$90K - 130K a year
Analyze and translate healthcare case and care management policies into detailed functional and technical specifications, facilitate design sessions, support testing and training, and communicate with stakeholders.
10+ years as a Business Analyst including 3+ years Medicaid experience, strong client communication, leadership, proficiency in RTM, ALM, Excel, Word, PowerPoint, and preferred healthcare case management and testing experience.
Description: • Analyze, research and 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 • 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 • 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 • Help verify that all requirements have been met by running ALM requirements traceability (RTM) reports • Help develop test scenarios and cases as needed for Model Office and End-to-End Testing, including building 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 • Support UAT activities performed by our Customer and participate in end-to-end functional testing as needed • Communicate with the Customer and project team, measuring and sharing project metrics/status, identifying and documenting risks, and recommend 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 • Virtual work with video presence required in meetings; opportunities to travel 0-10% • Build strong working relationships with the Gainwell team and Client stakeholders Requirements: • 10+ years of experience in a relevant Business Analyst position, including 3+ years of Medicaid experience • Demonstrated ability to interpret high level requirements and translate them into detailed functional and technical specifications • Strong client communication skills, including the ability to translate customer requests into actionable objectives • Polished executive presence and communication skills to deliver messages to business leaders, clients and technical personnel • Leadership to train, guide and mentor the work of junior colleagues • Proficient in requirements traceability management (RTM) and technical writing • Advanced Excel capabilities, including pivot tables, and proficiency in Word, PowerPoint, ALM, and AI tools • Preferred: 3+ years of experience supporting or working within Healthcare Case Management • Preferred: Experience generating test scenarios and building/executing test cases • Preferred: Proficiency in Visio PowerBI Benefits: • generous, flexible vacation policy • educational assistance • comprehensive leadership and technical development academies • 401(k) employer match • comprehensive health benefits
This job posting was last updated on 9/20/2025