Early Career Operations Business Analyst

Date: Sep 17, 2025

Location:

Any city, WV, US, 99999

Req ID: 32119

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

We are seeking a highly motivated and detail-oriented Operations Business Analyst to join our team. This position is responsible for the daily posting and accounts receivable (AR) reconciliation of medical payments to claims, based on both paper and electronic Explanation of Benefits (EOBs) from insurance carriers. The analyst will correct errors, modify posting issues, and generate monthly invoices based on claims processed during the reporting period.

This role requires strong problem-solving skills, the ability to work independently in a remote environment, and experience in healthcare claims. The ideal candidate will be comfortable navigating complex systems and processes and have a deep understanding of medical and pharmacy claims adjudication, Medicaid reclamation, and healthcare payment cycles.

Your role in our mission

Process and reconcile medical and pharmacy claim payments from paper and electronic sources, ensuring accuracy and resolving discrepancies.
Analyze and resolve posting errors; generate and review reconciliation reports to identify trends and anomalies.
Collaborate with client engagement teams to gather business requirements and translate them into actionable documentation for technical teams.
Design and improve standard business processes; support system documentation and invoicing using tools like PeopleSoft Finance and FTP protocols.
Maintain audit-ready documentation and work independently in a remote environment while meeting deadlines and service level agreements (SLAs).

What we're looking for

1-3 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. Experience with FTP protocols and secure file transfer.
Strong critical thinking and problem-solving skills; able to troubleshoot independently.
Excellent written and verbal communication skills and strong attention to detail and organizational skills.

What you should expect in this role

Remote Opportunity
The deadline to submit applications for this posting is 9/30/2025.
Video cameras must be used during all interviews, as well as during the initial week of orientation.

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The pay range for this position is $41,500.00 - $59,300.00 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.