Senior Business Analyst – Medicaid Claims, Eligibility

Gainwell Technologies

. Coordinate a business analyst team’s duties and activities on IT projects .

Posted 10/6/2026full-timeRemote • United StatesSenior💰 $69,400 - $99,200 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in business analysis, particularly in Medicaid claims processing and eligibility operations, while effectively communicating with clients and stakeholders. Proficient in utilizing advanced Excel and SQL for data analysis and business process improvement.

Highest-signal resume keywords

Business AnalysisMedicaid Claims ProcessingAdvanced ExcelSQLBusiness Process Re-engineering

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Business Requirements GatheringBusiness Process ModelingAnalytical SkillsConfigurationDevelopmentBatch ProcessingRequirement-Mapping ToolsDocumentationValidationProcess Improvement

Soft Skills

Client CommunicationCritical ThinkingProblem-SolvingExecutive PresenceTeam Guidance

Tools & Technologies

Application Lifecycle Management (ALM) ToolsMicrosoft WordMicrosoft Excel

Industry Keywords

Healthcare InitiativesMedicaid ProgramsEligibility OperationsClaims Processing

Tech Stack

Tools & technologies

SQL

About the role

Key responsibilities & impact

Coordinate a business analyst team’s duties and activities on IT projects
Nurture newer team members by providing guidance and support
Serve as a bridge between clients, project managers, and technical staff
Define, document, and share business requirements and expected impact
Develop business specifications with clients at the start of technical projects
Analyze, plan, design, document, or recommend improvements to business processes
Support clients’ technology goals through process improvement
Verify requirements have been met by approving and validating test results
Use Excel or SQL to quantify anticipated business impact
Support critical healthcare initiatives involving Medicaid programs, claims, and eligibility operations

Requirements

What you’ll need

6 or more years of experience in a relevant Business Analyst position
3 or more years of Medicaid and Medicare experience preferred
Experience in Medicaid claims processing and eligibility business functions strongly preferred
Knowledge of computer programming concepts such as configuration, development, and batch processing
Advanced knowledge of Microsoft Excel or SQL
Experience with requirement-mapping tools such as Application Lifecycle Management (ALM) tools
Strong client communication skills
Strong analytical, business process re-engineering, and business process modeling skills
Ability to gather, elicit, analyze, document, and validate business requirements
Strong critical thinking and problem-solving capabilities
Strong executive presence and communication skills
Proficiency with Microsoft Word and Microsoft Excel required on day one
Ability to learn client-specific systems, applications, and business process tools
Video cameras must be used during all interviews and the initial week of orientation
Photo will be taken during screening for verification in all steps of the recruitment process
Must join screenings, interviews, and meetings from a quiet location with stable internet
Video is required for screenings and interviews
Do not use AI tools, virtual backgrounds/filters, or visual enhancements during the interview

Benefits

Comp & perks

Work flexibility
Learning and career development
Generous, flexible vacation policy
401(k) employer match
Comprehensive health benefits
Educational assistance
Leadership and technical development academies
Video cameras and stable internet support for interviews and orientation (requirements rather than compensation)