Senior Business Analyst - Care and Case Management

Date: Jan 29, 2025

Location:

Lakewood, CO, US, 80227

Req ID: 28908

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 - Care and Case Management 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.

Utilize your Medicaid (Care and case management / prior authorization) experience to support the state of Colorado Medicaid account.

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

BA with minimum of 5 years’ experience eliciting requirements, drafting requirements and managing requirements from initiation to closedown.
Experience with Medical Claims Processing, specifically commercial or Medicaid.
BA must have experience in healthcare systems and managing risk, good communication skills and stakeholder management skills.
Defining and managing scope and client expectations, requirements change management and traceability
BA preferred: experience in case management, LTSS (Long Term Support Services), prior authorization and interfaces, understands data management and mapping.
Experienced Business Analyst with focused Testing Experience and SDLC Processes (multiple methodologies).
Knowledge of basic computer programming concepts such as configuration, development and batch processing
Create and Maintain Business Requirements document. Strong analytical and business process re-engineering skills
Strong written and oral communication and presentation skills to deliver messages to business leaders, clients and technical personnel. Team Player and creative thinker.

Specialized Skills and Experience:

• Software Development Life Cycle experience with (multiple methodologies)
• Requirements Gathering and creating deliverable documentation
• Developing structured user manuals and training
• Visualization modeling
• Business rules modeling
• Develop and executing acceptance test plans.
• Requirement Tracibility
• Experience working with project and change management tools such as Visio Flow, ALM, iTrace, rTrace.
• Experience with SQL queries
• Experience in Health Care/Health Insurance

What you should expect in this role

Fully remote options from Continental US locations only.
Office hours are 8a-5p mountain 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 has been extended until a suitable candidate has been selected.

#LI-HC1

#LI-LTSS

#LI-SDLC

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 committed to a diverse, equitable, and inclusive workplace. We are proud to be 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), sexual orientation, gender identity, gender expression, age, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics. We celebrate diversity and are dedicated to creating an inclusive environment for all employees.