JobCubby JobCubby
Sign up
Gainwell Technologies LLC

Business Analyst (Provider)

Gainwell Technologies LLC Bangalore South, Karnataka, India

IT Services and IT Consulting · 10,001+ employees

13 h ago
Remote business-analyst Senior (5-10 yrs) Full-time India
Create a free account to apply — email only, no card. You can also save this posting or score it against your profile with AI.

About the role

The Business Analyst will bridge the gap between clients and technical teams to define, document, and validate business requirements for healthcare technology projects. They will also lead quality initiatives, perform fit/gap analysis, and ensure developed products meet client needs.

What they look for

Business Analysis Requirements Gathering SQL Managed Care Claims Adjudication Medicaid Medicare Data Quality Fit/Gap Analysis Microsoft Excel Technical Documentation Test Planning Stakeholder Management Process Improvement Provider Data

Requirements

Candidates must have 6+ years of experience in business analysis within healthcare sectors like Medicaid, Medicare, or managed care. Strong SQL skills, proficiency in Microsoft Office, and the ability to create detailed design documents and test plans are required.

Full description

Summary

As a Business Analyst 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. Here are the details on this position.

This role is strictly involved in business analysis, requirements gathering and does not involve direct access to Protected Health Information (PHI), Personally Identifiable Information (PII), or any secured or confidential client data. The work is limited to provider data business analysis and does not include handling or processing of sensitive health or personal information.

Your role in our mission

  • Play a critical part in ensuring Gainwell is meeting our clients’ objectives in important areas.
  • Prioritize and execute with specialized team of business analysts driving advanced quality initiatives, lead IT projects moving data quality upstream, and nurture newer team members by providing guidance.
  • Be a knowledgeable bridge between clients and technical team to define, document and share business requirements and expected impact
  • Work with the internal and external stakeholders to define key specifications and business outcomes at the start of a technical project
  • Analyse, plan, design, document or make recommendations to improve business/Quality processes to support client’s technology goals
  • Help verify that all requirements have been met by approving and validating test results
  • Research business objectives and data requirements of client to ensure that developed product meet client needs.

Communicates with clients about data-related discrepancies and other matters of significance to ascertain information and correct errors

What we're looking for

  • 6+ years of experience in Business Analyst, Managed care, Provider, Claims adjudication, Medicaid or Medicare.
  • At least 2-3 years working experience in Managed care Module.
  • 6+ years of business functional experience in one or more areas such as Eligibility, Claims, Provider.
  • Strong SQL knowledge. Ability to write complex queries.
  • Ability to gather requirements effectively; document requirements and confirm observations with business owners. Also, to perform fit/gap analysis based on requirements.
  • Experience using Microsoft Office Tools, specifically Excel.
  • Ability to create detailed and thorough design documents and test plans/execution for medium to large initiatives.
  • Being able to research, analyze, validate and document business requirements.

What you should expect in this role

  • Remote opportunity
  • 2 PM to 11 PM IST work timing

Similar roles