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Data Analyst UM Evaluations

Date:  Sep 22, 2022

Any city, OH, US, 99999

Req ID:  10949

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 Gainwell 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.




As a Data Analyst UM Evaluations 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


  • Facilitates and/or participates in JAD (Joint Application Design), RAD (Rapid Application Development) and DSD (Design Specifications Document) sessions to define and understand the business requirements and present detailed systems design documentation for data interface files, data conversion and any other method of data exchange. 
  • Works aggressively to define project scope. Ties data interface roster elements back to a valid requirement. Works with the customer and account management to control the scope of the project.
  • Responds to action items by assigned due dates.
  • Escalates concerns to project management, such as delays or risks of delays as early as possible.
  • Creates accurate data mapping documents according to the mapping process.
  • Works toward delivering a first draft solution to ETL developers for coding, by rapidly understanding which details about the mapping can be deferred. 
  • Supports DSD creation and response.  
  • Works closely with configuration team to ensure synchronicity of configuration to interfaces and mappings.
  • Refines mapping documents, adding more detail and filling out deferred material as questions are resolved.
  • Uses SQL, data models, data element dictionary and schema to perform data and business analysis. 
  • Creates unit test cases for area of responsibility.
  • Supports Unit Testing, System Integration Testing, System Testing, and User Acceptance Testing.

What we are looking for


  • 4 years data analysis and business knowledge within a healthcare environment and testing arena
  • 3-5 years of Microsoft SQL experience specifically using SQL to analyze healthcare data.
  • 3+ years’ experience with QNXT or FACETS
  • 5-10 years in Medicaid IT, including experience with HIPAA code sets and business rules
  • 2+ years’ experience with state Medicaid agencies and/or vendors focusing on analysis or provider, member and claims data.

What should you expect in this role


  • Work remotely within the United States.
  • 10% or less in Travel


The pay range for this position is $65,800.00 - $82,200.00 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 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 committed to a diverse, equitable, and inclusive workplace. We are proud to be 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), sexual orientation, gender identity, gender expression, age, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics. We celebrate diversity and are dedicated to creating an inclusive environment for all employees.

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