Business Analyst (Provider)

Summary

As a Business Analyst 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. Connect your passion with purpose, teaming with people who thrive on finding innovative solutions to some of healthcare’s biggest challenges. Here are the details on this position. 

This role is strictly involved in business analysis, requirements gathering and does not involve direct access to Protected Health Information (PHI), Personally Identifiable Information (PII), or any secured or confidential client data. The work is limited to provider data business analysis and does not include handling or processing of sensitive health or personal information.

Your role in our mission

• Play a critical part in ensuring Gainwell is meeting our clients’ objectives in important areas.
• Prioritize and execute with specialized team of business analysts driving advanced quality initiatives, lead IT projects moving data quality upstream, and nurture newer team members by providing guidance.
• Be a knowledgeable bridge between clients and technical team to define, document and share business requirements and expected impact 
• Work with the internal and external stakeholders to define key specifications and business outcomes at the start of a technical project
• Analyse, plan, design, document or make recommendations to improve business/Quality processes to support client’s technology goals
• Help verify that all requirements have been met by approving and validating test results
• Research business objectives and data requirements of client to ensure that developed product meet client needs.

Communicates with clients about data-related discrepancies and other matters of significance to ascertain information and correct errors

What we're looking for

• 6+ years of experience in Business Analyst, Managed care, Provider, Claims adjudication, Medicaid or Medicare.
• At least 2-3 years working experience in Managed care Module.
• 6+ years of business functional experience in one or more areas such as Eligibility, Claims, Provider.
• Strong SQL knowledge. Ability to write complex queries.
• Ability to gather requirements effectively; document requirements and confirm observations with business owners. Also, to perform fit/gap analysis based on requirements.
• Experience using Microsoft Office Tools, specifically Excel.
• Ability to create detailed and thorough design documents and test plans/execution for medium to large initiatives.
• Being able to research, analyze, validate and document business requirements.

What you should expect in this role

• Remote opportunity
• 2 PM to 11 PM IST work timing