Strategic Business Consultant

3 weeks ago


Chennai, Tamil Nadu, India Gainwell Technologies Full time

About the Role

Summary

As a Sr. Business Analyst at Gainwell Technologies, you will analyze and document business processes, gather and define requirements, and collaborate with stakeholders to deliver solutions that meet the complex challenges of the healthcare industry.

Key Responsibilities

  1. Analyze and document business processes to identify areas for improvement and develop strategies for implementation.
  2. Gather and define requirements from stakeholders, including IT and business teams, to ensure successful solution implementation.
  3. Collaborate with cross-functional teams to develop and implement solutions that meet the unique challenges of the healthcare industry.
  4. Perform complex analyses of State Medicaid Policies and Legacy System business rules from data extracts.

Requirements

  • Bachelor's degree or equivalent combination of education and experience.
  • 6+ years of business analysis experience.
  • Excellent organizational skills and attention to detail.
  • Four or more years experience configuring in QNXT or FACETS: contracts/benefits, system data points needed for successful X12 transactions, claim adjustment reason codes and remittance advice code.

Preferred Experience

  • Experience working with Medicaid/MMIS systems.
  • Experience with DDI (Design, Development, and Implementation) and operations phases.
  • Experience processing Medicaid claims and ability to troubleshoot adjudication results.
  • Demonstrated aptitude for learning new technologies and keeping current with industry best practices.
  • Experience with Requirement Traceability Matrices.

Working with Us

We offer our clients scalable and flexible solutions for their most complex challenges. Our commitment to clients drives continuous improvement in the quality of healthcare for beneficiaries nationwide through vital healthcare technology.


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