Business Analyst - Claims Adjudication / Financial
$55.6k - $79.4kGainwell Technologies
Select how often (in days) to receive an alert: Business Analyst - Claims Adjudication / Financial Date: Oct 15, 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 - 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. 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 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 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 November 5, 2026
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#LI-Business Analyst Financial 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- 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...FinancialClaimsRemote job
$44.5k - $63.5k
...receive an alert: Early Career Business Analyst - Operations Date: Oct 20,... ...of medical payments to claims, based on both paper and electronic... ...and pharmacy claims adjudication , Medicaid reclamation , and... ...or similar enterprise financial systems. Strong critical thinking...FinancialClaimsFull timeRemote workFlexible hours$68 - $73 per hour
...International Position Number: 485773 Job Title: Business Analyst Job Location: Austin, TX, USA, 78751... ...options, risk assessments, and financial analyses (e.g., cost/benefit, ROI, buy/... ...Solution Delivery Business Analyst, Logistics Claims Management and Operations We’re...FinancialClaimsHourly payFull timeTemporary workLocal areaRemote workShift work- Senior Business Analyst Anywhere Type: Contract-to-Hire Category: Business Analysis Industry: Financial Services Workplace Type: Remote Standard Hours: Open Reference ID: JN... ...technology solutions. The role focuses on claims insurance, with Guidewire Claims Center...FinancialClaimsHourly payContract workLocal areaRemote work
$40k - $80k
...SAIC has an exciting opportunity for a Business Process Analyst to join a high-performance team... ...Fund Support Services (FFSS) Fee Basis Claims Archive (FBCA) and E-Learning applications... ...with upcoming projects of Integrated Financial and Acquisition Management System iFAMS...FinancialClaimsRemote workFlexible hours$300k
...Work® Fortune Best Workplaces in Financial Services & Insurance Performance Assurance Analyst PRIMARY PURPOSE: Performs... ...on personal and commercial lines claims of varying degree of severity (up... ...Analyst Team in implementing Sedgwick business unit (SBU) and national quality...FinancialClaimsWork at officeLocal areaRemote workFlexible hours$62.21 - $69.13 per hour
Senior Business Analyst (Financial Services) Join to apply for the Senior Business Analyst (Financial Services) role at Aquent Senior Business Analyst... ...Area $75.00-$84.00 5 days ago Business Analyst, Logistics Claims Management and Operations Business Analyst, Strategic...FinancialClaimsFull timeContract workWork experience placementWork at office$46.99k - $102k
...Requisition Job Description CVS Business Unit: Signify Health Location... ...team is seeking a Business Analyst who will be responsible for... ...core concepts and data (e.g., Claims data formats, Risk Adjustment... ...the physical, emotional, and financial well‑being of colleagues and...FinancialClaimsHourly payFull timeTemporary workLocal areaRemote work- Job Description Job Title: Professional Business Analyst - Claims Great companies need great teams to propel their operations. Join the group... .... What we're looking for Key Experiences Medical claim adjudication knowledge and experience across multiple payers. Experience...ClaimsWork at officeRemote work
- ...Exception Management Logistics Analyst Austin, Texas, United States... ...value through carrier claims, and prevent repeat issues before... ...losses happen, size Apple's financial exposure, and drive scalable... ...credits, and claims, and build the business case for corrective action....FinancialClaimsShift work
$65k - $75k
...: $65,000 - $75,000 annually As a Business Analyst , you'll provide analytical, planning,... ...process analysis, requirements gathering, or claims payment/analysis ~ Proficiency in SQL... ...in healthcare strategic planning and financial analysis Additional Requirements:...FinancialClaimsFull timeLocal areaImmediate startRemote workMonday to Friday$69.4k - $99.2k
.... Join the group that solves business challenges and enhances the way... .... Senior Medicaid Business Analyst (Configuration & Policy) at... ...may include Member, Provider, Claims (Medicaid, Dental and/or Pharmacy... ..., pricing, benefit limits, adjudication logic Plan: Contracts,...ClaimsFull timeRemote workFlexible hours- ...Job Description Senior Discovery Business and System Analyst Employment Type: Full-Time, Executive... ...from industry solution providers that claim to satisfy the identified business... ...optimization of human, technical, and financial resources. We combine cutting-edge technology...FinancialClaimsFull timeFor contractorsWork at officeFlexible hours
- ...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...FinancialClaims
$97k - $189k
