Business Analyst

• Conduct interviews and facilitate group sessions with business and technology partners to elicit, analyze, and document business requirements as well as change management
• Provide consultative support to stakeholders to help them to achieve desired changes and outcomes
• Document and manage requirements traceability matrix and confirm solution meets requirements
• Utilize modeling techniques to produce diagrams, and models that illustrate system and data relationships, and business process flows for both current and future states
• Analyze the business requirements and validate potential solutions/approaches with business and finance technical staff to identify potential improvements in functionality and processes, and ways that technology can help to achieve organizational goals
• Perform the project manager role in conjunction with the business analyst role on appropriately sized requests or projects to ensure all project tasks are planned and executed based on the project requirements
• Support business and technical partners in all aspects of testing including test script development, acceptance criteria, integration testing, test data creation, user acceptance testing, etc.
• Proactively facilitate conversations between functional and technical teams to ensure common and thorough understanding of business needs and solution capabilities to achieve better outcomes
• As needed participate in dialog with vendors and SNHU staff to understand vendor solutions and obligations, confirm vendor offerings, and monitor vendor performance towards SNHU requirements.
• Other duties and responsibilities as assigned.

Senior Business Analyst, Finance Technology

• Perform various analysis and interpretation to link business needs and objectives for assigned function
• Detailed reviews of both state specific and corporate Payment policies for Compliance and Governance ensuring policies are accurate and up to date with guidelines
• Review, analyze, and interpret coding, reimbursement, and regulatory guidelines to ensure organizational compliance and payment integrity
• Develop, implement, and maintain Payment Policies, reimbursement methodologies, and claims editing logic to support accurate claims adjudication
• Monitor, report on, and track regulatory, coding, and policy updates, ensuring timely implementation and communication of changes across impacted stakeholders
• Support business initiatives through data analysis, identification of implementation barriers and user acceptance testing of new systems
• Identify and analyze user requirements, procedures, and problems to improve existing processes
• Perform detailed analysis on assigned projects, recommend potential business solutions and assist with implementation
• Identify ways to enhance performance management and operational reports related to new business implementation processes
• Develop and incorporate organizational best practices into business applications
• Lead problem solving and coordination efforts between various business units
• Assist with formulating and updating departmental policies and procedures
• Complies with all policies and standards.

Business Analyst II – Policy Review

• Perform various analysis and interpretation to link business needs and objectives for assigned function
• Responsible for payment integrity repository updates and ensuring it remains up to date and accurate
• Review, analyze, and interpret coding, reimbursement, and regulatory guidelines to ensure organizational compliance and payment integrity
• Develop, implement, and maintain Payment Policies, reimbursement methodologies, and claims editing logic to support accurate claims adjudication
• Monitor, report on, and track regulatory, coding, and policy updates, ensuring timely implementation and communication of changes across impacted stakeholders
• Support business initiatives through data analysis, identification of implementation barriers and user acceptance testing of new systems
• Identify and analyze user requirements, procedures, and problems to improve existing processes
• Perform detailed analysis on assigned projects, recommend potential business solutions and assist with implementation
• Identify ways to enhance performance management and operational reports related to new business implementation processes
• Develop and incorporate organizational best practices into business applications
• Lead problem solving and coordination efforts between various business units
• Assist with formulating and updating departmental policies and procedures
• Performs other duties as assigned
• Complies with all policies and standards

Business Analyst II – Coding

• Perform various analysis and interpretation to link business needs and objectives for assigned function
• Ensuring our internal claims coding editors remain accurate, up to date, and compliant
• Review, analyze, and interpret coding, reimbursement, and regulatory guidelines to ensure organizational compliance and payment integrity
• Develop, implement, and maintain Payment Policies, reimbursement methodologies, and claims editing logic to support accurate claims adjudication
• Monitor, report on, and track regulatory, coding, and policy updates, ensuring timely implementation and communication of changes across impacted stakeholders
• Support business initiatives through data analysis, identification of implementation barriers and user acceptance testing of new systems
• Identify and analyze user requirements, procedures, and problems to improve existing processes
• Perform detailed analysis on assigned projects, recommend potential business solutions and assist with implementation
• Identify ways to enhance performance management and operational reports related to new business implementation processes
• Develop and incorporate organizational best practices into business applications
• Lead problem solving and coordination efforts between various business units
• Assist with formulating and updating departmental policies and procedures
• Performs other duties as assigned

