Business Analyst - Medicaid Claims
$55.6k - $79.4kGainwell Technologies LLC
Great companies need great teams to propel their operations. Join the group that solves business challenges and enhances the way we work and grow. Working at Gainwell carries its rewards. You'll have an incredible opportunity to grow your career in a company that values your contributions and puts a premium on work flexibility, learning, and career development. Summary As a Business Analyst - Medicaid Claims 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. Your role in our mission Gainwell empowers you show you're a pro and help clients deliver better health and human services outcomes using innovative technology and solutions. * Analyze, plan, design, document and make recommendations to improve business processes to support client's technological aspirations
* Be a supportive bridge between clients, project managers and technical personnel to define, track and communicate business requirements and their expected impact by building basic conceptual data and process models
* Create, execute or analyze basic test scenarios to verify that client requirements are built into system design
* Ensure that "intent of change" is carried out through every project phase by participating in technical reviews and inspections What we're looking for * Three or more years of Business Analyst experience in healthcare, Medicaid experience preferred
* 2-5 years of Claims Experience required
* Knowledge of basic computer programming concepts such as configuration, development and batch processing
* Advanced knowledge in Microsoft Excel and other software for conducting quantitative analysis
* Strong analytical and business process re-engineering skills
* Strong written and oral communication and presentation skills to deliver messages to business leaders, clients and technical personnel
* An influencer and team player who that motivates others to action and communicates key technical ideas in a digestible way What you should expect in this role * Fully remote options from Contiguous US locations only
* Video cameras must be used during all interviews, as well as during the initial week of orientation
* Photo will be taken during screening for verification in all steps of the recruitment process.
* The deadline to submit applications for this posting is October 22, 2026#LI-HC1
Please ensure you join all screenings, interviews and meetings from a quiet location with a stable internet connection.
Video is required for screenings and interviews, so please test your camera and microphone in advance.
Do not use AI tools, virtual backgrounds/filters, or visual enhancements during the interview.
The pay range for this position is $55,600.00 - $79,400.00 per year, however, the base pay offered may vary depending on geographic region, internal equity, job-related knowledge, skills, and experience among other factors. Put your passion to work at Gainwell. You'll have the opportunity to grow your career in a company that values work flexibility, learning, and career development. All salaried, full-time candidates are eligible for our generous, flexible vacation policy, a 401(k) employer match, comprehensive health benefits, and educational assistance. We also have a variety of leadership and technical development academies to help build your skills and capabilities.
We believe nothing is impossible when you bring together people who care deeply about making healthcare work better for everyone. Build your career with Gainwell, an industry leader. You'll be joining a company where collaboration, innovation, and inclusion fuel our growth. Learn more about Gainwell at our company website and visit our Careers site for all available job role openings.
Gainwell Technologies is an Equal Opportunity Employer, where all qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical condition), age, sexual orientation, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics. Gainwell Technologies defines "wages" and "wage rates" to include "all forms of pay, including, but not limited to, salary, overtime pay, bonuses, stock, stock options, profit sharing and bonus plans, life insurance, vacation and holiday pay, cleaning or gasoline allowances, hotel accommodations, reimbursement for travel expenses, and benefits.
