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Expert Domain Lead - Provider+

Date:  Jul 1, 2026
Location: 

Any city, MD, US, 99999

Req ID:  35814
Work Mode:  Virtual (Exception only)

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.

 

Summary

As a Expert Domain Lead - Provider+ 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.

 

The Expert Domain Lead - Provider+ plays a critical role in supporting technical execution for MMIS Medicaid Management Information Systems (MMIS) and/or the Medicaid Pharmacy environment. This role provides hands‑on technical analysis, SQL development, data validation, integration support, and system troubleshooting across one or more functional domains, including Member, Provider, Claims (Medical, Dental, and/or Pharmacy), Utilization Management, Prior Authorization, Finance, and Plan/Care Management.

Working closely with Business Analysts (BAs), Configuration Analysts (CAs), conversion teams, and QA, the Technical Analyst ensures solutions are technically sound, data‑driven, scalable, and aligned with system architecture. This role supports solution design, technical documentation, data setup, testing, performance tuning, and issue resolution throughout the Software Development Life Cycle (SDLC).

Your role in our mission

Technical Analysis & Data Expertise

Develop and optimize complex SQL queries, views, and stored procedures to support analysis, reporting, validation, and defect resolution. Conduct deep data analysis and root-cause investigations to troubleshoot system and production issues. Extract, reconcile, and validate data across environments for solutioning, testing, and QA. Support performance tuning by analyzing queries, execution plans, batch jobs, and system throughput. Perform smoke testing and post-release validation to ensure data integrity and system stability.

Data, Conversion & Integration Support

Partner with data conversion teams on migration planning, data loads, reconciliation, and validation. Ensure converted data is accurate, complete, and aligned with business and policy intent. Validate configuration syncs (e.g., Redgate) across environments. Analyze and reconcile interface outputs, extracts, reports, and feeds. Validate X12 EDI transactions (834, 837, 835, 820, 999/277) for structure, content, and outcomes. Manage reference data and standard code sets, investigating discrepancies.

Solution Design & Technical Validation

Translate business requirements into technical specifications and solution models in collaboration with Business Analysts. Utilize Data Element Dictionaries (DEDs) to understand structures and dependencies. Document data flows, integrations, and system relationships. Conduct feasibility analysis to identify constraints, impacts, and dependencies. Contribute technical insight in design workshops and present risks, impacts, or gaps to governance forums (ARB, CCB).

Testing & Deployment Support

Support SIT, UAT, parallel, and performance testing by validating data and system behavior. Assist with test data setup, environment readiness, validation scripts, and reconciliation. Analyze and resolve defects related to data, configuration, interfaces, and performance. Support deployments, cutover, hypercare, and post-production issue resolution.

Collaboration & Leadership

Act as a technical liaison across Business Analysts, developers, QA, configuration, conversion teams, and operations. Clearly communicate findings, risks, and resolutions. Collaborate on data mappings and validation with configuration teams. Mentor junior analysts on SQL, data standards, troubleshooting, and documentation. Lead sub-tracks within technical workstreams as needed.

Expected Outcomes

Deliver accurate, actionable data insights supporting design and testing decisions. Produce clear documentation of data flows, integrations, and dependencies. Provide timely support for data validation and remediation across the SDLC. Foster strong cross-functional collaboration and alignment.

What we're looking for

  • Bachelor’s degree in Computer Science, Information Systems, Health Informatics, or a related field (or equivalent experience).
  • 12+ years of experience as a Technical Analyst, Data Analyst, or Healthcare Systems Analyst.
  • Advanced SQL skills, including complex joins, transformations, large dataset analysis, and stored procedures.
  • Experience supporting MMIS, Medicaid, or Medicaid Pharmacy systems.
  • Strong understanding of healthcare data and Medicaid domains (Member, Provider, Claims, Pharmacy, Finance, Care Management).
  • Experience with data analysis, troubleshooting, and validating technical outputs.
  • Strong analytical, documentation, and communication skills.
  • Experience working in SDLC and Agile delivery environments.

What sets you apart

Preferred Skills

  • Hands‑on experience with QNXT or similar healthcare claims/encounter management platforms.
  • Familiarity with Data Element Dictionaries (DEDs), interface specifications, and integration design.
  • Experience validating X12 EDI transactions and healthcare interfaces.
  • Experience supporting data conversion, reconciliation, and parallel testing.
  • Exposure to cloud platforms (AWS, Azure, or Google Cloud).

What you should expect in this role

  • Fully remote options from continental US locations only
  • Video cameras must be used during all interviews, as well as during the initial week of orientation
  • This posting is intended for pipelining. This is a developing position therefore the job description is subject to change.

     

    #LI-HC1

    #LI-MMIS

    #LI-QNXT

    #LI-Data Element Dictionaries (DEDs)

 

The pay range for this position $108,500 - $155,000 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.

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