Senior Business Analyst - Benefit Plan Administration

Be part of a team that unleashes the power of leading-edge technologies to help improve the health and well-being of those most vulnerable in our country and communities. Working at Gainwell carries its rewards. You'll have an incredible opportunity to grow your career in a company that values work flexibility, learning, and career development. You'll add to your technical credentials and certifications while enjoying a generous, flexible vacation policy and educational assistance. We also have comprehensive leadership and technical development academies to help build your skills and capabilities.

Summary

As a Senior Business Analyst - Benefit Plan Administration 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.

We are looking for a professional with solid experience with Medicaid/Medicare specifically in the Claims/Reference area with excellent communication and research skills. This candidate will work in a fast-paced environment with tight deadlines for deliverables to the client.

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

What were looking for

• 6+ years of experience as a Business Analyst in the Healthcare industry including 5+ years of Medicaid and Medicare experience (required)

• Experience documenting requirements for claims, reference, and Benefits Plan Administration (BPA) areas

• Experience with claims testing

• Knowledge of how edits and audits work and how to configure them

• Knowledge of computer programming concepts such as configuration, development, and batch processing

• Advanced proficiency in analytical tools such as Microsoft Excel, SQL, and requirement-mapping tools (e.g., ALM)

• Strong analytical and business process re-engineering skills

Professional Strengths

• Strong problem-solving skills
• Ability to work independently and collaboratively in team environments
• Strong client communication skills, with the ability to translate needs into actionable objectives
• Strong executive presence and communication skills, effectively delivering messages to business leaders, clients, and technical teams
• Proven leadership ability, motivating others to action and simplifying complex technical concepts

What you should expect in this role

• Fully remote opportunity from Contiguous US locations
• Video cameras (without background filters) must be used during all interviews, as well as during the initial week of orientation
• Office Hours for this position: 8a-5p Central time zone
• The deadline to submit applications for this posting is June 25, 2026.

#LI-HC1

#LI-Claims Testing

#LI-Interchange

#LI-Benefit Plan Administration

The pay range for this position is $69,400.00 - $99,200.00 per year, however, the base pay offered may vary depending on geographic region, internal equity, job-related knowledge, skills, and experience among other factors. Put your passion to work at Gainwell. You'll have the opportunity to grow your career in a company that values work flexibility, learning, and career development. All salaried, full-time candidates are eligible for our generous, flexible vacation policy, a 401(k) employer match, comprehensive health benefits, and educational assistance. We also have a variety of leadership and technical development academies to help build your skills and capabilities.

We believe nothing is impossible when you bring together people who care deeply about making healthcare work better for everyone. Build your career with Gainwell, an industry leader. You'll be joining a company where collaboration, innovation, and inclusion fuel our growth. Learn more about Gainwell at our company website and visit our Careers site for all available job role openings.

Gainwell Technologies is an Equal Opportunity Employer, where all qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical condition), age, sexual orientation, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics. Gainwell Technologies defines "wages" and "wage rates" to include "all forms of pay, including, but not limited to, salary, overtime pay, bonuses, stock, stock options, profit sharing and bonus plans, life insurance, vacation and holiday pay, cleaning or gasoline allowances, hotel accommodations, reimbursement for travel expenses, and benefits.