Full-Time Senior Business Analyst - Audit

• Play a critical part in ensuring Gainwell is meeting our clients’ objectives in important areas.
• Analyze and research audit components; generate business and/or data specifications in support of evidence requirements for each component
• Help verify that all requirements have been met by confirming that evidentiary documentation meets defined specifications
• Create data extract queries and perform data analysis on Medicaid data sets (e.g., claims, member, provider) to aggregate data, identify trends and validate data results
• Communicate with the customer (internal and external), company and project team, measuring and sharing project metrics/status; recommending changes as needed
• Exercise your ability to use common analytics, reporting, and relational database tools — such as Excel, SQL, Power BI, SSRS, BusinessObjects, SAS — to quantify the anticipated impact of work
• Actively support audit projects by quickly escalating any risks and implementing risk mitigation solutions

• 6+ years of experience in a relevant Business Analyst position with 3 or more years of Medicaid or Medicare experience required
• Knowledge of audit processes including evidentiary documentation, preferably within a Medicaid or Medicare context
• Advanced knowledge in analytical software such as Microsoft Excel and SQL
• Knowledge of requirement-mapping tools such as Application Lifecycle Management (ALM)
• Ability to translate detailed regulatory and compliance (CMS) requirements into actionable objectives, and convey the requirements in a digestible way
• Strong client communication skills translating customer requests to actionable objectives
• Strong executive presence and communication skills to deliver messages to business leaders, clients and technical personnel
• Leadership to train, guide and mentor the work of junior colleagues

• Advanced Excel capabilities (e.g., ability to create and use pivot tables, create functions to clean and analyze data) - required
• SQL and query building - required
• Familiarity with CMS audit requirements or healthcare regulatory documentation standards – required
• Proficiency in PowerPoint, Visio, and platforms like ALM – required
• Experience working with Medicaid or healthcare claims, provider, eligibility, or encounter data – preferred
• Power BI and/or other BI tools – preferred
• Technical writing skills - preferred

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