Gainwell Technologies

Compensation

Full Description

Description: • Contribute to designing and delivering solutions for Care & Case Management to improve member health outcomes • Understand new Case and Care Management policies and generate business/data specifications to meet evidence requirements • Apply CMS policy and regulatory knowledge when developing functional requirements • Facilitate design sessions with customers, developers, and third-party vendors and generate design specification documents • Enter approved requirements into ALM and maintain RTM; run ALM RTM reports to verify requirements • Partner with development and test teams; support generation of user stories, test scenarios, and test data for system integration and end-to-end testing • Develop test scenarios and data for Model Office and End-to-End Testing • Support UAT and participate in end-to-end functional testing • Support development of user training collateral and participate in end-user training • Communicate project metrics/status, identify and document risks, and assist with operational readiness and change management • Serve as SME for end-to-end work and data flow for the Care and Case Management application ecosystem • Build strong working relationships with Gainwell team and client stakeholders Requirements: • 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 into detailed functional and technical specifications • Strong client communication and presentation skills • Leadership experience 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); working knowledge of Word, PowerPoint, ALM, and AI tools • Strong technical writing skills • Knowledge of CMS policies and regulatory requirements associated with Case and Care Management • Preferred: 2+ years supporting Healthcare Case Management • Preferred: Experience writing/executing SQL queries • Preferred: Proficiency in Visio Benefits: • Generous, flexible vacation policy • 401(k) employer match • Comprehensive health benefits • Educational assistance • Leadership and technical development academies • Work flexibility, learning, and career development