Nice firms want nice groups to propel their operations. Be part of the group that solves enterprise challenges and enhances the way in which we work and develop. Working at Gainwell carries its rewards. You’ll have an unbelievable alternative to develop your profession in an organization that values your contributions and places a premium on work flexibility, studying, and profession growth.
As a Senior Enterprise Analyst – Audit at Gainwell, you’ll be able to contribute your abilities as we harness the ability of know-how to assist our shoppers enhance the well being and well-being of the members they serve — a neighborhood’s most susceptible – by supporting Medicaid audit readiness, compliance, and operational transparency. Join your ardour with objective, teaming with individuals who thrive on discovering progressive options to a few of healthcare’s largest challenges. Listed below are the main points on this place.
Play a crucial half in guaranteeing Gainwell is assembly our shoppers’ targets in essential areas.
- Analyze and analysis audit parts; generate enterprise and/or information specs in help of proof necessities for every part
- Assist confirm that every one necessities have been met by confirming that evidentiary documentation meets outlined specs
- Create information extract queries and carry out information evaluation on Medicaid information units (e.g., claims, member, supplier) to mixture information, establish traits and validate information outcomes
- Talk with the client (inside and exterior), firm and mission workforce, measuring and sharing mission metrics/standing; recommending adjustments as wanted
- Train your skill to make use of widespread analytics, reporting, and relational database instruments — resembling Excel, SQL, Energy BI, SSRS, BusinessObjects, SAS — to quantify the anticipated influence of labor
- Actively help audit initiatives by shortly escalating any dangers and implementing danger mitigation options
- 6+ years of expertise in a related Enterprise Analyst place with 3 or extra years of Medicaid or Medicare expertise required
- Information of audit processes together with evidentiary documentation, ideally inside a Medicaid or Medicare context
- Superior data in analytical software program resembling Microsoft Excel and SQL
- Information of requirement-mapping instruments resembling Software Lifecycle Administration (ALM)
- Skill to translate detailed regulatory and compliance (CMS) necessities into actionable targets, and convey the necessities in a digestible method
- Sturdy consumer communication abilities translating buyer requests to actionable targets
- Sturdy govt presence and communication abilities to ship messages to enterprise leaders, shoppers and technical personnel
- Management to coach, information and mentor the work of junior colleagues
Most popular ability and expertise
- Superior Excel capabilities (e.g., skill to create and use pivot tables, create capabilities to wash and analyze information) – required
- SQL and question constructing – required
- Familiarity with CMS audit necessities or healthcare regulatory documentation requirements – required
- Proficiency in PowerPoint, Visio, and platforms like ALM – required
- Expertise working with Medicaid or healthcare claims, supplier, eligibility, or encounter information – most popular
- Energy BI and/or different BI instruments – most popular
- Technical writing abilities – most popular
What you need to count on on this position
- Alternatives to journey by way of your work (0-10%)
- Absolutely distant choices from continental US places solely
- Video cameras have to be used throughout all interviews, in addition to throughout the preliminary week of orientation
- The deadline to submit purposes for this posting is August 21, 2025
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The pay vary for this place is $69,400.00 – $99,200.00 per yr, nevertheless, the bottom pay supplied could differ relying on geographic area, inside fairness, job-related data, abilities, and expertise amongst different components. Put your ardour to work at Gainwell. You’ll have the chance to develop your profession in an organization that values work flexibility, studying, and profession growth. All salaried, full-time candidates are eligible for our beneficiant, versatile trip coverage, a 401(k) employer match, comprehensive health benefits, and academic help. We even have a wide range of management and technical growth academies to assist construct your abilities and capabilities.
We consider nothing is unimaginable while you deliver collectively individuals who care deeply about making healthcare work higher for everybody. Construct your profession with Gainwell, an business chief. You’ll be becoming a member of an organization the place collaboration, innovation, and inclusion gas our progress. Be taught extra about Gainwell at our company website and go to our Careers site for all accessible job position openings.
Gainwell Applied sciences is an Equal Alternative Employer, the place all certified candidates will obtain consideration for employment with out regard to race, faith, coloration, nationwide origin, gender (together with being pregnant, childbirth, or associated medical situation), age, sexual orientation, standing as a protected veteran, standing as a person with a incapacity, or different relevant legally protected traits.