Experienced Business Analyst – Provider

Business AnalystBusiness AnalystFull TimeRemoteSeniorTeam 10,001+H1B SponsorCompany SiteLinkedIn

Location

Texas

Posted

5 days ago

Salary

$86.8K - $124K / year

Seniority

Senior

Bachelor Degree5 yrs expEnglishSDLCSQL

Job Description

Experienced Business Analyst – Provider

Gainwell Technologies

• 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 • translates state and federal Medicaid policy and program requirements into product features, system configuration, and design artifacts • works closely with the Domain Lead, Technical Analysts, and cross-functional teams • acts as a domain and policy subject-matter expert (SME) to ensure successful implementation and operational readiness • 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 • develops and maintains domain design documentation, with the Design Document as a core deliverable • provides domain SME support during System Integration Testing (SIT) and User Acceptance Testing (UAT)

Job Requirements

  • 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 (required)
  • 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 is required, 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

Benefits

  • generous, flexible vacation policy
  • educational assistance
  • comprehensive health benefits
  • 401(k) employer match
  • leadership and technical development academies

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Job Closed