Gainwell Technologies is an award-winning digital health technology company that supports the administration of healthcare and human services programs. In past
Experienced Claims Business Analyst
Location
Texas
Posted
4 days ago
Salary
$86.8K - $124K / year
Seniority
Lead
Job Description
Experienced Claims Business Analyst
Gainwell Technologies
• Analyze claims data to identify denial trends and operational bottlenecks • Perform in-depth investigation of complex claims issues, determining root causes • Provide actionable recommendations to support issue resolution, enhancements, and system improvements • Collaborate with cross-functional teams to reconcile claims outcomes • Develop reporting, dashboards, and monitoring tools for leadership decision-making
Job Requirements
- 9+ years of experience in claims business analysis, configuration, or healthcare operations
- Advanced knowledge of healthcare claims processing, including coding (ICD-10, CPT, modifiers), billing, and adjudication rules
- Strong SQL skills and experience analyzing large datasets
- Proven ability to solve complex issues and translate technical findings into business insights
- Strong communication and collaboration skills; experience in Medicaid or Medicare environments preferred
Benefits
- Health benefits
- 401(k) employer match
- Flexible vacation policy
- Educational assistance
- Leadership and technical development academies
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