Demo

Professional Business Analyst - Claims Tallahassee

Gainwell Technologies
Tallahassee, FL Full Time
POSTED ON 1/14/2025
AVAILABLE BEFORE 4/10/2025

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 Professional Business Analyst - Claims Tallahassee 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. In this position supporting the state of Florida, you will provide requirement analysis for our customers through testing of the resulting code. Must be able to provide detailed requirements and test cases. 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
  • Quickly develop a level of familiarity with the business rules for your subsystem specifically and Florida Medicaid in general
  • Meet deadlines and adhere to company policy such as time tracking (enter time into CAT-W according to the Gainwell and account deadline). Required training completed without reminders.

What we're looking for

  • Three or more years of Business Analyst experience, Medicaid Claims knowledge is preferred
  • Knowledge of basic computer programming concepts such as configuration, development and batch processing
  • Experience with Microsoft Excel and other software for conducting quantitative analysis, SQL and effective code testing is a must
  • Strong analytical and business process re-engineering skills, utilizing high level of accuracy when performing analysis and solution design
  • Strong written and oral communication and presentation skills to deliver messages to business leaders, clients and technical personnel
  • An influencer and team player who that motivates others to action and communicates key technical ideas in a digestible way
  • Skills and experience

  • Healthcare experience with Medicaid is preferred
  • Knowledge with Claims, Reference and Prior Authorization
  • Testing : including effective coding with high level of accuracy
  • Client facing experience
  • Attention to detail, willingness to learn
  • SQL is a must
  • What you should expect in this role

  • Hybrid work environment, must live within commuting distance to Tallahassee, FL
  • Fridays required to be in the office for face-to-face and client meetings
  • The office is located in Tallahassee, Florida area.
  • 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 has been extended until a suitable candidate has been selected.
  • LI-HC1
  • The pay range for this position is $51,900.00 - $74,200.00 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 committed to a diverse, equitable, and inclusive workplace. We are proud to be 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), sexual orientation, gender identity, gender expression, age, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics. We celebrate diversity and are dedicated to creating an inclusive environment for all employees.

    Salary : $51,900 - $74,200

    If your compensation planning software is too rigid to deploy winning incentive strategies, it’s time to find an adaptable solution. Compensation Planning
    Enhance your organization's compensation strategy with salary data sets that HR and team managers can use to pay your staff right. Surveys & Data Sets

    What is the career path for a Professional Business Analyst - Claims Tallahassee?

    Sign up to receive alerts about other jobs on the Professional Business Analyst - Claims Tallahassee career path by checking the boxes next to the positions that interest you.
    Income Estimation: 
    $98,772 - $126,519
    Income Estimation: 
    $124,737 - $157,493
    Income Estimation: 
    $132,928 - $192,066
    Income Estimation: 
    $125,329 - $152,916
    Income Estimation: 
    $151,063 - $185,777
    Income Estimation: 
    $158,643 - $203,736
    Income Estimation: 
    $154,628 - $190,455
    Income Estimation: 
    $158,186 - $201,374
    Income Estimation: 
    $63,888 - $78,999
    Income Estimation: 
    $79,521 - $98,503
    Income Estimation: 
    $107,442 - $160,602
    Income Estimation: 
    $83,941 - $108,028
    Income Estimation: 
    $92,657 - $120,748
    Income Estimation: 
    $79,521 - $98,503
    Income Estimation: 
    $101,242 - $124,726
    Income Estimation: 
    $107,442 - $160,602
    Income Estimation: 
    $110,400 - $142,096
    Income Estimation: 
    $118,913 - $150,937
    Income Estimation: 
    $101,242 - $124,726
    Income Estimation: 
    $125,329 - $152,916
    Income Estimation: 
    $129,291 - $167,349
    Income Estimation: 
    $133,136 - $171,866
    Income Estimation: 
    $138,790 - $181,781
    View Core, Job Family, and Industry Job Skills and Competency Data for more than 15,000 Job Titles Skills Library

    Job openings at Gainwell Technologies

    Gainwell Technologies
    Hired Organization Address Columbus, OH Full Time
    Great companies need great teams to propel their operations. Join the group that solves business challenges and enhances...
    Gainwell Technologies
    Hired Organization Address Columbus, OH Full Time
    Summary The Prior Authorization (PA) Pharmacist would facilitate efforts in the review of clinical documentation and the...
    Gainwell Technologies
    Hired Organization Address Cambridge, MA Full Time
    Summary As a(n) Application Architect at Gainwell, you can contribute your skills as we harness the power of technology ...
    Gainwell Technologies
    Hired Organization Address Ohio, OH Full Time
    Summary The Prior Authorization (PA) Pharmacist would facilitate efforts in the review of clinical documentation and the...

    Not the job you're looking for? Here are some other Professional Business Analyst - Claims Tallahassee jobs in the Tallahassee, FL area that may be a better fit.

    Field Roof Inspector - Tallahassee, FL

    Hancock Claims Consultants, Tallahassee, FL

    Field Roof Inspector - Tallahassee, FL

    Hancock Claims Consultants Technicians, Tallahassee, FL

    AI Assistant is available now!

    Feel free to start your new journey!