Senior Business Analyst - Prior Authorization

Summary

As a Senior Business Analyst - Prior Authorization 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.

This Senior Business Analyst – Prior Authorization role at Gainwell is a client-facing position focused on leading business analysis efforts for IT projects, with a strong emphasis on healthcare and prior authorization processes. The role involves bridging the gap between business needs and technical solutions, guiding team members, and using tools like Excel and SQL to improve systems that support our clients’ most critical services.

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 or more years of experience in a relevant Business Analyst position.
• Preferred experience with Prior Authorization (PA) processes and/or Business Process Automation (BPA) systems.
• Knowledge of computer programming concepts such as configuration, development and batch processing
• Advanced knowledge in analytical software such as Microsoft Excel or SQL and other requirement-mapping tools such as Application Lifecycle Management (ALM) tools
• Strong client communication skills translating client needs to actionable objectives
• Strong analytical and business process re-engineering skills
• Strong executive presence and communication skills to deliver messages to business leaders, clients and technical personnel
• A leader who motivates others to action and communicates key technical ideas in a digestible way

What you should expect in this role

• Fully remote opportunity with the option to work anywhere within the 48-Contiguous United States
• Opportunities to travel through your work (0-10%)
• Willingness to work a flexible schedule to accommodate business needs and travel as required
• Video cameras must be used during all interviews, during the initial week of orientation, and all client meetings.

• The deadline to submit applications for this posting is October 10, 2025