Coding Business Analyst II – Content Updates

• Play a critical part in ensuring Gainwell is meeting our clients’ objectives in important areas
• Help coordinate a business analyst team’s duties and activities on IT projects and nurture newer team members by providing guidance and support
• Be a knowledgeable bridge between clients, project managers and technical staff to define, document and share business requirements and expected impact
• Work with the client to develop business specs at the start of a technical project
• Analyze, plan, design, document or make recommendations to improve business processes to support client’s technology goals
• Help verify that all requirements have been met by approving and validating test results
• Exercise your ability to use basic analytical or relational database software — such as Excel or SQL — to quantify the anticipated impact of work

Senior Business Analyst

• Coordinate with system owners to ensure accurate and consistent data transfer across internal systems
• Manage the exchange of tax return information, enrollment data, and other key data elements required throughout the process
• Ensure data and system triggers are available and consumable by downstream reporting platforms
• Support reporting requirements related to enrollment activities, document collection, and request success metrics
• Partner with internal subject matter experts to maintain tax forms and related filing requirements
• Coordinate with regulatory agencies to ensure IRS and state forms are updated and properly formatted for electronic submission
• Support electronic data inclusion, signature requirements, and tax authority submission processes
• Manage internal and third-party vendor data connections
• Monitor integration performance to support continuity of service and reliable data delivery
• Maintain status reporting and throughput metrics to help measure operational effectiveness

• Own HIPAA-compliant source-of-truth artifacts. Serve as the accountable owner for several Excel-based artifacts that govern Medicare claims business rules, edits, code sets, or requirements.
• Maintain version control, change history, and documentation so these remain authoritative and audit-ready, and handle all content in accordance with HIPAA and CMS data-handling requirements.
• Apply deep Medicare claims expertise. Act as the subject matter expert on CMS Medicare Part A (institutional, hospice, home health) and Part B (professional, outpatient, DME) claims processing, including how claims are edited, and use that expertise to evaluate the downstream impact of every proposed change.
• Validate changes internally. Review and validate proposed updates to the spreadsheets before they go out, confirming they're accurate, internally consistent, and aligned with CMS policy and program requirements.
• Identify discrepancies, edge cases, and ripple effects early.
• Communicate changes externally. Be responsible for sharing validated changes with external stakeholders, including CMS counterparts, in a clear, well-documented, and timely way.
• Maintain the narrative around what changed, why, and what it affects.
• Bridge product and engineering. Partner closely with the Product Manager to translate policy and program needs into clear requirements, and work directly with Engineering leadership to ensure those requirements are understood, technically feasible, and implemented faithfully.
• Surface tradeoffs and risks so decisions get made with the full picture.
• Keep everyone aligned. Facilitate the flow of information across functions—reducing ambiguity, documenting decisions, and ensuring that policy, product, and engineering stay in sync as the work evolves.

Project Manager – Business Analyst

• Build relationships with customers, conducting needs assessments to identify organizational EHR requirements
• Map customer workflows to software
• Confer with customers regarding software needs and develop creative solutions to customer user requirements and problems
• Coordinate with the customer and staff for updates to the customer environment, responsible for testing the application environments, ensuring that the environment is functioning
• Develop, document, and revise new application design procedures, test procedures, and quality standards, including testing of new build designs
• Create training materials, prepare and compile training presentations to facilitate learning and conduct training sessions with new users, helping them learn the application

Billing Business Analyst

• Review, label, classify, and validate data according to detailed project guidelines
• Ensure **accuracy, consistency, and quality** across assigned tasks
• Apply instructions objectively when evaluating or categorizing content
• Identify edge cases, discrepancies, and annotation issues
• Escalate unclear or inconsistent cases when needed
• Perform quality checks and provide clear feedback where required
• Meet productivity and quality expectations in a remote work environment
• Work independently while following project standards and timelines

LLM Business Analyst

• Be a liaison between product, underwriting, and technology teams to support property insurance products and their associated applications
• Understand our business and technology environments, applications, and processes to gather and document business requirements for projects and enhancements
• Communicate with external and internal customers to analyze current issues and deliver solutions and guidance
• Perform or coordinate testing, track bugs and change requests, and help triage production issues

