Business Analyst with US Healthcare in Claims, Member, Provider

4 weeks ago


Bengaluru, India Gainwell Technologies LLC Full time
Summary

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.

Your role in our mission

Play a critical part in ensuring Gainwell is meeting our clients’ objectives in important areas.

  • Help coordinate a business analyst team’s duties and activities on IT projects and nurture newer team members by providing guidance and support
  • Be a knowledgeable bridge between clients, project managers and technical staff to define, document and share business requirements and expected impact 
  • Work with the client to develop business specs at the start of a technical project
  • Analyze, plan, design, document or make recommendations to improve business processes to support client’s technology goals
  • Help verify that all requirements have been met by approving and validating test results    
  • Exercise your ability to use basic analytical or relational database software — such as Excel or SQL — to quantify the anticipated impact of work 
What we're looking for

Summary


Assists in the research and assessment of business goals, objectives and needs to align information technology solutions with business initiatives for multiple, less complex accounts. Serves as the liaison between technical personnel and business area for multiple accounts.

 

Essential Job Functions

 

  • Business analysis experience in U.S. Medicaid Healthcare- Claims, Member, Provider, PIUR, Portal, EDI preferred
  • Assists in planning and designing business processes; assists in formulating recommendations to improve and support business activities.
  • Assists in analyzing and documenting client's business requirements and processes; communicates these requirements to technical personnel by constructing basic conceptual data and process models, including data dictionaries and volume estimates.
  • Assists in creating basic test scenarios to verify that client requirements are incorporated into the system design.
  • Assists in developing and modifying systems requirements documentation to meet client needs.
  • Participates in meetings with clients to gather and document requirements and explore potential solutions.
  • Executes systems tests from existing test plans. Assists in analyzing test results in various phases.
  • Participates in technical reviews and inspections to verify 'intent of change' is carried through phase of project.

 

Basic Qualifications

 

  • Bachelor's degree or equivalent combination of education and experience
  • Bachelor's degree in business administration, information systems, or related field preferred
  • 5+ relevant years of business analysis experience, U.S. Medicaid management preferred
  • Experience working with the interface of information technology with functional groups within an organization
  • Experience working with business processes and re-engineering
  • Experience working with computer programming concepts and basic language, especially involving relational databases.

 

Other Qualifications

 

  • Interpersonal skills to interact with customers and team members
  • Communication skills
  • Analytical and problem-solving skills
  • Presentation skills to communicate with management and customers
  • Personal computer and business solutions software skills
  • Ability to work in a team environment with multiple team members and the ability to multitask
  • Willingness to travel
What you should expect in this role

Fast-paced,challenging and rewarding work environment.
Work life balance.    
Hybrid Office environment.
Will require late evening work to overlap US work hours.
 
#LI-DNI
 



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