...most complex liability construction defect claims. Recognized as the most senior technical... ...participates with senior management and business leaders in the development and... ...family members - achieve their physical, financial, emotional and social wellbeing goals. For...FinancialClaimsFull timeWork experience placementWork at officeFlexible hours- ...title subsidiaries. Please visit our website at for more information.D.R. Horton, Inc. is currently looking for a Business Analyst IIfor their Financial Services IT Department. The right candidate will, with some supervision, clearly identify, define and document the...FinancialFull timeWork experience placement
- ...Time, Mid-Level Department: Financial CGS is seeking a highly... ...records, healthcare claims, tax records, correspondence... ...Citizenship and ability to obtain adjudication for the requisite background... ...experience using STARS and/or Business Objects. Relevant...FinancialClaimsFull timeWork experience placementInterim roleWork at officeLocal areaFlexible hours
- HMS, a Gainwell Company, is hiring an Early Career Business Analyst - Operations to support daily posting and reconciliation of medical and pharmacy claims. This fully remote role focuses on AR processes, posting accuracy, and collaboration with clients to document requirements...ClaimsRemote job
- ...Chemicals, Consumer Packaged Goods, Electric Power & Natural Gas, Financial Services, Healthcare Systems & Services, High Tech,... ...holistic well-being for you and your family.What you'll doAs a business analyst, you will join a client service team and take ownership of a...FinancialApprenticeshipWork experience placementWork at officeLocal areaImmediate startEasy work
$65k - $95k
...help customers with their insurance and financial services needs, including: Auto insurance... ...Farm Agent, you are vital to our daily business operations and customers' success. You... ...and inquiries. Process insurance claims and follow up with customers on claim status...FinancialClaims- ...We are looking for a Senior Business Analyst (with legacy system modernization, mainframe exp ) who would fit in the role for our... ...Years of Experience with Medicaid, health and human services, claims, eligibility, provider, waiver, behavioral health, IDD, State...ClaimsLocal areaRemote workRelocation
- ...confidence because we believe that when businesses are protected, they’re free to grow, lead... ...with 3+ years client service and/or claims management experience -OR- High School degree... ...managing client relationships. Solid financial acumen. Behaviors: Proficient in using technology...FinancialClaimsWork at officeLocal area
- Job Description:The Senior Business Systems Analyst is a critical role within the Finance department, supporting the realization of Dimensional’s financial systems strategy through the translation of business requirements to technical solutions. This role will be critical...FinancialFull timeWork experience placement
- ...timely delivery of cargo shipments, luggage, business to customer delivery, and on-time... ...career with us?Job SummaryThe Business Analyst - Operational Excellence supports the three... ...role quantifies, validates, and tracks financial and operational benefits, ensuring consistent...FinancialFull timePart timeWork at officeRemote workWorldwide
$122k - $145k
Job Title: Salesforce - Business Analyst You are an experienced Salesforce Business Analyst with a passion for solving complex business and... ...knowledge in Public Sector, Non-Profit, Healthcare or Financial Services a plus.* Analytical techniques - Experience actively...FinancialTemporary workLocal area$109.8k - $206.7k
...technology, facilitating transactions between consumers, merchants, financial institutions and government entities across more than 200... ...help structure competitive client solutions while balancing business objectives and profitability. The organization plays a critical...FinancialFull timeWork experience placementWork at officeLocal area$74.3k - $130.1k
Worldwide Grocery Stores (WWGS) is seeking an experienced analyst to join our Business and Customer Analytics team. This role will be... ...collaborating across teams and functions- Experience in financial analysis, retail buying, retail planning & allocation, product...FinancialWorldwideFlexible hours$96.9k
...use cases.Amazon’s Last Mile Claims team is seeking a talented... ...fleets. You will have experience adjudicating both litigated and non-... ...new issues that arise in a business-centric way while addressing... ...resolution.Reserve management and financial acumen. Experience setting...FinancialClaimsFor contractorsWork at officeWorldwideFlexible hours$74.3k - $130.1k
Whole Foods Market is looking for a Senior Business Analyst to join our Pricing Strategy team. You will own end-to-end pricing analyses —... ...for leadership.Basic qualifications- 3+ years of business or financial analysis experience- 5+ years of Excel (including VBA, pivot...FinancialFlexible hoursDay shift- Lifetime Healthcare Companies is seeking a Claims Examiner to resolve a wide range of claims tasks, including entry, adjudication, adjustment and eligibility checks, while ensuring privacy and compliance with MTM and NCQA requirements. The role spans Level I through Level...ClaimsRemote job
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