Business Analyst – Medicaid Buy-In Operations

. Answer Buy-In calls about coverage, benefits, enrollment, and eligibility .

Posted 10/17/2026full-timeRemote • Kansas • United StatesMid-LevelSenior💰 $55,600 - $79,400 per yearWebsite

Key responsibilities & impact

Answer Buy-In calls about coverage, benefits, enrollment, and eligibility
Explain Medicare Parts A and B, Medicare Savings Programs, and Medicaid Buy-In benefits
Research and resolve coordination-of-benefits, eligibility, coverage, and enrollment issues
Document inquiries, findings, and resolutions according to procedures
Coordinate with members, state agencies, CMS, health plans, and internal teams
Interpret Medicare and Medicaid policies to resolve inquiries
Identify trends and process improvement opportunities
Help develop requirements, procedures, and training materials
Comply with HIPAA, CMS regulations, and Gainwell policies
Support Medicare Buy-In operations and help Medicare-eligible members with coverage, eligibility, enrollment, and Buy-In questions

What you’ll need

Bachelor’s degree or equivalent experience
At least 3 years of experience in Medicare, Medicaid, healthcare eligibility, enrollment, member services, or operations
Experience discussing healthcare coverage with members, beneficiaries, providers, or customers
Strong knowledge of Medicare Parts A and B, Medicare Savings Programs, and Medicaid
Excellent communication, customer service, analytical, and problem-solving skills
Ability to explain complex healthcare information clearly and professionally
Proficiency in Microsoft Office and healthcare systems
Medicare Buy-In program experience preferred
Knowledge of CMS regulations, Medicare eligibility, and Medicare Savings Programs (QMB, SLMB, QI, QDWI) preferred
Experience with state Medicaid agencies or government healthcare programs preferred
Call center, member services, or beneficiary support experience preferred
Fully remote options from most US locations and territories
Video cameras must be used during all interviews and during the initial week of orientation
Photo will be taken during screening for verification in all steps of the recruitment process
Stable internet connection and quiet location required for screenings, interviews, and meetings
Video required for screenings and interviews

Comp & perks