Business Analyst - Medicaid

Be part of a team that unleashes the power of leading-edge technologies to help improve the health and well-being of those most vulnerable in our country and communities. Working at HMS , a Gainwell Company carries its rewards. You'll have an incredible opportunity to grow your career in a company that values work flexibility, learning, and career development. You'll add to your technical credentials and certifications while enjoying a generous, flexible vacation policy and educational assistance. We also have comprehensive leadership and technical development academies to help build your skills and capabilities.

Summary

As a Business Analyst at Gainwell for the Medicaid/Medicare Subrogation and Health Insurance Premium Payment (HIPP) team, 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. Connect your passion with purpose, teaming with people who thrive on finding innovative solutions to some of healthcare's biggest challenges.

We are seeking an experienced Business Analyst to join our client delivery team supporting the Medicaid/Medicare Subrogation and Health Insurance Premium Payment (HIPP) teams. You will be the "front line" for triaging complex requirement issues, facilitating conversations with operational leaders, client management and technical teams, and translating urgent client and operational needs into clear, actionable technical specifications for our internal product teams. The position requires active leadership, solid analytical skills, rapid problem-solving, effective communication, and the ability to support projects that integrate new technology, federal regulations, and evolving operational practices.

Your role in our mission

Gainwell empowers you to help deliver better outcomes using innovative, purpose-built technologies and solutions to deliver better health and human services outcomes.

• Analyze data and user interface processes to investigate root cause of issues and/or make recommendations to improve business processes to support business and client needs.
• Build basic conceptual data and process models to quantify the current state and potential impact of changes to the system.
• Collaborate with business, client management and technical stakeholders to elicit, document and translate business requirements into technical specifications for development.
• Create, execute or analyze test plans and test case scenarios to verify that requirements have been met and are built into system design.
• Support project management of client and product implementations by clarifying project objectives, scope, business requirements and project schedule, as needed.
  
  

What We're Looking For

• Bachelor's degree in computer science, Information Systems or related discipline plus 2 years of Business Analyst experience or equivalent combination of education and experience.
• Business Analyst experience to include gathering, analyzing, documenting and translating requirements into actionable solutions for business stakeholders and clients.
• Strong understanding of basic programming concepts, including configuration, development workflows, automation and the software development life cycle.
• Strong proficiency in Microsoft Office Suite and the ability to create, organize, and manage structured documentation.
• Experience with data query, analysis, visualization, and automation systems including SQL, advanced Excel, PowerBI, Python or related systems for data analysis, automation, and report generation, with strong capability in structuring data, building logical workflows, and executing multi?step analysis sequences.
• Strong analytical thinking with the ability to translate data into actionable insights and support decision?making across operational teams.
• Proficient project management and organizational skills with the ability to organize and manage multiple deliverables simultaneously, maintain deadlines, and adapt to shifting priorities.
• Experience working with Azure DevOps or related ALM and SDLC tools.
• Collaborative and influential team player who builds strong partnerships with across teams and business leaders to work at the intersection of the 'technical' and 'non-technical.
• Strong written and oral communication and presentation skills to present complex analytical insights clearly and concisely to business leaders, clients and technical personnel
• Independent and proactive analytical thinker with strong critical?thinking and structured problem?solving abilities to identify issues, offer solutions, and make data?driven recommendations.
• High learning agility with the ability to quickly absorb new tools, systems, and business processes.
  
  

Preferred Qualifications

• Experience in Healthcare data management industry with Medicaid data preferred.
• Experience collaborating with cross?functional teams in a remote or hybrid environment preferred.
• Business Analysis or related certification preferred.
  
  

What You Should Expect In This Role

• Fully remote options from contiguous US locations only
• Office Hours: 8a - 5p Central time
• Video cameras must be used during all interviews, as well as during the initial week of orientation
• The deadline to submit applications for this posting is May 14, 2026
  
  

The pay range for this position is $55,600.00 - $79,400.00 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 HMS , a Gainwell Company . 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 HMS , a Gainwell Company , an industry leader. You'll be joining a company where collaboration, innovation, and inclusion fuel our growth. Learn more about HMS , A Gainwell Technologies Company at our company website and visit our Careers site for all available job role openings.

HMS, a Gainwell Company, is 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), age, sexual orientation, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics. HMS defines "wages" and "wage rates" to include "all forms of pay, including, but not limited to, salary, overtime pay, bonuses, stock, stock options, profit sharing and bonus plans, life insurance, vacation and holiday pay, cleaning or gasoline allowances, hotel accommodations, reimbursement for travel expenses, and benefits.