Experienced Business Analyst – Fraud, Waste & Abuse

Gainwell Technologies

Experienced Business Analyst at Gainwell focusing on healthcare fraud and abuse detection. Collaborating with product teams to develop and enhance web-based SaaS solutions.

Posted 6/11/2026full-timeRemote • Minnesota • 🇺🇸 United StatesMid-LevelSenior💰 $86,800 - $124,000 per yearWebsite

Tech Stack

Tools & technologies

Azure

About the role

Key responsibilities & impact

Translate business needs into detailed UI mock-ups and requirements/user stories that guide development efforts
Proactively identify opportunities for system enhancements or gaps that increase product value and operational efficiency based upon new industry trends/schemes or client need
Define acceptance criteria and expected system behavior. Apply the test scenarios to execute User Acceptance Testing to verify that systems are functioning properly and business requirements are incorporated into the system design
Participate in post-deployment testing sessions that occur after normal business hours (Typically one Thursday evening every month)
Communicate effectively with both technical and non-technical audiences and capable of building and maintaining relationships with key stakeholders
Create and maintain organized product project plans through integrated management tools to support product development (i.e., Azure DevOps or other tools)
Utilize product knowledge combined with extensive Payment/Program Integrity subject matter expertise to lead requirement elicitation meetings with clients and stakeholders
Configure and tailor client system environments (rules, alerts, case workflows, etc.)
Deliver product demos, walkthroughs, and training as needed
Develop and maintain internal & client training documents, job aids, and product enhancements/release notes
Support daily product maintenance and client satisfaction

Requirements

What you’ll need

5+ years of SME experience leading healthcare fraud and abuse detection and investigations
2+ years of experience in requirement elicitation, analyzing and documenting business processes and system requirements that are leveraged by development teams
Certification: Professional certification as a Certified Fraud Examiner (CFE) or Accredited Health Care Fraud Investigator (AHFI) is desirable.
Curiosity to solve complex problems and strong interpersonal skills to interact with and influence clients and team members
Ability to clearly and concisely translate technical requirements to a non-technical audience.

Benefits

Comp & perks

Health benefits
401(k) employer match
Flexible vacation policy
Educational assistance
Leadership and technical development academies

ATS Keywords

✓ Tailor your resume

Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills & Tools

UI mock-upsuser storiesUser Acceptance Testingrequirement elicitationbusiness process analysissystem requirements documentationproduct demostraining document developmentproduct enhancementscase workflows

Soft Skills

communicationrelationship buildinginterpersonal skillsproblem solvinginfluencecuriosityorganizational skillsteam collaborationconcise translation of technical requirements

Certifications

Certified Fraud Examiner (CFE)Accredited Health Care Fraud Investigator (AHFI)