Early Career Business Analyst - Operations

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. 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 an

Early Career Business Analyst - Operations

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. We are seeking a highly motivated and detail-oriented

Operations Business Analyst

to join our team. This position is responsible for the

daily posting and accounts receivable (AR) reconciliation

of medical payments to claims, based on both paper and electronic Explanation of Benefits (EOBs) from insurance carriers. The analyst will correct errors, modify posting issues, and generate

monthly invoices

based on claims processed during the reporting period.

This role requires

strong problem-solving skills

, the ability to

work independently in a remote environment

, and

experience in healthcare claims

. The ideal candidate will be comfortable navigating complex systems and processes and have a deep understanding of

medical and pharmacy claims adjudication

,

Medicaid reclamation

, and healthcare payment cycles.

Post payments to medical and pharmacy claims from paper and electronic EOBs daily.

Identify, analyze, and resolve errors in claim postings and payments.

Participates in meetings with client engagement to gather and document requirements and explore potential solutions.

Assists in analyzing and documenting clients business requirements and processes following established approach and methodology; Plans and designs standard business processes following established approach and methodology; assists in formulating recommendations to improve and support business activities.

Generate and distribute monthly invoices using

PeopleSoft Finance

based on claims posted during the reporting period.

Create, run, and deliver

posting and reconciliation reports

; Maintain accurate documentation for audit and compliance purposes.

Collaborate with other departments to resolve issues related to claims and payments.

Work independently in a remote environment while meeting deadlines and service level agreements (SLAs).

Bachelor’s degree in Business, Healthcare Administration, Finance, or a related field; OR 3–5 years of experience in

medical claims posting and reconciliation

.

Solid understanding of

medical and pharmacy claims adjudication

and

Medicaid reclamation claims

.

Proficiency in

SQL

and ability to extract and analyze data from relational databases.

Familiarity with

PeopleSoft Finance

or similar enterprise financial systems.

Experience working with

healthcare data analytics

or reporting tools.

Prior experience in a

remote or hybrid work environment

.

Knowledge of healthcare payment cycles and insurance reimbursement processes

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 November 5, 2026

#Video is required for screenings and interviews, so please test your camera and microphone in advance.

Do not use AI tools, virtual backgrounds/filters, or visual enhancements during the interview.

The pay range for this position is $44,500.00 - $63,500.00 per year, however, the base pay offered may vary depending on geographic region, internal equity, job-related knowledge, skills, and experience among other factors. 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.

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.