Senior Business Analyst - Medicaid Claims & Eligiblity

Great companies need great teams to propel their operations. Join the group that solves business challenges and enhances the way we work and grow. As a Senior Business Analyst - Medicaid Claims & Eligiblity at Gainwell, you will leverage your expertise in Medicaid programs, business analysis, and process improvement to support critical healthcare initiatives that serve our clients and their members. The most successful candidates bring experience supporting Medicaid claims and eligibility operations , combined with strong analytical and business analysis skills. They excel at understanding complex business processes, translating stakeholder needs into clear requirements, identifying opportunities for operational improvement, and collaborating effectively with business and technical teams to deliver successful outcomes. Help coordinate a business analyst team’s duties and activities on IT projects and nurture newer team members by providing guidance and support Responsibilities Be a knowledgeable bridge between clients, project managers and technical staff to define, document and share business requirements and expected impact Work with the client to develop business specs at the start of a technical project Analyze, plan, design, document or make recommendations to improve business processes to support client’s technology goals Help verify that all requirements have been met by approving and validating test results Exercise your ability to use basic analytical or relational database software — such as Excel or SQL — to quantify the anticipated impact of work Qualifications 6 or more years of experience in a relevant Business Analyst position with 3 or more years of Medicaid and Medicare experience preferred. Experience in Medicaid claims processing and eligibility business functions strongly preferred. Knowledge of computer programming concepts such as configuration, development, and batch processing. Advanced knowledge of analytical software such as Microsoft Excel or SQL and requirement-mapping tools such as Application Lifecycle Management (ALM) tools. Strong analytical, business process re-engineering, and business process modeling skills. Demonstrated ability to gather, elicit, analyze, document, and validate business requirements. Strong executive presence and communication skills to deliver messages to business leaders, clients, and technical personnel. Proven ability to elicit, analyze, document, and validate business and system requirements. Strong verbal and written communication skills, with the ability to effectively collaborate with business stakeholders, clients, and technical teams. Experience with Business Process Modeling and process improvement methodologies. Knowledge of Medicaid claims processing, including claims lifecycle workflows and related business processes. Experience with Medicaid eligibility and claims operations strongly preferred. Technical Tools & Applications Proficiency with Microsoft Word and Microsoft Excel required on day one. Experience using analytical and requirement management tools such as Excel, SQL, ALM, or similar platforms preferred. Ability to learn client-specific systems, applications, and business process tools as needed. Fully remote options from most US locations and territories The deadline to submit applications for this posting is October 22, 2026 The pay range for this position is $69,400.00 - $99,200.00 per year, however, the base pay offered may vary depending on geographic region, internal equity, job-related knowledge, skills, and experience among other factors. 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. 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 LLC