Claims Business Analyst

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 an Claims 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

Gainwell empowers you show you’re a pro and help clients deliver better health and human services outcomes using innovative technology and solutions.

Analyze, plan, design, document and make recommendations to improve business processes to support client’s technological aspirations

Be a supportive bridge between clients, project managers and technical personnel to define, track and communicate business requirements and their expected impact by building basic conceptual data and process models

Create, execute or analyze basic test scenarios to verify that client requirements are built into system design

Ensure that “intent of change” is carried out through every project phase by participating in technical reviews and inspections

What we're looking for

9+ years of Business Analyst experience within the Healthcare Industry ; Medicaid and Medicare experience preferred

Strong analytical and problem-solving skills with experience in business process improvement and re-engineering

Proficiency in Microsoft Excel, including quantitative analysis and data driven decision making

Knowledge of programming concepts, including configuration, development, and batch processing

Hands-on Claims and Encounter Processing experience across multiple Claim Types , with the ability to communicate effectively with business and technical stakeholders

What you should expect in this role

Remote within the US with occasional travel may be required

Opportunities to travel through your work (0-10%)

Willingness to work a flexible schedule to accommodate business needs and travel as required.

Video cameras must be used during all interviews, as well as during the initial week of orientation.

The Deadline to submit applications for this posting is December 30, 2026.

The pay range for this position is $86,800.00 - $124,000.00 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.