Sign up to access all features of our service.
  • Job search
  • Favorites
  • Create a CV
    New
  • Salaries
  • Subscriptions

Business Analyst - Claims Adjudication / Financial

$55.6k - $79.4k

Gainwell 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. As a Business Analyst - Claims Adjudication / Financial 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. 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 Ensure that “intent of change” is carried out through every project phase by participating in technical reviews and inspections Three or more years of Business Analyst experience translating technical goals and requirements into real action for clients A fundamental understanding of healthcare claims adjudication and financial processing 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 Fully remote options from most US locations and territories Video cameras must be used during all interviews, as well as during the initial week of orientation The deadline to submit applications for this posting is November 5, 2026

  • LI-Healthcare Claims
  • LI-Business Analyst Financial
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. 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.

Vacancy posted 1 day ago
Similar jobs that could be interesting for youBased on the Business Analyst - Claims Adjudication / Financial in Ohio vacancy
  • $55.6k - $79.4k

     ...to propel their operations. Join the group that solves business challenges and enhances the way we work and grow....  ...and career development. Summary As a Business Analyst - Claims Adjudication / Financial at Gainwell, you can contribute your skills as we harness... 
    Financial
    Claims
    Full time
    Remote work
    Flexible hours

    Gainwell Technologies LLC

    Ohio
    16 days ago
  • $44.5k - $63.5k

     .... As an Early Career Business Analyst - Operations at Gainwell...  ...of medical payments to claims, based on both paper and electronic...  ...and pharmacy claims adjudication , Medicaid reclamation...  ...Finance or similar enterprise financial systems. Experience... 
    Financial
    Claims
    Full time
    Remote work
    Flexible hours

    Gainwell Technologies LLC

    Ohio
    2 days ago
  • $23 per hour

     ...W e are seeking a Pharmacy Adjudication Specialist for our Specialty...  ...Specialist will adjudicate pharmacy claims, review claim responses for...  ...to patients regarding financial responsibility prior to shipments...  ...in the Company's Code of Business Conduct and Ethics, its... 
    Financial
    Claims
    Full time
    Temporary work
    Remote work
    Flexible hours
    Shift work

    Onco360

    Columbus, OH
    3 days ago
  •  ..., a Gainwell Company, is seeking an Early Career Operations Business Analyst to join a healthcare payments team. You will post payments,...  ...from contiguous US locations. You’ll work with clinical and financial data, analyze discrepancies, document requirements, and support... 
    Financial
    Claims
    Remote job

    Gainwell Technologies LLC

    Columbus, OH
    4 days ago
  •  ...success, the Product Manager Analyst must possess the following attributes...  ...Do Actively manage financial performance of product lines...  ...of customer and voice of business on NPD core teams and lead...  ...product offerings, performance claims, overall market positioning and... 
    Financial
    Claims
    Work at office

    Superior Products LLC

    Cleveland, OH
    4 days ago
  •  ...Summary This National Guard position is for a FINANCIAL MANAGEMENT ANALYST, Position Description Number D2513P01 and is part of the OH 180...  ...transcripts or other documentation to support your educational claims. To receive credit for education, you must provide... 
    Financial
    Claims
    Permanent employment
    Full time
    Contract work
    Temporary work
    Part time
    Work at office
    Immediate start
    Trial period

    Air National Guard Units

    Toledo, OH
    1 day ago
  • $69.4k - $99.2k

    Senior Medicaid Business Analyst (Configuration & Policy) Great companies need great teams to...  ...domains may include Member, Provider, Claims (Medicaid, Dental and/or Pharmacy), Finance...  ...: Edits, pricing, benefit limits, adjudication logic Plan: Contracts, benefits,... 
    Claims
    Full time
    Remote work
    Flexible hours

    Gainwell Technologies LLC

    Columbus, OH
    5 days ago
  • $250k - $350k

     ...for an ambitious, results-driven attorney seeking significant financial upside, professional autonomy, and a meaningful role in building...  ...stakes disputes involving: Insurance bad faith and wrongful claim denials Fire losses, property damage, and catastrophic... 
    Financial
    Claims

    Avagyan Law

    Glendale, OH
    17 days ago
  •  ...Financial Planning Analyst Location US-OH-Dayton ID 2026-4368 Category Process Management / Liaison...  ...improvements. They will also facilitate business analytic data aggregation,...  ...Qualifications: Active TS clearance with SCI adjudication Bachelor's in business... 
    Financial
    Full time
    Contract work
    For contractors

    Riverside Research Institute

    Dayton, OH
    3 days ago
  • $177.5k - $222.5k

     ...Director, Product (Pharmacy Claims Platform) who brings deep experience...  ...developing pharmacy claims adjudication technology, understands how...  ...with engineering and business teams to set product direction...  ..., pharmacies, clients, and financial outcomes. We're looking for... 
    Financial
    Claims
    Flexible hours

    Prescryptive Health, Inc.

