Business Analyst – MMIS, Pharmacy

Gainwell Technologies

Advisor Business Analyst supporting end-to-end Medicaid Management Information Systems implementations at Gainwell Technologies. Collaborating with cross-functional teams to improve healthcare delivery for vulnerable populations.

Posted 5/19/2026full-timeRemote • Texas • 🇺🇸 United StatesMid-LevelSenior💰 $86,800 - $124,000 per yearWebsite

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

MMISMedicaid PharmacyQNXTSQLdata analysissystem requirementsconfiguration supportdesign artifactsSDLCAgile

Soft Skills

client communicationdocumentationfacilitationanalytical skillsleadershipcollaborationstakeholder interactionrequirements gatheringdesign sessionstrust advisor

Certifications & Qualifications

Bachelor’s degree in Computer ScienceBachelor’s degree in Information SystemsBachelor’s degree in Health Informatics

Industry Keywords

healthcare system implementationsMedicaid policyregulationsprogram rulesclaims processesmember processesprovider processesprior authorization processescompliance alignmentdomain SME

Tech Stack

Tools & technologies

SDLCSQL

About the role

Key responsibilities & impact

Supports business, policy, and technical execution across MMIS and/or the Medicaid Pharmacy environment.
Acts as the primary Domain SME and trusted advisor on business processes and regulatory impacts.
Ensures compliance alignment and validates solution design.
Lead and participate in requirements and design sessions with clients and teams.
Develop and maintain domain design documentation and ensure accuracy of requirements.

Requirements

What you’ll need

Bachelor’s degree in Computer Science, Information Systems, Health Informatics, or a related field.
5 to 8 years of hands-on experience supporting healthcare system implementations, including MMIS solutions and Medicaid Pharmacy platforms.
Experience with QNXT or similar healthcare claims/encounter management systems.
Strong knowledge of state and federal Medicaid policy, regulations, and program rules (required).
Strong understanding of Medicaid domains, including claims, member, provider, and prior authorization processes.
Demonstrated experience translating policy and program rules into system requirements, configuration support, and design artifacts.
Strong knowledge of SQL is required, particularly for data analysis and validation.
Strong client communication skills, with experience interacting directly with business stakeholders.
Proven ability to lead or support functional demonstrations, walkthroughs, and collaborative working sessions.
Strong documentation, facilitation, and analytical skills.
Experience working in SDLC and Agile delivery environments.

Benefits

Comp & perks

Generous, flexible vacation policy
Educational assistance
Comprehensive health benefits
401(k) employer match
Leadership and technical development academies