• The Business Analyst partners with product managers, business stakeholders, data scientists, and technology teams to support the delivery of AI-driven solutions that enhance and modernize the end-to-end Mortgage and Home Equity origination experience.
• This role is responsible for eliciting, analyzing, documenting, and translating business needs into clear functional and non-functional requirements, user stories, acceptance criteria, and workflow designs that enable the successful development and implementation of AI-powered capabilities.
• Collaborates across the origination lifecycle to define data requirements, model inputs and outputs, decisioning logic, and workflow integrations while ensuring business context is incorporated into solution design and evaluation.
• Facilitates stakeholder alignment through requirements workshops, backlog refinement, and cross-functional working sessions, serving as a liaison between business and technical teams.
• Responsibilities include supporting test planning, user acceptance testing, implementation readiness, and validation of AI-driven solutions to ensure alignment with business objectives and operational needs.
• Supports AI governance, model risk management, regulatory compliance, audit documentation, and control requirements, partnering with Risk and Compliance teams to ensure solutions meet established standards.
• Contributes to performance measurement, KPI tracking, continuous improvement initiatives, dependency management, and Agile delivery activities to help drive successful adoption and business outcomes.

Business Technology Analyst – AI

• Lead requirements gathering, analysis, documentation, and validation activities for MMIS modernization initiatives with a primary focus on Claims Processing
• Facilitate Joint Application Design (JAD) sessions and working sessions with state stakeholders, business teams, technical teams, and vendors
• Translate complex business needs into clear, structured, and testable business requirements using established business analysis methodologies
• Track requirements from initial scope definition through refinement, validation, implementation, and testing support
• Conduct current-state versus future-state gap analysis and recommend modernization approaches aligned with Commonwealth objectives
• Ensure requirements traceability throughout the Software Development Life Cycle (SDLC)
• Support defect triage, operational impact analysis, issue resolution, and change management activities
• Partner closely with development and QA teams to ensure business intent is accurately implemented
• Lead analysis activities supporting modernization of the MMIS Claims Processing solution, including:
• - Claims intake and submission workflows
• - Claims editing and validation
• - Claims adjudication and pricing
• - Payment processing and financial disposition
• - Denials, suspensions, adjustments, and voids
• - Coordination of Benefits (COB)
• - Third Party Liability (TPL)
• - Managed Care encounter processing
• - Provider reimbursement methodologies
• - Claims lifecycle reporting and operational monitoring
• Analyze and document business requirements supporting multiple claim submission channels, including:
• - Provider Web Portal
• - Electronic Data Interchange (EDI)
• - X12 transaction processing
• - Batch file interfaces
• - Clearinghouse integrations
• - System-to-system interfaces
• Develop business requirements supporting the processing of standard healthcare transactions, including:
• - 837 Institutional (837I)
• - 837 Professional (837P)
• - 837 Dental (837D)
• - 835 Electronic Remittance Advice
• - 270/271 Eligibility Inquiry & Response
• - 276/277 Claim Status Inquiry & Response
• - Other HIPAA-compliant X12 transactions supporting Medicaid operations
• Collaborate with business and technical teams to analyze:
• - Claims editing rules
• - Benefit and policy validation
• - Payment logic
• - Pricing methodologies
• - Provider reimbursement
• - Financial reconciliation
• - Exception handling
• - Operational workflows
• Produce comprehensive Business Requirements Documents (BRDs) including:
• - Business background and objectives
• - Current-state and future-state business processes
• - Claims workflow analysis
• - Business rules
• - Detailed business requirements
• - Operational impacts and dependencies
• - Assumptions
• - Key decisions
• - Open issues
• - Testing considerations
• - Validation scenarios
• Develop:
• - Process flows
• - Decision trees
• - Use cases
• - Decision tables
• - Data mapping documentation
• - Interface specifications
• - Business rules catalogs
• - Workflow diagrams
• Maintain high-quality documentation standards across all deliverables
• Leverage AI tools and prompt engineering techniques to support requirements generation, business analysis activities, and documentation development
• Create and refine AI prompts to improve the quality and efficiency of requirements-related deliverables
• Evaluate AI-generated output for accuracy, completeness, consistency, and business relevance
• Apply critical thinking and business judgment when utilizing AI-assisted analysis techniques
• Build strong working relationships with client stakeholders, project leadership, and cross-functional teams
• Facilitate productive discussions and diplomatically challenge unclear or incomplete requirements when necessary
• Communicate complex business and technical concepts effectively to both technical and non-technical audiences
• Anticipate downstream impacts, risks, dependencies, financial implications, and operational considerations associated with requirements decisions
• Operate independently as a self-starter while contributing to broader modernization program objectives

Senior Business Analyst – MMIS Claims Processing

• Partner with assigned Relationship Manager(s) to successfully manage Business Banking relationships and the loan portfolio
• Contribute to the profitability and growth of Business Banking by retaining and expanding relationships with existing clients
• Analyze financial data and prepare comprehensive written analysis
• Manage credit quality within the team’s credit portfolio
• Provide guidance to customers
• Identify and successfully capitalize on opportunities to deepen and expand existing relationships
• Manage credit risk
• Respond to prospect or customer credit questions

Business Banking Relationship Analyst

• The Precertification Specialist obtains authorizations from Insurance companies for scheduled tests/procedures providing necessary medical information for authorizations.
• Interprets patient medical records and reviews cases with the insurance nurse reviewer.
• Accurately enters information into multiple computer programs and insurance websites.

