Senior Business Analyst - Medicaid

About the role

Gainwell is a company that solves business challenges and enhances operations. Join us to contribute to our mission of improving the health and well-being of the vulnerable populations we serve.

Responsibilities

• Serve as a lead analyst for complex, multi-system claims and financial processing activities within Gainwell’s DC Medicaid program.
• Develop a deep understanding of end-to-end medical claims and financial processes, including daily, weekly, and monthly operational cycles.
• Analyze data to identify adverse trends, anomalies, and opportunities for improvement.
• Partner closely with supervisors and managers to support operational data analysis, including querying datasets to assist with performance improvement initiatives and special projects.
• Apply analytical and relational database tools—such as Excel, Access, SQL, and requirement-mapping tools such as ALM platforms—to quantify trends, assess impacts, and uncover anomalies.
• Collaborate with other Business Analysts across multiple functional areas and solution components.
• Engage directly with state client stakeholders (DHCF) on data-related issues when needed.

Requirements

• 6+ years of experience as a Business Analyst in the Healthcare Industry; 3+ years of Medicaid or Medicare experience preferred.
• Understanding of computer programming concepts, including configuration, development, and batch processing.
• Advanced proficiency with analytical tools such as Microsoft Excel, Access, SQL, and requirement-mapping tools such as ALM platforms.
• Strong client-facing communication skills with the ability to translate client needs into actionable objectives.
• Strong analytical and business process re-engineering capabilities.
• Executive presence and the ability to communicate effectively with business leaders, clients, and technical teams.

Qualifications

• Master's degree in Business Administration, Information Systems, or a related field.
• Experience with healthcare-specific software and systems.
• Knowledge of Medicaid and Medicare regulations and compliance.
• Experience with data analytics and reporting tools.

Skills

• Data analysis and interpretation.
• Project management and process improvement.
• Client relationship management.
• Technical problem-solving.
• Collaborative teamwork.

Benefits

Gainwell offers a competitive compensation package including a base salary range of $69,400 - $99,200 per year, a standard working hours of 8:00 AM – 5:00 PM EST, remote work environment with occasional travel, and flexible vacation policies. We also provide comprehensive health benefits, a 401(k) employer match, and educational assistance.

Pay

The pay range for this position is $69,400 - $99,200 per year, however, the base pay offered may vary depending on geographic region, internal equity, job-related knowledge, skills, and experience among other factors.

Schedule

This role offers a flexible schedule with standard working hours of 8:00 AM – 5:00 PM EST and occasional travel to Washington, DC or other Gainwell locations as needed.

Application Instructions

To apply, please visit our Careers site and submit your resume and cover letter detailing your relevant experience and qualifications.