Senior Business Analyst (Medicaid Programs)

Summary

As a Senior Business Analyst (Medicaid Programs) at Gainwell, you will serve as the functional lead supporting Wisconsin's Children's Long-Term Support (CLTS) program. This role requires a highly organized, self-directed lead BA who can independently manage a portfolio of maintenance activities and projects while serving as the primary liaison between Wisconsin DHS, business stakeholders, project teams, and technical resources for the CLTS Functional Area.

Your role in our mission

Play a critical role in supporting Wisconsin's Children's Long-Term Support (CLTS) program and ensuring Gainwell continues to meet client objectives in a complex Medicaid environment.

• Serve as the Functional Area Business Lead for CLTS and act as the primary business analysis point of contact for assigned initiatives.
• Lead and coordinate operational initiatives, maintenance activities, enhancements, change requests, and project-related work from initiation through implementation and closure.
• Coordinate business analysis activities across business stakeholders, project managers, developers, testers, operations teams, and client representatives while serving as the primary bridge between business and technical teams to define, document, communicate, and validate requirements and solution outcomes.
• Facilitate requirements elicitation sessions, business process reviews, solution discussions, stakeholder meetings, and client-facing presentations.
• Own and manage a portfolio of operational work, maintenance activities, and projects, ensuring accurate status tracking, timely progression through established lifecycles, resolution of blockers, and proactive communication of risks and dependencies.
• Analyze and improve business processes to support operational efficiency, regulatory compliance, and client objectives.
• Verify business requirements have been met by supporting testing activities, validating outcomes, and obtaining appropriate stakeholder approvals.
• Provide guidance, mentoring, workload coordination, and leadership to staff supporting CLTS initiatives.
• Contribute to process improvements, operational standards, training materials, knowledge management, onboarding activities, and continuous improvement efforts.
• Utilize analytical tools, reporting solutions, and data analysis techniques to support business decisions and evaluate solution impacts.

What we're looking for

• 8+ years of experience as a Business Analyst, Business Lead, Functional Lead, Product Owner, or similar role supporting complex technology initiatives.
• 5+ years of experience in Medicaid, healthcare, government programs, or other highly regulated environments.
• Proven experience managing work throughout the full project lifecycle, including requirements gathering, enhancements, maintenance, defect resolution, testing, implementation, configuration, change management, and production support.
• Experience creating, reviewing, and validating business requirements, business process documentation, test scenarios, solution deliverables, and project communications while maintaining accurate stakeholder awareness.
• Strong analytical and problem-solving skills, including experience using Excel, SQL, reporting tools, and data analysis techniques to support decision-making and identify process improvement opportunities.

What you should expect in this role

• Remote options available from 48 contiguous U.S. states only.
• Video cameras must be used during all interviews as well as all internal and external meetings once hired.
• Core working hours are 7:30 AM - 4:30 PM Central Time.
• The deadline to submit applications for this posting is November 4, 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.