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Business Analyst - Fraud And Abuse Detection

Company

Gainwell Technologies LLC
Address , , Ks
Employment type FULL_TIME
Salary $50,500 - $72,200 a year
Expires 2023-06-29
Posted at 1 year ago
Job Description

Great companies need great teams to propel their operations. Join the group that solves business challenges and enhances the way we work and grow. Working at Gainwell carries its rewards. You’ll have an incredible opportunity to grow your career in a company that values your contributions and puts a premium on work flexibility, learning, and career development.


Summary

As a Business Analyst - Fraud and Abuse Detection 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

Gainwell empowers you show you’re a pro and help clients deliver better health and human services outcomes using innovative technology and solutions.

  • Analyze, plan, design, document and make recommendations to improve business processes to support client’s technological aspirations
  • Ensure that “intent of change” is carried out through every project phase by participating in technical reviews and inspections
  • Be a supportive bridge between clients, project managers and technical personnel to define, track and communicate business requirements and their expected impact by building basic conceptual data and process models
  • Create, execute or analyze basic test scenarios to verify that client requirements are built into system design

What we're looking for

  • Demonstrated strong writing skills.
  • Three or more years of experience translating technical goals and requirements into real action for clients.
  • Minimum of two years Medicaid experience or other health care experience.
  • Experience in claims resolution preferred.
  • Knowledge of criminal investigation, auditing and accounting procedures.
  • Experience in utilization review or fraud and abuse detection services preferred.

What you should expect in this role

  • Office environment


The pay range for this position is $50,500.00 - $72,200.00 per year, however, the base pay offered may vary depending on geographic region, internal equity, job-related knowledge, skills, and experience among other factors. Put your passion to work at Gainwell. You’ll have the opportunity to grow your career in a company that values work flexibility, learning, and career development. All salaried, full-time candidates are eligible for our generous, flexible vacation policy, a 401(k) employer match, comprehensive health benefits, and educational assistance. We also have a variety of leadership and technical development academies to help build your skills and capabilities.


We believe nothing is impossible when you bring together people who care deeply about making healthcare work better for everyone. Build your career with Gainwell, an industry leader. You’ll be joining a company where collaboration, innovation, and inclusion fuel our growth. Learn more about Gainwell at our company website and visit our Careers site for all available job role openings.


Gainwell Technologies is committed to a diverse, equitable, and inclusive workplace. We are proud to be an Equal Opportunity Employer, where all qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical condition), sexual orientation, gender identity, gender expression, age, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics. We celebrate diversity and are dedicated to creating an inclusive environment for all employees.