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Advisor Technical Analyst - MMIS / Medicaid Pharmacy
<span class="jobdescription"><p><span style="font-size:12.0pt;font-family:arial, helvetica, sans-serif">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 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.</span></p> <p> </p><div><div style="padding:10.0px 0.0px;border:1.0px solid transparent"><div style="font-size:18.0px;word-wrap:break-word"><h2 style="font-size:1.0em;margin:0.0px"><b>Summary</b></h2> </div><div><p>As an <strong>Advisor Technical Analyst - MMIS / Medicaid Pharmacy</strong> 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.</p> <p> </p> <p>The <strong>Advisor Technical Analyst </strong>plays a critical role in supporting technical execution for MMIS Medicaid Management Information Systems (MMIS) and/or the Medicaid Pharmacy environment. This role provides hands‑on technical analysis, SQL development, data validation, integration support, and system troubleshooting across one or more functional domains, including Member, Provider, Claims (Medical, Dental, and/or Pharmacy), Utilization Management, Prior Authorization, Finance, and Plan/Care Management.</p> <p>Working closely with <strong>Business Analysts (BAs)</strong>, <strong>Configuration Analysts (CAs)</strong>, conversion teams, and QA, the Technical Analyst ensures solutions are technically sound, data‑driven, scalable, and aligned with system architecture. This role supports solution design, technical documentation, data setup, testing, performance tuning, and issue resolution throughout the Software Development Life Cycle (SDLC).</p></div></div><div style="padding:10.0px 0.0px;border:1.0px solid transparent"><div style="font-size:18.0px;word-wrap:break-word"><h2 style="font-size:1.0em;margin:0.0px"><b>Your role in our mission</b></h2> </div><div><p><strong>Technical Analysis & Data Expertise</strong></p> <ul style="list-style-type:disc" type="disc"> <li>Develop, maintain, and optimize <strong>complex SQL queries, views, and stored procedures</strong> to support analysis, configuration validation, reporting, and defect resolution.</li> <li>Perform in‑depth <strong>data analysis and root</strong>‑<strong>cause investigations</strong> to troubleshoot system and production issues.</li> <li>Use SQL to extract, analyze, reconcile, and validate data across environments to support solutioning, testing, and quality assurance.</li> <li>Support <strong>performance tuning</strong> activities by analyzing queries, batch jobs, execution plans, and system throughput.</li> <li>Perform smoke testing and post‑release validation to confirm data integrity and system stability.</li> </ul> <p><strong>Data, Conversion & Integration Support</strong></p> <ul style="list-style-type:disc" type="disc"> <li>Coordinate with <strong>data conversion teams</strong> to support migration planning, data loads, reconciliation, and validation.</li> <li>Validate converted and migrated data to ensure accuracy, completeness, and alignment with business and policy intent.</li> <li>Support and validate <strong>configuration syncs (e.g., Redgate)</strong> from baseline to upper environments (source‑to‑target).</li> <li>Analyze, validate, and reconcile <strong>interface outputs</strong>, extract files, reports, and database feeds.</li> <li>Validate <strong>X12 EDI transactions</strong> (e.g., 834, 837, 835, 820, 999/277) for structure, content, and processing outcomes.</li> <li>Coordinate and manage <strong>reference data files</strong> and national standard code sets, investigating data variances as needed.</li> </ul> <p><strong>Solution Design & Technical Validation</strong></p> <ul style="list-style-type:disc" type="disc"> <li>Support Business Analysts by translating functional requirements into <strong>technical specifications and solution models</strong>.</li> <li>Interpret and leverage <strong>Data Element Dictionaries (DEDs)</strong> to understand data structures, relationships, and cross‑module dependencies.</li> <li>Analyze and document data flows, integration logic, and technical dependencies across internal systems and external interfaces.</li> <li>Perform feasibility analysis on requested features, identifying technical constraints, data impacts, and integration considerations.</li> <li>Participate in design and requirements workshops, providing technical insight to ensure business and technical alignment.</li> <li>Present and explain technical impacts or solution gaps to governance forums such as <strong>Architecture Review Boards (ARB)</strong> or <strong>Change Control Boards (CCB)</strong> as needed.</li> </ul></div></div><div style="padding:10.0px 0.0px;border:1.0px solid transparent"><div style="font-size:18.0px;word-wrap:break-word"><h2 style="font-size:1.0em;margin:0.0px"><b>.... your role continued</b></h2> </div><div><p><strong>Testing & Deployment Support</strong></p> <ul style="list-style-type:disc" type="disc"> <li>Support <strong>System Integration Testing (SIT)</strong>, <strong>User Acceptance Testing (UAT)</strong>, <strong>parallel testing</strong>, and <strong>performance testing</strong> by validating data and system behavior.</li> <li>Assist with test data setup, environment readiness, validation scripts, and reconciliation activities.</li> <li>Analyze defects related to data, interfaces, configuration syncs, and performance; implement and validate fixes.