Senior Business Analyst - Healthcare EDI

Date: Dec 10, 2025

Location:

Any city, IN, US, 99999

Req ID: 33925

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 Senior Business Analyst - Healthcare EDI 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

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

Demonstrating specific and in-depth knowledge of ANSI X12 transactions to support accurate and efficient data exchange.
Applying expertise in WEDI SNIP edits to ensure compliance and data integrity.
Effectively working within a trouble ticket application to resolve trading partner questions and issues promptly.
Being self-motivated and capable of working independently with minimal supervision.
Exhibiting excellent verbal and written communication skills for clear and professional interactions.
Building and maintaining positive, effective work relationships with coworkers, clients, members, providers, and customers.
Maintaining confidentiality and ensuring compliance with HIPAA regulations.
Troubleshooting EDI files and issues with precision and efficiency.
Leveraging analytical and creative problem-solving skills to address complex challenges.

What we're looking for

6 or more years of experience in an Healthcare EDI Business Analyst position with 3 or more years of Medicaid and Medicare experience
Must possess a strong proven, hands-on experience and understanding of the Healthcare EDI X12N transactions formats that govern healthcare Electronic Data Interchange (EDI).
In depth knowledge of and experience with HIPAA/EDI X12 5010 healthcare-related transactions including 270-271, 276-277,277CA,277U, 278, 820, 834, 835, 837, 999, 824, and 277CA including NCPDP D.0
Expert with commonly used EDI concepts, practices, and procedures within a healthcare field
Medicaid domain knowledge
Knowledge of industry standard health data code sets such as ICD-9/ICD-10, CPT/HCPCS, revenue codes
4 or more years of experience providing technical support for ANSI X12 trading partners
Experience with ITXA or EDIFECS Suite is a plus.

What you should expect in this role

Fully remote options from continental US locations only
Ability to work 8a-5p eastern time.
Video cameras must be used during all interviews, as well as during the initial week of orientation
The deadline to submit applications for this posting is December 18, 2025

#LI-HC1

#LI-Healthcare EDI

#LI-Medicaid

The pay range for this position is $69,400.00 - $99,200.00 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 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.