Senior Business Analyst - Reference / BPA

Date: Jun 3, 2026 Location: Req ID: 36001 Work Mode: Virtual (Exception only) 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 - Reference / BPA 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. 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 we're looking for 6 or more years of experience as a Business Analyst in Healthcare Industry with 5 or more years of Medicaid and Medicare experience preferred Experience documenting requirements for claims, reference and BPA areas Experience with claims testing Knowledge on how edits and audits work and how to configure Strong problem-solving skills Able to work independently and in team environments Knowledge of TPL (third party liability) area Knowledge of computer programming concepts such as configuration, development and batch processing Advanced knowledge in analytical software such as Microsoft Excel or SQL and other requirement-mapping tools such as Application Lifecycle Management (ALM) tools Strong client communication skills translating client needs to actionable objectives Strong analytical and business process re-engineering skills Strong executive presence and communication skills to deliver messages to business leaders, clients and technical personnel A leader who motivates others to action and communicates key technical ideas in a digestible way What you should expect in this role Fully remote opportunity from most US locations 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 June 10, 2026. #LI-HC1 #LI-Claims Testing #LI-Third Party Liability 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.