Senior Business Analyst – MMIS, Medicaid Pharmacy

Gainwell Technologies

Senior Business Analyst supporting MMIS and Medicaid Pharmacy implementations at Gainwell. Collaborating with technical teams and ensuring compliance with Medicaid policies and regulations.

Posted 6/6/2026full-timeRemote • Illinois, Texas • 🇺🇸 United StatesSenior💰 $69,400 - $99,200 per yearWebsite

Tech Stack

Tools & technologies

SDLCSQL

About the role

Key responsibilities & impact

Supports business, policy, and technical execution across one or more functional domains within MMIS Medicaid Management Information Systems (MMIS) and/or the Medicaid Pharmacy environment.
The Business Analyst works closely with the Domain Lead, Technical Analysts, and cross-functional teams to ensure successful implementation and operational readiness.
Ensures compliance alignment by validating that solution design and configuration conform to CMS guidance, state policy, and documented business rules.
Supports the EL with in-scope negotiations and change control, providing domain expertise to assess scope trade-offs and the functional, regulatory, and operational impacts of change requests.
Lead and participate in collaborative requirements and design sessions with clients and internal teams to validate functional and technical needs.

Requirements

What you’ll need

Bachelor’s degree in Computer Science, Information Systems, Health Informatics, or a related field
5 to 8 years of hands-on experience supporting healthcare system implementations, including MMIS solutions and Medicaid Pharmacy platforms
Experience with QNXT or similar healthcare claims/encounter management systems
Strong knowledge of state and federal Medicaid policy, regulations, and program rules (required)
Strong understanding of Medicaid domains, including claims, member, provider, and prior authorization processes
Demonstrated experience translating policy and program rules into system requirements, configuration support, and design artifacts
Strong knowledge of SQL is required, particularly for data analysis and validation
Strong client communication skills, with experience interacting directly with business stakeholders
Proven ability to lead or support functional demonstrations, walkthroughs, and collaborative working sessions
Strong documentation, facilitation, and analytical skills
Experience working in SDLC and Agile delivery environments.

Benefits

Comp & perks

generous, flexible vacation policy
educational assistance
comprehensive health benefits
401(k) employer match
leadership and technical development academies

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills & Tools

SQLMMISQNXThealthcare system implementationsdata analysisconfiguration supportdesign artifactsAgileSDLC

Soft Skills

client communicationdocumentationfacilitationanalytical skillscollaborative working sessionsleadershipnegotiation

Certifications

Bachelor’s degree in Computer ScienceBachelor’s degree in Information SystemsBachelor’s degree in Health Informatics