Experienced Provider+ Business Analyst - MMIS / Medicaid Pharmacy

About this role

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 an
Experienced Provider+ Business Analyst - MMIS / Medicaid Pharmacy
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.


The
Experienced Provider+ Business Analyst
supports business, policy, and technical execution across one or more functional domains within MMIS Medicaid Management Information Systems (MMIS) and/or the Medicaid Pharmacy environment. Supported domains may include Member, Provider, Claims (Medicaid, Dental and/or Pharmacy), Finance, Plan and Care Management, and Business Relationship Management.


This role supports end‑to‑end domain delivery by translating
state and federal Medicaid policy
and program requirements into product features, system configuration, and design artifacts. The Business Analyst works closely with the
Domain Lead
,
Technical Analysts
, and cross‑functional teams and acts as a
domain and policy subject
‑
matter expert (SME)
to ensure successful implementation and operational readiness.


Your role in our mission
Requirements & Design

• Acts as the primary Domain SME, serving as a trusted advisor to the Engagement Lead (EL) on business processes and associated regulatory and operational impacts.
• Ensures compliance alignment by validating that solution design and configuration confo...