Senior Business Analyst - Prior Authorization

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Date:
Feb 25, 2026

Location:

Any city, WI, US, 99999 Any city, WI, US, 99999

Work Mode:
Virtual (Exception only)

Be part of a team that unleashes the power of leading-edge technologies to help 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. Working at Gainwell 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.

As a
Senior Business Analyst - Prior Authorization 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.

Play a critical part in ensuring Gainwell is meeting our clients’ objectives in important areas.

• Help coordinate a business analyst team’s duties and activities on IT projects and nurture newer team members by providing guidance and support
• Be a knowledgeable bridge between clients, project managers and technical staff to define, document and share business requirements and expected impact
• Work with the client to develop business specs at the start of a technical project
• Analyze, plan, design, document or make recommendations to improve business processes to support client’s technology goals
• Help verify that all requirements have been met by approving and validating test results
• Exercise your ability to use basic analytical or relational database software — such as Excel or SQL — to quantify the anticipated impact of work

• 6 or more years of experience as a Business Analyst in the healthcare industry with 3 or more years of Medicaid and Medicare experience preferred
• Bachelors degree or higher
• Advanced knowledge in analytical software:
  Microsoft Excel and SQL
• Hands on experience with Claims Professional Benefit Administration (PBA) and Prior Authorization utilizing In Rule
• Requirement-mapping tools such as Application Lifecycle Management (ALM) tools, preferred

Strong communicator with executive presence who translates client needs into actionable objectives, motivates teams, and conveys complex technical and business concepts in a clear, digestible way

• Client facing experience required

• Opportunities to travel through your work (0-10%)
• Fully remote options from Contiguous US locations only
• 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 March 5, 2026
• #LI-HC1

The pay range for this position is $69,400.00 - $99,200.00 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 ’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…