Business Analyst - Medicaid Claims
$55.6k - $79.4kGainwell Technologies
Business Analyst - Medicaid Claims Date: Oct 6, 2026 Location: Any city, TX, US, 99999 Work Mode: Virtual (Exception only) 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 Analystexperience 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 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. #J-18808-Ljbffr Gainwell Technologies
$69.4k - $99.2k
...operations. Join the group that solves business challenges and enhances the way we... ...learning, and career development. Senior Medicaid Business Analyst (Configuration & Policy) at Gainwell,... ...domains may include Member, Provider, Claims (Medicaid, Dental and/or Pharmacy), Finance...ClaimsFull timeRemote workFlexible hours$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...SuggestedFull timeRemote workFlexible hours$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 Customer...SuggestedFull timeWork experience placementRemote workFlexible hours- Job Description Job Title: Professional Business Analyst - Claims Great companies need great teams to propel their operations. Join the group... ...requirements traceability preferred. Health Care, Health Insurance, Medicaid, MMIS, or claims-processing experience preferred,...ClaimsWork at officeRemote work
- ...Requirements: The Worker will serve as a senior Business Analyst/Product Owner for the modernization projects.... ...Owner. 8 years Required Experience with Medicaid systems and processes. 8 years Required Experience in claims processing. 4 years Preferred Knowledge of...ClaimsContract workWork at officeLocal area
- ...Cogent Data Solutions LLC , We are looking for a Business Analyst with one of our direct clients. Please checkout the... ...and subject matter expertise. Experience with Medicaid systems and processes. Experience in claims processing. Seniority Level: Mid-Senior level Employment...ClaimsContract workWork at office
- Select how often (in days) to receive an alert: Lead Technical Business Analyst - Medicaid FHIR Architecture & Interoperability Date: Oct 12, 2026 Location: Any city, TX, US, 99999 Work Mode: Virtual (Exception only) Great companies need great teams to propel their operations...
$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$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$55.6k - $79.4k
...often (in days) to receive an alert: Business Analyst - Requirement Validation Date: Oct 15,... ...project delivery, operations, healthcare, Medicaid, or related experience. Foundational... ...Medicaid, CMS, MITA, provider enrollment, claims, pharmacy, managed care, or related...ClaimsFull timeRemote workFlexible hours- ...to support durable medical equipment billing across multiple locations. This remote role emphasizes Medicare Part B and Medicaid compliance, claim resolution, and collaboration with pharmacy teams nationwide. Responsibilities include reviewing DME billing for accuracy...ClaimsRemote job
- Collabera is seeking a Customer Service Representative to support Medicaid providers from our Austin, TX site. The role is onsite with... ...future remote work. You'll handle inquiries related to eligibility, claims status, and program questions, delivering prompt, courteous...ClaimsRemote work
- Gainwell Technologies is seeking a Business Analyst - Medicaid Claims to support clients in a fully remote capacity nationwide. You will analyze, design and document business processes, bridge between clients and technical teams, and help ensure requirements are delivered...ClaimsRemote job
- ...seeking a provider services specialist to support Medicare and Medicaid provider operations. The role involves researching and resolving... ...inquiries related to contracts, system issues, data entry claims payments, and directory accuracy. You will collaborate with Provider...Claims
- ...seeking a Customer Service Representative for an onsite position in Austin, TX. The role centers on assisting Medicaid providers and clients with eligibility and claims questions while delivering prompt, courteous support over the phone. Responsibilities include documenting...ClaimsShift work
- ...in Austin, TX. This remote-capable role supports Medicare and Medicaid provider operations while allowing flexible location within Austin... ...inquiries arising from contract operations, system data entry, claims, and directory issues, and coordinate with Provider Network,...ClaimsRemote jobContract workFlexible hours
- ...Insurance Provider Services Coordinator to support Medicare and Medicaid provider operations remotely. You will research and resolve... ...inquiries arising from contract operations, system issues, data entry, claims payment, and directory accuracy. You will collaborate with...ClaimsRemote jobContract work
- ...Overview We’re hiring a Healthcare Discovery Analyst to translate complex healthcare workflows... ...discovery sessions to understand business objectives, workflows, pain points, business... ..., Appeals & Grievances, Care Management, claims, and clinical workflows) into clear, automatable...Claims
- ...alignment, and customer obsession. Role Overview We’re hiring a Business Analyst who operates like an owner. You’ll translate messy, real-... ...workflows. Validate data quality, lineage, and mappings across EHR, claims, and document sources; document assumptions and edge cases....Claims
$65 - $68 per hour
Join to apply for the Business Analyst, Mid Level role at Jobright.ai 2 days ago Be among the first 25 applicants Join to apply for the Business... ...$80,000.00-$96,000.00 1 week ago Business Analyst, Logistics Claims Management and Operations Analyst/Sr. Analyst, Strategy &...ClaimsContract work- Medicaid Revenue ManagerThe Medicaid Revenue Manager is responsible for overseeing Medicaid... ...and resolving rejected or delayed claims and aging accounts receivable; and managing... ...directly with community leadership and business-office resources to resolve Medicaid billing...ClaimsWork at office
- SAIC is seeking a Business Process Analyst to support Scrum Master activities, requirements analysis, and provide backup project leadership for FFSS Fee Basis Claims Archive and E-Learning applications. This is a 100% remote role with growth opportunities within the VA...ClaimsRemote job
$90.9k - $129.9k
...skills and capabilities.SummaryAs Advisor Batch Programmer Analyst (UNIX/LINUX/C/Medicaid Claims/EDI Processing)at Gainwell, you can contribute your... ...skills with the ability to collaborate across technical and business teamsWhat you should expect in this roleFully remote...ClaimsFull timeRemote workFlexible hours- Two Facilities. One Mission. Make Every Claim Count. Location: Bryan and Cameron, Texas... ...Legacy! Are you an experienced Medicare and Medicaid biller who knows how to keep claims... ...quickly. You will work closely with facility Business Office Managers, administrators, MDS staff...ClaimsFull timeWork at office
- Gainwell Technologies is seeking a Business Analyst - Claims Adjudication / Financial to help client health plans optimize their claims processing and financial workflows. This remote role welcomes candidates who can translate business needs into technical requirements...ClaimsRemote job
$86.8k - $124k
....SummaryAs an Organizational Change Management (OCM) Advisor Business Analyst at Gainwell, you can contribute your skills as we harness the... ...stakeholders at all levels and lead cross-functional teams; Healthcare, Medicaid, Medicare, or Government Program experience preferred.What...Full timeRemote workFlexible hours- Gainwell is seeking a Professional Business Analyst - Claims to help improve client health plan operations. You will analyze business needs, document requirements, participate in client discussions, and serve as a liaison between business and technical teams. The role supports...ClaimsRemote job
$300k
...Services & Insurance Performance Assurance Analyst PRIMARY PURPOSE: Performs comprehensive reviews on personal and commercial lines claims of varying degree of severity (up to... ...the Analyst Team in implementing Sedgwick business unit (SBU) and national quality initiatives...ClaimsWork at officeLocal areaRemote workFlexible hours$40k - $80k
Description SAIC has an exciting opportunity for a Business Process Analyst to join a high-performance team providing Scrum Master, Requirements... ...for Franchise Fund Support Services (FFSS) Fee Basis Claims Archive (FBCA) and E-Learning applications. Tremendous growth...ClaimsRemote workFlexible hours- Gainwell Technologies is hiring a Senior Business Operations Analyst for CEV, Medicaid, and SNAP programs. The role focuses on operational performance, reporting, and process improvements across delivery teams and external stakeholders. You will act as a SME on Medicaid...Remote job
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