Gainwell is dedicated to empowering our clients through technology to deliver health and human services programs that enable successful health outcomes for beneficiaries nationwide.

As a Advisor Data Analyst at Gainwell, you can contribute your skills as we harness the power of technology to help our clients improve the health and well-being of the members they serve — a community’s most vulnerable. Connect your passion with purpose, teaming with people who thrive on finding innovative solutions to some of healthcare’s biggest challenges. Here are the details on this position.

Your role in our mission

• Facilitates and/or participates in JAD (Joint Application Design), RAD (Rapid Application Development) and DSD (Design Specifications Document) sessions to define and understand the business requirements and present detailed systems design documentation for data interface files, data conversion and any other method of data exchange.
• Works aggressively to define project scope. Ties data interface roster elements back to a valid requirement. Works with the customer and account management to control the scope of the project.
• Responds to action items by assigned due dates.
• Escalates concerns to project management, such as delays or risks of delays as early as possible.
• Creates accurate data mapping documents according to the mapping process.
• Works toward delivering a first draft solution to ETL developers for coding, by rapidly understanding which details about the mapping can be deferred.
• Supports DSD creation and response.
• Works closely with configuration team to ensure synchronicity of configuration to interfaces and mappings.
• Refines mapping documents, adding more detail and filling out deferred material as questions are resolved.
• Uses SQL, data models, data element dictionary and schema to perform data and business analysis.
• Creates unit test cases for area of responsibility.
• Supports Unit Testing, System Integration Testing, System Testing, and User Acceptance Testing.

What we're looking for

• 3+ years’ experience with QNXT
• 2+ years’ experience with state Medicaid agencies and/or vendors focusing on analysis or provider, member and claims data.
• Experience using Microsoft SQL (required)
• Previous Work with analyzing, monitoring healthcare plan data focusing on medical claim and financial processing member eligibility processing, provider networks and MCO contract details, auditing and reporting in compliance with Federal and State requirements
• Knowledge of Payment Reform methodologies under the Affordable Care Act and related initiatives in the Medicaid space

What you should expect in this role

• Work remotely within the United States.
• 10% or less in Travel