Senior Business Analyst (Claims Configuration)

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 an Senior Business Analyst - Claims Configuration at Gainwell, you will provide senior functional and technical expertise for Medicaid claims configuration within a Maintenance & Operations environment. You will translate client requirements, Medicaid policy, operational needs, and claims-processing outcomes into scalable QNXT configuration solutions while leading a team of Configuration Business Analysts.

Your role in our mission

• Lead, mentor, and provide day-to-day technical direction to a team of Claims Configuration Business Analysts. • Serve as the senior configuration subject matter expert and trusted advisor for assigned CEF Claims M&O accounts. • Review configuration analysis, solution designs, implementation plans, and validation results for quality, accuracy, and downstream impact. • Establish consistent configuration practices, documentation standards, peer-review controls, and knowledge-transfer processes. • Interact directly with clients, vendors, and internal business, product, development, testing, operations, finance, provider, member, and encounter teams. • Lead requirements…