Senior Business Analyst

Senior Business Analyst

Be part of a team that unleashes the power of leading-edge technologies to help improve the health and well-being of those most vulnerable in our country and communities. Working at HMS, a Gainwell Company carries its rewards. You'll have an incredible opportunity to grow your career in a company that values work flexibility, learning, and career development. You'll add to your technical credentials and certifications while enjoying a generous, flexible vacation policy and educational assistance. We also have comprehensive leadership and technical development academies to help build your skills and capabilities.

Summary: As a Senior 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.

Your role in our mission: Play a critical part in ensuring Gainwell is meeting our clients' objectives in important areas. Post payments to medical and pharmacy claims from paper and electronic EOBs daily. Reconcile AR and correct any discrepancies or posting issues. Identify, analyze, and resolve errors in claim postings and payments. Participates in meetings with client engagement to gather and document requirements and explore potential solutions. Assists in analyzing and documenting client's business requirements and processes following established approach and methodology; communicates these requirements to technical personnel.

What we're looking for: Bachelor's degree in Business, Healthcare Administration, Finance, or a related field; OR 3–5 years of experience in medical claims posting and reconciliation. Solid understanding of medical and pharmacy claims adjudication and Medicaid reclamation claims. Proficiency in SQL and ability to extract and analyze data from relational databases. Familiarity with PeopleSoft Finance or similar enterprise financial systems. Strong critical thinking and problem-solving skills; able to troubleshoot independently. Experience with FTP protocols and secure file transfer. Excellent written and verbal communication skills. Strong attention to detail and organizational skills.

What you should expect in this role: 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. 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 8, 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 $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. Put your passion to work at HMS, a Gainwell Company. 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.

HMS, a Gainwell Company, 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. HMS 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."