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Intermediate Business Analyst - QNXT and Medicaid

Date:  Jun 19, 2022

Dublin, OH, US, 43017-7565

Req ID:  10962


Gainwell is the leading provider of technology services and solutions that are vital to the administration of health and human service programs. We're a relatively new company, formed in October 2020, but we have been serving state and local clients for decades and have solution offerings in 50 states and territories. We have been serving one of our state clients for over 40 years and several states for more than 20 years!

We are looking for someone with Medicaid, SQL experience.

Essential Job Functions

  • Assists in planning and designing business processes; assists in formulating recommendations to improve and support business activities.
  • Assists in analyzing and documenting client's business requirements and processes; communicates these requirements to technical personnel by constructing basic conceptual data and process models, including data dictionaries and volume estimates.
  • Assists in creating basic test scenarios to be used in testing the business applications in order to verify that client requirements are incorporated into the system design.
  • Assists in developing and modifying systems requirements documentation to meet client needs.
  • Participates in meetings with clients to gather and document requirements and explore potential solutions. 

Basic Qualifications

  • Three or more years of business analysis experience
  • Experience coding SQL queries for data analysis as well as both SDLC and Agile methodologies and understands relational database concepts and schemas
  • Experience working with Medicaid/MMIS processing claims and ability to trouble shoot adjudication results including Third Party Liability (member enrollments, TPL configuration, and TPL recovery) using Requirement Traceability Matrix
  • Preferred experience includes DDI (Design, Development, Implementation) and operations phases and configuring contracts/benefits in QNXT or FACETS.
  • Experience creating test cases from functional requirements, executing test cases, and documenting results

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