Advisor Business Analyst - Member Eligibility

Summary

As an Advisor Business Analyst - Member Eligibility 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

Take charge and focus on how we can meet critical needs to help clients deliver better health and human services outcomes. 

• Coordinate workstreams and teams on IT projects to align solutions with client business priorities  
• Demonstrate your knowledge as SME and liaison for clients and internally between technical and non-technical workers to transform requirements into real results
• Delegate work across teams, and coach and monitor project team members to plan, design and improve complex business processes and modifications 
• Streamline workflows across clients and technical personnel to determine, document and oversee carrying out system requirements
• Support quality control as you approve and validate test results to verify that all requirements have been met

What we're looking for

• 10+ years of experience in a relevant Business Analyst position
• 8+ years of State-level Medicaid experience with Member Eligibility and Claims Payments
• Demonstrated ability to articulate knowledge of Medicare, Medicaid and LTSS Programs and Services
• Demonstrated ability to interpret high level requirements and translate them into detailed functional, technical specifications and Testable Systems Requirements
• Demonstrated ability to develop, execute and direct Medicaid Systems Testing
• Demonstrated experience in Client Facing roles for Systems Development and Testing Activities
• Strong client communication skills, including the ability to translate customer requests and State Health Policies into actionable objectives
• Polished executive presence and communication skills to deliver messages to business leaders, clients and technical personnel
• Leadership to train, guide and mentor the work of junior colleagues
• Experience in performing requirements traceability management (RTM)
• Advanced Excel capabilities (e.g., ability to create and use pivot tables)
• Proficiency in Word, Excel, PowerPoint, ALM and AI
• Technical writing skills

Preferred skills and experience

• 3+ years of experience supporting or working within Healthcare Case Management
• 3+ years of experience supporting or working within Medicaid Provider Management, Managed Care or Financial areas
• Proficiency in Visio
• PowerBI

What you should expect in this role

• Fully remote options from continental US locations only
• 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 11, 2025

#LI-HC1

#LI-Medicaid Member Eligibility 

#LI-Medicaid Long-Term Services and Supports (LTSS)