Precertification Analyst – Pain Management Clinic

• Develop and implement a comprehensive change management strategy
• Establish detailed training plans for employees
• Create and execute communication plans for stakeholders
• Collaborate with program leaders and project managers
• Implement feedback mechanisms from employees
• Track progress of change management initiatives

Business Change Management Analyst

• Responsible for the provisioning of access for new and current caregivers; this includes the process of creating, maintaining, and removing user accounts to various systems, ensuring the right level of access at the right time
• Provides customer support and tier 2 support for end user community
• Demonstrates intermediate knowledge of provisioning and fulfillment of access requests for IT primary services
• Serves as an escalation path for troubleshooting moderately complex access issues
• Works independently to provision access to moderately complex systems in a timely, highly-accurate fashion, taking direction from senior team members, supervisor, manager or director
• Performs multiple tasks simultaneously, completing assigned tasks on time
• Supports the vision, mission and values of the organization in all respects
• Supports Value Improvement Practice (VIP- Lean) principles of continuous improvement with energy and enthusiasm, functioning as a champion of change
• Provides and maintains a safe environment for caregivers, patients and guests
• Conducts all activities with the highest standards of professionalism and confidentiality
• Complies with all applicable laws, regulations, policies and procedures, supporting the organization’s corporate integrity efforts by acting in an ethical and appropriate manner, reporting known or suspected violation of applicable rules, and cooperating fully with all organizational investigations and proceedings
• Delivers customer service and/or patient care in a manner that promotes goodwill, is timely, efficient and accurate
• May perform additional duties of similar complexity within the organization, as required or assigned

Identity Management Analyst 2

• Responsible for business application configuration, setup, maintenance, testing, analysis and troubleshooting in support of a comprehensive suite of retail and wholesale financial service products
• Demonstrates advanced understanding of business application systems supporting multiple Federal Reserve’s financial services offerings
• Provides complex operational and technical support
• Engages, educates and consults with financial institution accounting, business systems and technical resources
• Serves as a primary point of contact for the customer and internal stakeholders
• Collaborates with customers to understand their requirements and objectives
• Serves as the subject matter expert (SME) and responsible for providing important details

• Document business processes
• Prepare executive communications
• Develop reports and presentations
• Support strategic planning efforts
• Facilitate stakeholder meetings

Federal Business Analyst, Technical Writer

• Support systems onboarding, backend administration, access validation, and compliance activities
• Serve as a liaison between business teams and IT to coordinate issue resolution and technical support
• Perform troubleshooting, triage, root cause analysis, and follow-up on corrective actions
• Monitor systems and support cleanup activities to maintain data integrity and stability
• Support SAP updates, coordination, and validation activities
• Facilitate cross-functional team meetings and apply structured process methods and tools
• Influence stakeholders and support change efforts across diverse audiences
• Research procedures and guidelines to support strategic planning efforts

• Provides analytical services and supports the development of project work products.
• Analyzes client requests for proposals and providing development support of proposal responses
• Ensures quality work products are delivered to clients
• Exercises discretion and independent judgment
• Manages and builds upon client relationships
• Adheres to and supports project management approach and other PMO principles and practices
• Ensures project quality and compliance with all related regulations
• Ensures communication among all key stakeholders
• Provides IT job duties which include Business and Technical Leadership, System Analysis, Code Development, Software Engineering, or other similarly skilled computer-related work as needed

Business Analyst jobs in Montana

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Senior Business Analyst, Finance Technology

Business Analyst II – Policy Review

Business Analyst II – Coding

Coding Business Analyst II – Content Updates

Senior Business Analyst

Business Analyst

Project Manager – Business Analyst

Billing Business Analyst

LLM Business Analyst

Business Analyst

Business Technology Analyst – AI

Senior Business Analyst – MMIS Claims Processing

Business Banking Relationship Analyst

Precertification Analyst – Pain Management Clinic

Business Change Management Analyst

Identity Management Analyst 2

Senior Business Analyst

Federal Business Analyst, Technical Writer

Senior Business Analyst

Senior Business Analyst – Public Sector