</li> <li>Support deployment, cutover activities, hypercare, and post‑production issue resolution.</li> </ul> <p> </p> <p><strong>Collaboration, Communication & Leadership Support</strong></p> <ul style="list-style-type:disc" type="disc"> <li>Serve as a technical liaison between <strong>Business Analysts, Configuration Analysts, developers, QA, conversion teams, and operations</strong>.</li> <li>Clearly document and communicate technical findings, risks, root causes, and resolution approaches to stakeholders.</li> <li>Collaborate with configuration teams on data mappings and configuration validation.</li> <li>Mentor junior technical analysts on SQL, data standards, troubleshooting techniques, and documentation best practices.</li> <li>May lead sub‑tracks within technical workstreams to ensure timely and high‑quality delivery.</li> </ul> <p> </p> <p><strong>Expected Outcomes</strong></p> <ul style="list-style-type:disc" type="disc"> <li>Accurate, actionable technical and data insights supporting requirements, design, and testing decisions.</li> <li>Clear technical documentation of data flows, integrations, configuration dependencies, and solution gaps.</li> </ul></div></div><div style="padding:10.0px 0.0px;border:1.0px solid transparent"><div style="font-size:18.0px;word-wrap:break-word"><h2 style="font-size:1.0em;margin:0.0px"><b>What we're looking for</b></h2> </div><div><ul style="list-style-type:disc" type="disc"> <li>Bachelor’s degree in Computer Science, Information Systems, Health Informatics, or a related field (or equivalent experience).</li> <li><strong>10+ years of experience as a Technical Analyst, Data Analyst, or Healthcare Systems Analyst.</strong></li> <li><strong>Advanced SQL skills</strong>, including complex joins, transformations, large dataset analysis, and stored procedures.</li> <li>Experience supporting <strong>MMIS, Medicaid, or Medicaid Pharmacy systems</strong>.</li> <li>Strong understanding of healthcare data and Medicaid domains (Member, Provider, Claims, Pharmacy, Finance, Care Management).</li> <li>Experience with data analysis, troubleshooting, and validating technical outputs.</li> <li>Strong analytical, documentation, and communication skills.</li> <li>Experience working in SDLC and Agile delivery environments.</li> </ul></div></div><div style="padding:10.0px 0.0px;border:1.0px solid transparent"><div style="font-size:18.0px;word-wrap:break-word"><h2 style="font-size:1.0em;margin:0.0px"><b>What sets you apart</b></h2> </div><div><p><strong>Preferred Skills</strong></p> <ul style="list-style-type:disc" type="disc"> <li>Hands‑on experience with <strong>QNXT</strong> or similar healthcare claims/encounter management platforms.</li> <li>Familiarity with <strong>Data Element Dictionaries (DEDs)</strong>, interface specifications, and integration design.</li> <li>Experience validating <strong>X12 EDI transactions</strong> and healthcare interfaces.</li> <li>Experience supporting data conversion, reconciliation, and parallel testing.</li> <li>Exposure to cloud platforms (<strong>AWS, Azure, or Google Cloud</strong>).</li> </ul></div></div><div style="padding:10.0px 0.0px;border:1.0px solid transparent"><div style="font-size:18.0px;word-wrap:break-word"><h2 style="font-size:1.0em;margin:0.0px"><b>What you should expect in this role</b></h2> </div><div><ul style="list-style-type:disc"> <li>Fully remote options from continental US locations only</li> <li>Video cameras must be used during all interviews, as well as during the initial week of orientation</li> <li> <p><strong>This posting is intended for pipelining. This is a developing position therefore the job description is subject to change</strong>.</p> <p><strong>#LI-HC1</strong></p> <p><strong>#LI-MMIS</strong></p> <p><strong>#LI-QNXT</strong></p> <strong>#LI-Data Element Dictionaries (DEDs)</strong></li> </ul></div></div></div><p> </p> <p><span style="font-size:12.0pt;font-family:arial, helvetica, sans-serif">The pay range for this position is <span style="font-size:12.0pt;font-family:arial, helvetica, sans-serif">$95,100 - $135,000</span> 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 Gainwell. 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 <span style="color:#cb1ac6"><u><a style="color:#cb1ac6" href="https://jobs.gainwelltechnologies.com/content/benefits/?locale=en_US">401(k) employer match, comprehensive health benefits</a></u></span>, and educational assistance. We also have a variety of leadership and technical development academies to help build your skills and capabilities.</span></p> <p> </p> <p><span style="font-size:12.0pt;font-family:arial, helvetica, sans-serif">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 our <span style="color:#cb1ac6"><a style="color:#cb1ac6" href="https://www.gainwelltechnologies.com/">company website</a></span> and visit our <span style="color:#cb1ac6"><a style="color:#cb1ac6" href="https://jobs.gainwelltechnologies.com/">Careers site</a></span> for all available job role openings.</span></p> <p> </p> <p><span style="font-size:8.0pt;font-family:arial, helvetica, sans-serif"><em style="font-style:italic">Gainwell Technologies <span style="color:#32363a">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. <span style="font-size:8.0pt;font-family:arial, helvetica, sans-serif">Gainwell Technologies 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.</span></span></em></span></p> </span>
