Sr Business Analyst

1 week ago

Bengaluru, Karnataka, India Gainwell Technologies Full time

Gainwell Technologies is the leading provider of technology solutions that are vital to the administration and operations of health and human services programs. We are a new company (divested from DXC Technologies) with over 50+ years of proven experience, a reputation for service excellence and unparalleled industry expertise with approximately $1+ billion dollars of revenue, ~8,000+ employees who support clients across 41 U.S. states and territories with offerings including Medicaid Management Information Systems (MMIS), fiscal agent services, program integrity, care management, immunization registry and eligibility services. We offer our clients scalable and flexible solutions for their most complex challenges.

These capabilities make our company a trusted partner for organizations seeking reliability, innovation and transformational outcomes. About 49M Medicaid beneficiaries are being supported. 1.3B immunization records are maintained by engaging 3.0 M providers. Our commitment to clients, drives continuous improvement in the quality of healthcare for beneficiaries nationwide through vital healthcare technology.

Summary

The primary responsibility of a Sr. Business Analyst (QNXT/Facets) is to analyze and document business processes, gather and define requirements, and collaborate with stakeholders to ensure the successful implementation of solutions that meet the unique challenges and requirements of the healthcare industry. The successful candidate will be an intellectually curious, self-directed individual with excellent organizational skills and attention to detail. This role is highly collaborative in nature providing support for IT and business teams. Performs complex analyses of State Medicaid Policies, and Legacy System business rules from data extracts.

Qualifications

  • Bachelor's degree or equivalent combination of education and experience.
  • 8+years of experience years of business analysis experience
  • Openly and actively communicates information and takes initiative to communicate extensively.
  • Experience configuring in QNXT or FACETS:

Contracts/benefits.

System data points needed for successful X12 transactions, Claim Adjustment Reason

Codes and Remittance Advice Code.

  • Contracts for provider services, benefits for member coverage, fee schedules, capitation, and claim editing enforcement.
  • Understands Medicaid Program structure in carriers, programs, benefit plans, policy, policy plans, sponsor, and or policies.
  • Understands Provider (Contract and Pricing) data including but not limited to provider type, specialty, taxonomy, enrolment impacts, service locations, certifications and licensing, affiliations, and reimbursement impacts.
  • Understands Member data including but not limited to aid categories, coverage codes, benefit packages, restrictions, limitations, prior authorizations, programs, and primary care providers.
  • Experience with Configuration Implementation Build & Maintenance.
  • Experience working with complex systems at a detailed level.
  • Experience working in a virtual team environment performing self-directed tasks.
  • Understands relational database concepts and schemas.
  • Experience writing SQL queries for data analysis.
  • Experience working with Medicaid/MMIS systems.

  • Sr Business Analyst

    2 months ago

    Bengaluru, Karnataka, India timesjobs Full time

    SALARY: 5 to 7 lakhsLOCATION:Bangalore, Bengaluru, Karnataka, IndiaVACANCIES: 1QUALIFICATION:Any graduateMALE/FEMALE:Male/FemaleEXPERIENCE: 3 to 6 yearsJOB DETAILSProficient in other analytical tools (e.g. Google Analytics), Advance Excel. Google Sheets, PowerPoint etc.Experience in doing analytics for mobile apps is a must.Experience with tools used in the...

  • Sr Business Analyst

    3 weeks ago

    Bengaluru, Karnataka, India timesjobs Full time

    SALARY: 5 to 7 lakhsLOCATION:Bangalore, Bengaluru, Karnataka, IndiaVACANCIES: 1QUALIFICATION:Any graduateMALE/FEMALE:Male/FemaleEXPERIENCE: 3 to 6 yearsJOB DETAILSProficient in other analytical tools (e.g. Google Analytics), Advance Excel. Google Sheets, PowerPoint etc.Experience in doing analytics for mobile apps is a must.Experience with tools used in the...

  • Sr. Business Analyst

    1 week ago

    Bengaluru, Karnataka, India Bastian Solutions Full time

    Job Title Sr. Business Analyst Alternate Locations Salarpuria Sattva Magnificia, No. 78, Tin Factory Old Madras Rd, Dooravani Nagar,, Bangalore, IND-KA Full-time/Part-time Full-time Job Description Job Title : Sr. Business Analyst Location : Narasapura, Bangalore, KA Summary: The Sr. Business Analyst will be responsible for supporting our...

  • Jobs For Sr. Business Analyst-Reputed Business Consulting Industry-Bangalore, Bengaluru, Karnataka, India-6 Lakhs-Vandana

    1 week ago

    Bengaluru, Karnataka, India Seven Consultancy Full time

    JOB DETAILS 1. Proficient in other analytical tools (e.g. Google Analytics), Advance Excel. Google Sheets, PowerPoint etc.Experience in doing analytics for mobile apps is a must.Experience with tools used in the digital industry like Google Analytics, ComScore, Apsalar, App Annie, SimilarWeb, Mailchimp etc. is a must haveExcellent academic credentials in...

  • Jobs For Sr. Business Analyst-Reputed Data Analytics Industry-Bangalore, Bengaluru, Karnataka, India

    1 week ago

    Bengaluru, Karnataka, India Seven Consultancy Full time

    JOB DETAILSProficient in other analytical tools (e.g. Google Analytics), Advance Excel. Google Sheets, PowerPoint etc.2. Experience in doing analytics for mobile apps is a must.3. Experience with tools used in the digital industry like Google Analytics, ComScore, Apsalar, App Annie, SimilarWeb, Mailchimp etc. is a must have4. Excellent academic credentials...

