Gainwell Technologies

Senior Business Analyst – Care and Case Management

Gainwell Technologies

full-time

Posted on:

Origin:  • 🇺🇸 United States • Colorado

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Salary

💰 $69,400 - $99,200 per year

Job Level

Senior

Tech Stack

SQL

About the role

  • 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