Vacancy posted 4 hours ago
Similar jobs that could be interesting for youBased on the Business Analyst - Medicaid Claims in Remote vacancy
$81.94k - $122.9k
...thinking organization, apply now.We are currently seeking a Sr. Medicaid TPL Business Analyst-Local Candidates To Little Rock, AR to join our team in... ...deep expertise in Medicaid Third Party Liability (TPL), claims processing, and recovery operations. The ideal candidate...ClaimsFull timeTemporary workWork at officeLocal areaRemote workFlexible hours- ...Job Description Job Description Medicaid Business / QA Analyst ~7–12+ Month Contract | Remote | No ThirdParty Firms | Medicaid SME Required... ...environment. This position combines program knowledge—eligibility, claims, encounters, provider enrollment, managed care, and...ClaimsContract workRemote work
- ...intersection of data, technology, and business strategy. Whether you're... ...and analysis that keep Medicaid reporting deliverables moving... ...enrollment, eligibility, provider, claims, encounter, and financial... ...cases with data and quality analysts for profiling, review results...ClaimsPermanent employment
- Conduent is actively seeking a Senior Medicaid Technical Business Analyst Engineer to translate Medicaid policies and CMS regulations into scalable... ...stakeholders, architects, developers, and QA to support claims processing, analyze issues, and drive compliant improvements...ClaimsRemote job
- Enterprise Solutions Business Analyst (Federal Health Insurance / Medicare / Medicaid) Location: Dallas, TX (Remote) Duration: Long-term Contract Mode of Interview... ...Deep understanding of: Health plan domains like claims, membership, provider network, UM/CM, payment models...ClaimsLong term contractRemote work
$69.4k - $99.2k
...teams to propel their operations. Join the group that solves business challenges and enhances the way we work and grow. Working... ...development. Summary As a Senior Business Analyst - Medicaid Claims & Eligiblity at Gainwell, you will leverage your expertise...ClaimsFull timeRemote workFlexible hours$69.4k - $99.2k
...operations. Join the group that solves business challenges and enhances the way we... ...development. Summary The Senior Medicaid Business Analyst (Configuration & Policy) at Gainwell,... ...domains may include Member, Provider, Claims (Medicaid, Dental and/or Pharmacy), Finance...ClaimsFull timeRemote workFlexible hours- Gainwell Technologies is seeking a Business Analyst - Medicaid Claims to help clients improve health outcomes through technology. You will analyze processes, design improvements, and document requirements as part of a collaborative team. The role emphasizes strong Excel...ClaimsRemote job
- Infinite Computer Solutions (ICS) is hiring a Healthcare Business Analyst for a fully remote role in the United States. The candidate will... ...solutions. The role emphasizes requirements ownership, design for Claims/Member/Finance modules, and ensuring compliance with CMS MES...ClaimsRemote job
$86.8k - $124k
...teams to propel their operations. Join the group that solves business challenges and enhances the way we work and grow. Working at... ...career development. SummaryAs an Advisor Technical Business Analyst - Medicaid FHIR Architecture & Interoperability at Gainwell, you can...Full timeRemote workFlexible hours$55.6k - $79.4k
.... Join the group that solves business challenges and enhances the way... ...Summary The Business Analyst - Requirement Validation supports... ..., operations, healthcare, Medicaid, or related experience. ~... ..., MITA, provider enrollment, claims, pharmacy, managed care, or...ClaimsFull timeRemote workFlexible hours- ...Business Analyst Department: Product Management / Software Development Reports To: Product... ...workflows, reimbursement processes, claims management, and payer integration solutions... ...product enhancements for Medicare, Medicaid, Managed Care, and Commercial Payer billing...ClaimsContract workWork at officeRemote work
- ...across the ACA Marketplace, Medicare, and Medicaid. NeueHealth delivers clinical... ...We are seeking an experienced eCW Business Systems Analyst to implement, support, optimize, and enhance... ...cycle teams to support billing, claims, eligibility, scheduling, referrals, and...ClaimsWork at office
$69.4k - $99.2k
...leadership and technical development academies to help build your skills and capabilities. Summary As a Senior Business Operations Analyst - CEV/Medicaid/SNAP at Gainwell supports operational performance, reporting, and process improvement initiatives within...Full timeWork experience placementRemote workFlexible hours- ...Job Description Summary The Business Systems Analyst I (BSA) is a liaison between end-users/... ...cycle (SDLC). ~ Basic understanding of Medicaid, government-sponsored healthcare programs, pharmacy benefit management, claims processing, eligibility, prior authorization...ClaimsFull timeWork at officeRemote workMonday to FridayNight shiftWeekend work
$69.4k - $99.2k
...(in days) to receive an alert: Senior Business Analyst Date: Sep 28, 2026 Location Any city, MS... ...Post payments to medical and pharmacy claims from paper and electronic EOBs daily. Reconcile... ...and pharmacy claims adjudication and Medicaid reclamation claims. Proficiency in SQL...ClaimsFull timeRemote workFlexible hours$55.6k - $79.4k
