Claims Business Analyst

Gainwell Technologies

. Analyze, plan, design, document, and make recommendations to improve business processes supporting clients’ technological aspirations .

Posted 11/2/2026full-timeRemote • Wisconsin • United StatesSeniorLead💰 $86,800 - $124,000 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates extensive experience in business analysis within the healthcare sector, focusing on business process improvement, data analysis, and effective communication with stakeholders. Proficient in utilizing technology solutions to enhance health and human services outcomes.

Highest-signal resume keywords

Business Process ImprovementHealthcare Industry ExperienceAnalytical SkillsMicrosoft Excel ProficiencyClaims Processing Experience

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Business AnalysisData AnalysisProcess ModelingTest Scenario CreationConfiguration KnowledgeDevelopment KnowledgeBatch Processing KnowledgeQuantitative AnalysisRequirements DefinitionTechnical Review Participation

Soft Skills

Problem-Solving SkillsEffective Communication

Industry Keywords

MedicaidMedicareHealth ServicesHuman ServicesStakeholder Engagement

About the role

Key responsibilities & impact

Analyze, plan, design, document, and make recommendations to improve business processes supporting clients’ technological aspirations
Serve as a bridge between clients, project managers, and technical personnel
Define, track, and communicate business requirements and their expected impact
Build basic conceptual data and process models
Create, execute, or analyze basic test scenarios to verify client requirements are incorporated into system design
Participate in technical reviews and inspections to ensure the intent of change is carried out through every project phase
Help clients deliver better health and human services outcomes using innovative technology and solutions

Requirements

What you’ll need

9+ years of Business Analyst experience within the Healthcare Industry
Medicaid and Medicare experience preferred
Strong analytical and problem-solving skills
Experience in business process improvement and re-engineering
Proficiency in Microsoft Excel, including quantitative analysis and data-driven decision making
Knowledge of programming concepts, including configuration, development, and batch processing
Hands-on Claims and Encounter Processing experience across multiple claim types
Ability to communicate effectively with business and technical stakeholders
Willingness to work a flexible schedule to accommodate business needs and travel as required
Video cameras must be used during all interviews and the initial week of orientation

Benefits

Comp & perks

Work flexibility
Learning and career development
Technical credentials and certifications
Generous, flexible vacation policy
Educational assistance
Leadership and technical development academies
401(k) employer match
Comprehensive health benefits
Opportunities to travel through work (0–10%)