Senior reference business analyst

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Job description:

Summary As aSenior Reference Business 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 - Adheres to and supports configuration team approach and other configuration principles, methodologies, and practices - Supports configuration team with solution development, proof of concept testing, and the development of audit reports and data validation checkpoints - Completes configuration/data loads within schedule timelines and configuration best practices - Experience with coordinating and managing incoming referential data, validating and obtaining approvals, and investigate data variances - Reference Data Management : support and trouble shoot data variances in conversion and other phases of the DDI What were looking for :Four or more years of configuration experience; or working with the Data Schema of QNXT or FACETS applications (Focus on the following areas: Contracts, Benefits, Successful Data Points for X12 Transactions, CARCs/RARCs, Fee Schedules/Different Payment Methodologies, Capitation, and Rules) :Understands relational database concepts and schemas :Experience writing and executing SQL queries for data analysis :Experience working with Medicaid/MMIS systems. Preferred experience includes DDI (Design, Development, and Implementation) and operations and maintenance phase :Support configuration team with triage and root cause analysis of Medicaid claims and encounters adjudication results :Experience with Requirement Traceability Matrices. :Preferred experience working with HP Application Lifecycle Management (ALM) :Preferred experience working with HP Application Lifecycle Management (ALM) What you should expect in this role :Fast:paced,challenging and rewarding work environment. :Work life balance. :Hybrid office environment :Will require late evening work to overlap US work hours.
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