    Ohio
    5 days ago
  •  ...customer engagement measures, and business objectives. Use performance...  .../denials, coding, billing, claims, benefit design, and patient...  ...verification, claim adjudication, or pharmaceutical/biotechnology...  ...staff and eligible dependents, financial plans with opportunities to... 
    Financial
    Claims
    Work at office
    Local area
    Remote work
    Work from home
    Flexible hours

    Amgen

    Ohio
    2 days ago
  •  ...pivotal in overseeing core PBM functions, including claims adjudication, pharmacy network contracting, formulary...  ...in a relevant field. Strong knowledge of PBM business models, healthcare regulatory compliance, and financial acumen is essential. The ideal candidate will... 
    Financial
    Claims

    Confidential

    Columbus, OH
    3 days ago
  • $113.7k - $162.4k

     ...development, and pharmacy point-of-sale (POS) claims processing. This position requires a...  ...to success in this role. Conduct financial analyses using drug pricing, utilization...  ...management, prior authorization, claims adjudication, and pharmacy benefit operations. ~ Experience... 
    Financial
    Claims
    Full time
    Remote work
    Flexible hours

    Gainwell Technologies LLC

    Ohio
    1 day ago
  • $113k - $197.7k

     ...Summary: The Director, Claims Process Optimization...  ...effort, building the business case, guiding delivery...  ...assigned claims adjudication and adjustment workflows...  ...leads a team of managers, analysts, and process...  ...auto-adjudication rate, financial and procedural accuracy... 
    Financial
    Claims
    Hourly pay
    Work experience placement
    Work at office

    CareSource

    Ohio
    1 day ago
  • $103.89k - $192.19k

     ...disputes. The role provides financial tracking and data-driven decision...  ...the potential impact to business leaders ~ Performs...  ...ensure the integrity of dispute, claims, and contract data ~ Other...  ..., fee schedules, claims adjudication, remittance and EOB data, and... 
    Financial
    Claims
    Contract work
    Temporary work
    Work at office
    Remote work
    Flexible hours

    US Acute Care Solutions

    Ohio
    1 day ago
  • $19 - $26.4 per hour

     ...customer bills and insurance claims in an accurate and timely...  ...to build relationships with business unit management and become "...  ...Perform prescription claims adjudication including communication with...  ...be treated." Compensation & Financial Competitive pay 401(k) with... 
    Financial
    Claims
    Hourly pay
    Full time
    Temporary work
    Work at office
    Monday to Friday
    Flexible hours

    Guardian Pharmacy, LLC

    Columbus, OH
    1 day ago
  •  ....8. Submits, reviews, and handles all adjudicated prescription claims to ensure appropriateness of reimbursement, co-pay and related financials and, if needed, follows up all such claims...  ...and/or experience in the fields of business administration, sales, marketing,... 
    Financial
    Claims
    Monday to Friday
    Weekend work

    AmerisourceBergen Corporation

    Lorain, OH
    3 days ago
  •  ...The role focuses on accurate and timely processing of insurance claims, client billing, payment posting, and account reconciliation to...  ...staff to resolve discrepancies, follow up on outstanding claims, and maintain timely financial reporting. #J-18808-Ljbffr TPC Wellness
    Financial
    Claims

    TPC Wellness

    Ironton, OH
    5 days ago
  •  ...billings to the appropriate party and follow-up for adjudication and payment of individual claims. Communicate with patients, third party payors, guarantors...  ...-Works with patients/families to advise of potential financial responsibility. -Notifies payors of patient elections... 
    Financial
    Claims
    Daily paid
    Full time
    Local area
    Remote work
    Shift work

    OhioHealth

    Ohio
    3 days ago
  • $51.9k - $74.2k

     ...their operations. Join the group that solves business challenges and enhances the way we work...  ...grow. As a SSRS/SSIS Reporting Business Analyst at Gainwell, you can contribute your...  ...solutions. Healthcare, Medicaid, pharmacy, claims, or government program experience preferred... 
    Claims
    Full time
    Remote work
    Flexible hours

