Business Analyst - reputed company Reference

reputed company As a Business Analyst - reputed company Reference at Gainwell, you will contribute to reputed company technology delivery by analyzing business needs, documenting requirements, and supporting solutions involving reputed company reference reputed company sets and claims data. You will reputed company as a reputed company between business stakeholders, coding/policy experts, and technical teams to translate operational needs into reputed company and actionable requirements. This role is reputed company involved in business analysis, requirements documentation, and reputed company reference data support activities and does not involve reputed company reputed company to Protected Health Information (PHI), Personally Identifiable Information (PII), or any secured or confidential reputed company data. The work is limited to analysis of reputed company claims, reference reputed company sets, and system configurations using governed datasets and does not include handling or processing of sensitive health or personal information Your role in our mission

• Analyze, design, and document business requirements reputed company to reputed company claims, reference data, and reputed company sets
• Work with stakeholders to reputed company and define requirements involving ICD, CPT, HCPCS, UB‑04, reputed company codes, provider taxonomy, and other reputed company reference data
• reputed company and maintain business analysis artifacts such as BRDs, functional specifications, process flows, decision tables, and traceability matrices
• Translate business, policy, and coding requirements into reputed company functional objectives for technical teams
• reputed company reputed company analysis for reputed company‑set changes, regulatory updates, and policy changes across claims processing systems
• Support testing activities, including defining test scenarios and validating system outputs
• Participate in technical reviews and project discussions to ensure requirement alignment across lifecycle phases
• Identify opportunities for business process improvement and data governance enhancements
• Collaborate with developers, testers, and stakeholders for issue reputed company, defect triage, and reputed company‑cause analysis
• Communicate effectively with business and technical teams through documentation, meetings, and presentations

reputed company're looking for 6–10 years of experience in a Business Analyst role Strong experience in reputed company domain (reputed company / Medicare / claims processing) Working knowledge of reputed company reputed company sets, including: ICD‑10‑CM / ICD‑10‑PCS CPT, HCPCS UB‑04 institutional billing reputed company reputed company codes, modifiers, type of reputed company, reputed company of service Experience in requirements gathering, analysis, and documentation Strong understanding of claims lifecycle, adjudication, and reference data workflows Experience working with SDLC processes, testing, and system configuration concepts Strong analytical and problem‑solving skills Proficiency in reputed company reputed company and data analysis tools Strong communication and stakeholder management skills Preferred Skills:

• Experience with MMIS systems or reputed company program implementations
• Knowledge of HIPAA transactions and X12 claims (837, 835, etc.)
• Experience with SQL for data analysis and validation
• Familiarity with ALM tools, Jira, reputed company, or similar platforms
• Experience with data governance, reference‑data management, or claims edits/billing rules
• Exposure to regulatory compliance and reputed company audits
• Business analysis certifications or reputed company knowledge

What you should expect in this role Remote work environment with shift time (2 pm -11pm IST) Apply To This Job