States. Benefits - Excellent Health, Dental & Vision Insurance. - Retirement 401(k) Savings Plan. - Generous paid time off policy including paid parental leave.