    Gainwell Technologies LLC

    Ohio
    2 days ago
  • $69.4k - $95k

     ...their operations. Join the group that solves business challenges and enhances the way we work...  .... Summary As a Senior Business Analyst at Gainwell, you can contribute your skills...  ...with healthcare, Medicaid, Medicare, claims, eligibility, or other highly regulated environments... 
    Claims
    Full time
    Remote work
    Flexible hours

    Gainwell Technologies LLC

    Ohio
    9 days ago
  • $90k - $115k

     ...Great Place to Work® Fortune Best Workplaces in Financial Services & Insurance Remote Liability Claims Examiner | General Liability Exp. Required Are you...  ...brands? Apply your knowledge and experience to adjudicate complex customer claims in the context of an... 
    Financial
    Claims
    Full time
    Local area
    Remote work
    Flexible hours

    Sedgwick

    Ohio
    3 days ago
  • $1,000 - $2,000 per month

     ...difference. What You'll Do: The Business Development Director, reporting...  ...enhance Connections’ market position. Financial Analysis Support : Collaborate with finance...  ...you receive a suspicious communication claiming to represent Connections Health... 
    Financial
    Claims
    Full time
    Temporary work
    Part time
    Immediate start
    Remote work
    Flexible hours

    Connections Health Solutions

    Ohio
    3 days ago
  •  ...Financial Reporting Specialist Ensure accurate financial reporting, focusing on special...  ...Support financial reporting and analysis, claims, audits and other external reporting and...  ...projects and analyses supporting business needs and improvements. Perform detailed... 
    Financial
    Claims

    Koch Foods

    Fairfield, OH
    2 days ago
  • $51.9k - $74.2k

     ...their operations. Join the group that solves business challenges and enhances the way we work...  ...As a SSRS/SSIS Reporting Business Analyst at Gainwell, you can contribute your skills...  ...solutions. Healthcare, Medicaid, pharmacy, claims, or government program experience... 
    Claims
    Full time
    Remote work
    Flexible hours

    Gainwell Technologies LLC

    Columbus, OH
    5 days ago
  • $20 - $25 per hour

     ...Farm Agent, you are vital to our daily business operations and customers' success. You grow...  ...and inquiries, processing insurance claims and following up with customers on claim...  ....00 per hour This busy insurance and financial services office has a passion to make a... 
    Financial
    Claims
    Hourly pay
    For contractors
    Work at office

    Mellisa Vasquez - State Farm Agent

    Hamilton, OH
    2 days ago
  • $16.3 - $25.74 per hour

     ...understanding how an insurance payer adjudicates claims, how to successfully work a patient’s...  ...with external customers and internal business partners. The Coordinator, Collections...  ...e.g. Athena, G4 Centricity, Unlimited Financials, etc.) and Microsoft Office Suite, PowerBI... 
    Financial
    Claims
    Hourly pay
    Full time
    Temporary work
    Work experience placement
    Work at office
    Local area
    Immediate start
    Remote work
    Flexible hours

    Cardinal Health

    Columbus, OH
    1 day ago
  • $10k

     ...companies are subsidiaries of American Financial Group. We combine a "small company" culture...  ...the entrepreneurial spirit of a growing business. Through our specialized insurance...  ...one another. The Senior Medical Only Claims Representative is responsible for investigating... 
    Financial
    Claims
    Full time
    Part time
    Seasonal work
    Remote work

    Great American Insurance Group

    Ohio
    5 days ago
  • $35.5 - $53.25 per hour

     ...reporting and decision-making. Works with IT consultancy and business units to develop and understand the business case and business...  ...configuration, cost transparency, planning, reporting, and related financial management activities. Ability to assess Apptio enhancements,... 
    Financial
    Daily paid
    Full time
    Temporary work
    Part time
    Work at office
    Remote work
    Relocation
    Monday to Friday
    Flexible hours
    Shift work

    Advocate Health

    Ohio
    3 days ago
  • Software Guidance & Assistance, Inc., (SGA), is searching for a Senior Technical Business Analyst – Wealth & Trust Modernization for a contract assignment with one of our premier Financial Services clients in Cincinnati, OH, Farmington Hills, MI, Frisco, TX or... 
    Financial
    Contract work

    Software Guidance & Assistance, Inc. (SGA, Inc.)

    Cincinnati, OH
    2 days ago

Do you want to receive more vacancies?

Subscribe and receive similar vacancies to Business Analyst - Claims Adjudication / Financial. Be the first to apply!