  • Sr Business Analyst

    1 month ago

    Bengaluru, Karnataka, India timesjobs Full time

    Sr. Business Analyst - Business Analysis EDI JobDate: Apr 13, 2024Job Requisition Id: 56558Location:Hyderabad, TG, INPune, MH, INPune, INIndore, INBangalore, KA, INBangalore, KA, INIndore, MP, INYASH Technologies is a leading technology integrator specializing in helping clients reimagine operating models, enhance competitiveness, optimize costs, foster...

  • Sr Business Analyst

    3 weeks ago

    Bengaluru, Karnataka, India timesjobs Full time

    Sr. Business Analyst - Business Analysis EDI JobDate: Apr 13, 2024Job Requisition Id: 56558Location:Hyderabad, TG, INPune, MH, INPune, INIndore, INBangalore, KA, INBangalore, KA, INIndore, MP, INYASH Technologies is a leading technology integrator specializing in helping clients reimagine operating models, enhance competitiveness, optimize costs, foster...

  • Sr Payroll Analyst

    2 months ago

    Bengaluru, Karnataka, India TIBCO Software India Pvt Ltd Full time

    Apply for Sr Payroll Analyst, Career Progress Consultants in Bengaluru/ Bangalore for 2 - 5 Year of Experience on

  • Sr Research Analyst

    1 month ago

    Bengaluru, Karnataka, India SEVEN CONSULTANCY Full time

    Apply for Sr Research Analyst, Career Progress Consultants in Bengaluru/ Bangalore for 2 - 5 Year of Experience on

  • Sr Payroll Analyst

    3 weeks ago

    Bengaluru, Karnataka, India TIBCO Software India Pvt Ltd Full time

    Apply for Sr Payroll Analyst, Career Progress Consultants in Bengaluru/ Bangalore for 2 - 5 Year of Experience on

  • Sr Research Analyst

    3 weeks ago

    Bengaluru, Karnataka, India SEVEN CONSULTANCY Full time

    Apply for Sr Research Analyst, Career Progress Consultants in Bengaluru/ Bangalore for 2 - 5 Year of Experience on

  • Sr Business Analyst

    1 week ago

    Bengaluru, Karnataka, India Gainwell Technologies Full time

    Gainwell Technologies is the leading provider of technology solutions that are vital to the administration and operations of health and human services programs. We are a new company (divested from DXC Technologies) with over 50+ years of proven experience, a reputation for service excellence and unparalleled industry expertise with approximately $1+ billion...

  • Sr. Business Analyst

    1 week ago

    Bengaluru, Karnataka, India Gainwell Technologies LLC Full time

    Summary As a Sr. Business Analyst (Business Process Modeling / Training) 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...

  • IT Business Analyst

    1 week ago

    Bengaluru, Karnataka, India Orange Business Services Full time

    about the role Lead Business Analyst - Telecom Engage with business stakeholders from various parts of the company (Sales, Sourcing, Marketing, Legal, etc.) to gather business requirements for IT systems, IT integration and process automation Analyse business requirements and work with other analysts and systems architects to define innovative...

  • Designation Business Analyst

    2 months ago

    Bengaluru, Karnataka, India timesjobs Full time

    Designation Business Analyst / Sr Business Analyst Liquidity Job Description o 5-12 years of functional experience in Liquidity risk, regulatory reporting change Management roleso Preferred experience with Moodys Fermat/Risk Authority risk calculation and reporting engineo Knowledge of Basel Liquidity regulations and good understanding of financial risko...

  • Designation Business Analyst

    1 week ago

    Bengaluru, Karnataka, India timesjobs Full time

    Designation Business Analyst / Sr Business Analyst Liquidity Job Description o 5-12 years of functional experience in Liquidity risk, regulatory reporting change Management roleso Preferred experience with Moodys Fermat/Risk Authority risk calculation and reporting engineo Knowledge of Basel Liquidity regulations and good understanding of financial risko...

  • Designation Business Analyst

    3 weeks ago

    Bengaluru, Karnataka, India timesjobs Full time

    Designation Business Analyst / Sr Business Analyst Liquidity Job Description o 5-12 years of functional experience in Liquidity risk, regulatory reporting change Management roleso Preferred experience with Moodys Fermat/Risk Authority risk calculation and reporting engineo Knowledge of Basel Liquidity regulations and good understanding of financial risko...

  • Sr SAP Systems Analyst

    2 months ago

    Bengaluru, Karnataka, India insight technology Full time

    Apply for Sr SAP Systems Analyst, Career Progress Consultants in Bengaluru/ Bangalore ,Gurgaon for Year of Experience on

  • IT Business Analyst

    1 week ago

    Bengaluru, Karnataka, India Orange Business Services Full time

    about the roleLead Business Analyst - TelecomEngage with business stakeholders from various parts of the company (Sales, Sourcing, Marketing, Legal, etc.) to gather business requirements for IT systems, IT integration and process automationAnalyse business requirements and work with other analysts and systems architects to define innovative system...

  • Sr. Analyst Credit Admin

    1 week ago

    Bengaluru, Karnataka, India Société Générale Assurances Full time

    Sr. Analyst Credit Admin - FIG Permanent contract|Bangalore|Asset Management Sr. Analyst Credit Admin - FIG Bangalore, India Permanent contract Asset Management Responsibilities MAIN ACCOUNTABILITIES Credit file: · Prioritization of the annual review and follow up, · Collect the credit limits and exposure for each insurer by liaising...