...teams to propel their operations. Join the group that solves business challenges and enhances the way we work and grow. Working at... ..., and career development. Summary As a Business Analyst - Medicaid Buy-In Operations at Gainwell, you will support Medicare...Full timeWork at officeRemote workFlexible hours- ...Product Analyst TRIA prides itself in leading the charge for innovation and transformation... ...years of experience as a product owner, business analyst, product analyst, leading... ...~ Knowledge of Healthcare, Medicare & Medicaid systems & data. ~5+ years of experience...For contractorsWork at officeRemote work
$80.9k - $110.3k
...part of our caring community The Senior Business Systems Analyst performs analysis of business, process... ..., Post Acute Care, Healthcare Claims Management, Revenue Cycle Management... ...of life for people with Medicare and Medicaid, families, individuals, military service...ClaimsFull timeTemporary workApprenticeshipWork at officeRemote workWork from homeHome office$59.92k - $74.9k
...to diversity through all our business practices and invite applications... ...Pharmacy Operations Business Analyst serves as the technical and... ...for analyzing pharmacy claims, validating benefit and formulary... ...Commercial, Exchange, Medicare, and Medicaid lines of business. The role...ClaimsWork at officeRemote workAfternoon shift$23 - $26 per hour
...Position: Medicaid Collections Specialist (Hospital Revenue Cycle) Location: Remote (U.S. Remote; candidates from select states are... ...receivable for inpatient rehabilitation facilities, ensuring accurate claim resolution and maximizing reimbursement. The ideal candidate...ClaimsHourly payFull timeLocal areaRemote work$47.5k - $118.8k
...Business Process AnalystJoin IQVIA and be part of a global organization... ...seeking a Business Process Analyst, in this role you will... ...Research and resolve chargeback claims and ensure accurate, appropriate... ..., Managed Health Care and Medicaid Drug Rebate ProgramPlease Note...ClaimsFull timeContract workPart timeWork experience placementImmediate startRemote workWorldwide- ...Qualifications Bachelor's degree in Business Administration, Healthcare... ...o Enrollment and Eligibility o Claims Processing and Adjudication o Provider... ...Qualifications Experience with Medicare, Medicaid, Commercial, and Dual-Eligible healthcare...ClaimsContract work
$81.94k - $122.9k
...organization, apply now. We are currently seeking a Senior Business Analyst to join our team in Little Rock, Arkansas (US-AR),... ...a Senior Business Analyst with deep expertise in Medicaid Third Party Liability (TPL), claims processing, and recovery operations. The ideal...ClaimsTemporary workWork at officeLocal areaRemote workFlexible hours$85.47k - $111k
...Senior Business Analyst, MMIS Finance About the Role Lead business and functional requirements... ...and production validation. Translate Medicaid payment operations into clear... ...-to-end financial lifecycle, including claims payment, preliminary and final payment...ClaimsRemote workWork from homeFlexible hours$64.9k - $92.7k
Select how often (in days) to receive an alert: Senior Business Analyst - Medicaid Date: Oct 1, 2026 Location: Any city, AL, US, 99999 Work Mode: Virtual (Exception only) Great companies need great teams to propel their operations. Join the group that solves business...Full timeRemote workFlexible hours$68 - $73 per hour
...International Position Number: 485773 Job Title: Business Analyst Job Location: Austin, TX, USA, 78751... ...+ yrs); Experience with Texas HHSC and Medicaid/CHIP systems is a plus (2+ yrs);... ...Solution Delivery Business Analyst, Logistics Claims Management and Operations We’re...ClaimsHourly payFull timeTemporary workLocal areaRemote workShift work- ...by the Tampa Bay Times and a Best Place to Work in Insurance by Business Insurance Magazine for the past twelve years. We have also... ...reliable, customer-centric homeowners insurance and paying claims in a timely manner when our customers suffer a loss - and to do...ClaimsFull timeWork from home
$90k - $120k
Join to apply for the Business Analyst - Healthcare role at Lumenalta. As a Business Analyst -... ...regulations, payer and provider workflows, and Medicaid/Medicare program requirements into... ...Analyze current-state workflows (e.g., claims processing, eligibility and enrollment,...ClaimsFull timeRemote workMonday to FridayFlexible hours- Senior Business Analyst - MMIS Claims Processing Location: Remote - U.S. About Us Known for “Delighting the Client” through performance, innovation... ...within one of the most complex functional areas of Medicaid—Claims Processing. Candidates must possess deep MMIS claims...ClaimsWork at officeRemote work
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Business Analyst - Medicaid Claims. Be the first to apply!
Related searches
- order management analyst Remote
- junior IT service management analyst Remote
- lead business analyst Remote
- bank of america business analyst Remote
- workforce management analyst Remote
- sharepoint business analyst Remote
- business analyst part time Remote
- remote business analyst Remote
- business strategy analyst Remote
- oracle business analyst Remote





