Senior Business Analyst - Benefit Plan Administration

Summary

As a Senior Business Analyst - Benefit Plan Administration 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. 

We are looking for a professional with solid experience with Medicaid/Medicare specifically in the Claims/Reference area with excellent communication and research skills. This candidate will work in a fast-paced environment with tight deadlines for deliverables to the client.

Here are the details on this position.

Your role in our mission

Play a critical part in ensuring Gainwell is meeting our clients’ objectives in important areas.

• Help coordinate a business analyst team’s duties and activities on IT projects and nurture newer team members by providing guidance and support
• Be a knowledgeable bridge between clients, project managers and technical staff to define, document and share business requirements and expected impact 
• Work with the client to develop business specs at the start of a technical project
• Analyze, plan, design, document or make recommendations to improve business processes to support client’s technology goals
• Help verify that all requirements have been met by approving and validating test results    
• Exercise your ability to use basic analytical or relational database software — such as Excel or SQL — to quantify the anticipated impact of work

What we're looking for

• 6+ years of experience as a Business Analyst in the Healthcare industry including 5+ years of Medicaid and Medicare experience (required) 
• Experience documenting requirements for claims, reference, and Benefits Plan Administration (BPA) areas
• Experience with claims testing
• Knowledge of how edits and audits work and how to configure them
• Knowledge of computer programming concepts such as configuration, development, and batch processing
• Advanced proficiency in analytical tools such as Microsoft Excel, SQL, and requirement-mapping tools (e.g., ALM)
• Strong analytical and business process re-engineering skills

Professional Strengths

• Strong problem-solving skills
• Ability to work independently and collaboratively in team environments
• Strong client communication skills, with the ability to translate needs into actionable objectives
• Strong executive presence and communication skills, effectively delivering messages to business leaders, clients, and technical teams
• Proven leadership ability, motivating others to action and simplifying complex technical concepts

What you should expect in this role

• Fully remote opportunity from Contiguous US locations
• Video cameras (without background filters) must be used during all interviews, as well as during the initial week of orientation
• Office Hours for this position: 8a-5p Central time zone

• The deadline to submit applications for this posting is June 25, 2026.

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