Business Analyst - Medicaid Claims

location_onRemotepayments$55,600 – $79,400/yrschedule5 days ago
homeWork style:Remote
badgeEmployment:Full-time
historyMinimum experience:2+ years
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Job description

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 - Medicaid Claims 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 Analyst experience in healthcare, Medicaid experience preferred
  • 2-5 years of Claims Experience required
  • 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 Contiguous US locations only
  • 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 22, 2026

#LI-HC1

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 $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.

Skills mentioned


AI, Data Analytics, Enterprise Software, Government, Health Tech
Remote

At Gainwell Technologies, we are at the forefront of pioneering advancements in health and human services. Through groundbreaking technology, we are revolutionizing how public sector agencies and commercial health plans operate and deliver care to millions. Our innovative solutions are designed to enhance outcomes, improve efficiency, and ensure the integrity of vital healthcare programs. We harness the power of data analytics, cloud-based platforms, and digital tools to create a more connected and responsive healthcare ecosystem. Our commitment to innovation is unwavering as we develop and implement next-generation systems that address the complex challenges facing the healthcare industry today. This includes modernizing Medicaid management systems, developing sophisticated data repositories for public health, and creating AI-powered tools to improve member engagement and provider experiences. We empower our clients with scalable and flexible technologies that not only meet current needs but also anticipate future demands, ensuring they can adapt to the ever-evolving landscape of healthcare. Gainwell Technologies is dedicated to fostering a culture of innovation where new ideas are encouraged and transformative solutions are born. We invest in research and development to explore emerging technologies like artificial intelligence, machine learning, and blockchain, seeking new ways to drive meaningful improvements in health and human services. Our team of experts collaborates closely with clients to understand their unique challenges and co-create solutions that deliver tangible results. By focusing on technological breakthroughs, we aim to simplify complex processes, improve access to care for vulnerable populations, and ultimately contribute to healthier communities. Our work impacts millions of lives, and we are driven by the mission to make healthcare more efficient, effective, and equitable for everyone. Through continuous innovation and a deep understanding of the health and human services domain, Gainwell Technologies is shaping the future of healthcare technology.

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