Gainwell Technologies · 22 hours ago
Senior Business Analyst - Claims
United States
Full-time
Remote
Mid, Senior Level
$69K/yr - $99K/yr
6+ years expGainwell Technologies is a company focused on solving business challenges in the healthcare sector. As a Senior Business Analyst - Claims, you will play a critical role in coordinating a business analyst team, facilitating client meetings to gather requirements, and ensuring that client objectives are met through effective project management and process improvement.
Health CareInformation Technology
Responsibilities
Help coordinate a business analyst team’s duties and activities on IT projects and nurture newer team members by providing guidance and support
Facilitate meetings with clients to gather and document requirements and explore potential solutions
Create test scenarios and develop test plans to be used in testing the business applications in order to verify that client requirements are incorporated into the system design. Analyze testing results throughout the project
Provide time estimates for project related tasks
Provide lessons learned and ways to improve processes
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
Qualification
Required
6 or more years of experience in a relevant Business Analyst position with experience in Health Care/Health Insurance
Strong background in Medicaid, specifically claim processing using Institutional and Physician claim forms
Knowledge of Prior Authorization, Member, Provider, Long-Term Care, Inpatient/Outpatient concepts
Experience working with project and change management tools such as ALM, iTrace/rTrace
Software Development Life Cycle (SDLC) experience; waterfall methodology
Experience creating deliverable documentation, user manuals, and training documentation
Experience with implementing benefit plan configuration updates in Medicaid Management Information System (MMIS)
Benefits
Generous, flexible vacation policy
A 401(k) employer match
Comprehensive health benefits
Educational assistance
Leadership and technical development academies
Company
Gainwell Technologies
Gainwell Technologies is a provider of Information Technology & Services. It is a sub-organization of Veritas Capital.
10001+ employees
H1B Sponsorship
Gainwell Technologies has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (90)
2024 (78)
2023 (56)
2022 (96)
2021 (33)
Funding
Current Stage
Late StageTotal Funding
$1M2023-06-06Grant· $1M
Leadership Team
Paul N. Saleh
President and Chief Executive Officer
Gary Call
Chief Medical Officer
Recent News
bloomberglaw.com
2025-12-12
GlobeNewswire
2025-12-11
Company data provided by crunchbase