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Business Analyst (Medicaid) : Claims

Bangalore, Karnataka 2 days ago

Job Description

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 the key player in the Medicaid space with a presence in 51 of the 56 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 generate over 2 billion in annual revenue, and we've been innovating in the industry for more than 50 years. Powered by more than 14,000 employees, Gainwell solutions support more than 60 million Medicaid beneficiaries nationwide and manage 1 billion encounters annually. Additionally, about 1.5 billion immunization records are maintained, and we serve more than 3 million providers annually. We do this while saving our state and commercial clients 5.5 billion dollars annually in cost avoidance. Our commitment to clients drives continuous improvement in the quality of healthcare for beneficiaries nationwide through vital healthcare technology. In summary, there's no company better positioned in the Medicaid and HHS (Health and Human Services) market than Gainwell. For more information on Gainwell, visit gainwelltechnologies Your role in our mission Essential Job Functions :Assists in planning and designing business processes; assists in formulating recommendations to improve and support business activities. :Assists in analyzing and documenting clients 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 be used in testing the business applications in order 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. What were looking for Business Analyst 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. Basic Qualifications :3+ years of experience in Business Analyst, Claims adjudication, Medicaid or Medicare, SQL. :3+ years of business functional experience in one or more areas such as Eligibility, Claims. :Strong SQL knowledge. Ability to write complex queries. :Ability to gather requirements effectively; document requirements and confirm observations with business owners. Also, to perform fit/gap analysis based on requirements. :Experience using Microsoft Office Tools, specifically Excel. :Ability to create detailed and thorough design documents and test plans/execution for medium to large initiatives. :Being able to research, analyze, validate and document business requirements. 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.

Business Analyst (US Healthcare / Medicaid) : Provider

India 2 days ago
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 the key player in the Medicaid space with a presence in 51 of the 56 U.S....

Business Analyst (US Healthcare / Medicaid) : Provider

India 2 days ago
Summary As aBusiness Analystat 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...

Business Analyst (Medicaid) : Immunization Registry

Bangalore, Karnataka 2 days ago
Summary About Gainwell: 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 the key player in the Medicaid space with a presence in 51...

Business Analyst (Medicaid) : TMSIS

Bangalore, Karnataka 2 days ago
Summary As aBusiness Analystat 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...

Business Analyst (Medicaid) : Claims

Bangalore, Karnataka 2 days ago
Summary As aSr 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...

Business Analyst (Medicaid) : Claims

Bangalore, Karnataka 2 days ago
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 the key player in the Medicaid space with a presence in 51 of the 56 U.S....

Supply Chain Category Analyst - Piping (Haryana-New Delhi, N/A, IN)

Delhi, India 1 month ago
Requisition ID: 283442  Relocation Authorized: None  Telework Type: Full-Time Office/Project  Work Location: New Delhi  Extraordinary teams building inspiring projects: Since 1898, we have helped customers complete more than 25,000 projects...

OIPA Support (noida, UP, IN)

Uttar Pradesh 1 month ago
NTT DATA strives to hire exceptional, innovative and passionate individuals who want to grow with us. If you want to be part of an inclusive, adaptable, and forward-thinking organization, apply now. We are currently seeking a OIPA Support to join our...

(IND-Noida) Market&Competetive Intelligence Analyst

India 1 month ago
**Role:** Market&Competitive Intelligence Analyst, 18949 **Localization** : Poland **Mode:** Hybrid or fully remote **About us** At Pearson, we’re committed to a world that’s always learning and to our talented team who makes it all possible....