Senior Business Analyst - Care & Case Management at Gainwell Technologies LLC

, Ohio, United States -

Full Time

Start Date

Immediate

Expiry Date

27 Dec, 25

Salary

99200.0

Posted On

28 Sep, 25

Experience

5 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Business Analysis, Medicaid Programs, Client Communication, Requirements Traceability Management, Test Scenario Creation, Technical Writing, SQL, Visio, Healthcare Case Management, Regulatory Compliance, Data Specifications, User Training, Operational Readiness, Project Metrics, Mentoring, Collaboration

Industry

IT Services and IT Consulting

Description

Great companies need great teams to propel their operations. Join the group that solves business challenges and enhances the way we work and grow. Working at Gainwell carries its rewards. You’ll have an incredible opportunity to grow your career in a company that values your contributions and puts a premium on work flexibility, learning, and career development. Summary As a Senior Professional 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. 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. Understand new Case and Care Management Policies provided to Gainwell by our Customer. Generate business and/or data specifications in support of evidence requirements for each component. Apply knowledge of CMS policies and regulatory requirements associated with Case and Care Management and Population Health Management when partnering with our Customer to develop functional requirements for system changes; keep abreast of CMS policy and regulatory changes. Facilitate design sessions with our Customer, our developers and third-party vendors, and generate design specification documents. Enter approved requirements into ALM. Partner with development team and clarify requirements as needed. Help verify that all requirements have been met by running ALM requirements traceability (RTM) reports. Partner with test team and support generation of user stories/test scenarios and supporting test cases, for system testing, system integration testing and end-to-end testing, that align to each requirement and to generate test data needed to perform testing. Help develop test scenarios and cases as needed for Model Office and End-to-End Testing. This will include building the necessary data sets. Support development of user training collateral designed to support Policy and functional requirements and participate in end-user training activities as needed. Other role expectations Support UAT activities performed by our Customer. Participate in end-to-end functional testing as needed. Communicate with the Customer (internal and external) and project team, measuring and sharing project metrics/statuses, identifying and documenting risks, and recommending changes as needed. Assist with Operational Readiness activities including any operational change management activities. Serve as the subject matter expert for end-to-end work and data flow for the Care and Case Management application ecosystem Build strong working relationships with the Gainwell team and Client stakeholders Assist with the overall maintenance of the RTM for each project What we're looking for 5+ years of experience as a Business Analyst, including 3+ years in Medicaid programs and 3+ years in multi-vendor environments. Proven ability to interpret high-level requirements and translate them into detailed functional and technical specifications. Strong client communication skills, with the ability to translate customer requests into actionable objectives and present effectively to business leaders, clients, and technical teams. Leadership experience in mentoring and guiding junior colleagues. Hands-on experience with requirements traceability management (RTM), test scenario creation, and test case execution. Advanced proficiency in Excel (including pivot tables), and working knowledge of Word, PowerPoint, ALM, and AI tools. Strong technical writing skills for documentation, reporting, and communication across stakeholders. Additional skills and experience 2+ years of experience supporting or working within Healthcare Case Management Experience writing/executing SQL queries Proficiency in Visio Certifications such as CompTIA A+, Network+, or equivalent Experience working under NIST 800-53 or similar compliance frameworks Previous experience with VeloCloud Router hardware What you should expect in this role Fully remote options from most US locations and territories Video cameras must be used during all interviews, as well as during the initial week of orientation Virtual work, video presence in all meetings (external and internal) Opportunities to travel through your work (0-10%) The deadline to submit applications for this posting has been extended until a suitable candidate has been selected #LI-HC1 #LI-Care & Case Management 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.

Responsibilities

The Senior Business Analyst will ensure Gainwell meets client objectives in Case and Care Management by generating specifications and facilitating design sessions. The role involves partnering with development and testing teams to verify requirements and support user training activities.