Gainwell is dedicated to empowering our clients through technology to deliver health and human services programs that enable successful health outcomes for beneficiaries nationwide.

As an Operations 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.

This role will support Operations Management Process Development Team in the creation of various reports requirements for DHCS. The candidate should have an in-depth knowledge of claims processing, and the use of various operating systems for data SQL queries for QA and UAT testing.

Here are the details on this position.

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
• Utilize your resourcefulness and abilities to devise creative solutions to problems

What we're looking for

• 6 or more years of experience in a relevant Business Analyst position with 3 or more years of Medicaid and Medicare experience preferred. An in-depth knowledge of Claims Processing is required.
• Advanced knowledge in analytical software to gather, review and analyze business and industry data, including KPIs, financial reports and other key metrics using data analytics tools
• Liaise between various business departments and groups using your ability to identify and communicate with key stakeholders. Needs Excellent Communication and Leadership skills
• Familiarity with industry technology systems to gather data and problem solve
• Assess options for process improvement, including business process modeling
• Maintain documentation regarding various projects, processes, and operations. Requires experience with QA and UAT testing and mapping various business processes and protocols
• Collaborate with project managers and cross-functional teams

What you should expect in this role

• Must live near Roseville, CA for this Hybrid position as occasional onsite will be required.