Gainwell Technologies LLC

Gainwell Technologies LLC

Advisor Technical Business Analyst - Medicaid FHIR Architecture & Interoperability

US · Full-time

Sponsorship not specifiedDetected 14 days ago
API DevelopmentOpenAPIComplianceExcelPostmanHL7/FHIRLeadershipCommunicationCollaboration

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odds of building a lasting career here

40Risky
Cap-exempt (no lottery)0
Sponsors this role90
Entry-level history0
PERM / green-card track0
Lottery odds40
Fits your clock70

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Employer immigration record

from this employer's Department of Labor filings

Green-card filing pattern in this occupation

Context, not a finding about this posting: of this employer's 16 green-card filings in this occupation, 100% were for a worker who already held the job.

Green-card follow-through: 100%

Of 6 labor certifications old enough to have been used, 0 expired without the employer filing the next step. Median time from filing to decision: 484 days.100% of their filings were for a worker who already held the job.Only certifications past the 180-day window are counted — recent ones cannot have expired yet.

DOL often reclassifies their job titles

The Department of Labor assigned a different occupation than this employer requested on 46% of its 13 wage determinations — against a 18% norm. The occupation sets the prevailing wage floor.Reclassification is routine and can reflect genuinely hybrid roles; it is not by itself evidence of underpayment.

Files H-1B transfers

10 transfer filings in the last year, covering 10 workers. Median labor-condition decision: 9 days. An employer that already files transfers is one that can take over an existing H-1B.

Sourced from Department of Labor LCA, PERM and prevailing-wage disclosure data. Employer matching is by name, so figures may be split across an employer's legal entities. Absence of a filing means none appears in our copy of the data, not that none exists.

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About the 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.

Responsibilities

  • Support architecture decisions related to FHIR‑based integration patterns, including APIs, canonical data models, and transformation strategies.
  • Partner with solution architects to ensure interoperability designs are scalable, reusable, and consistent with Gainwell enterprise standards
  • Lead analysis and documentation for mapping
  • Define and maintain FHIR profiles, extensions, value sets, and implementation guidance appropriate for Medicaid use cases.
  • Support FHIR API design by reviewing resource structures, payloads, search parameters, and business rules.
  • FHIR data mapping documents
  • Review and validate transformation logic, schemas, and API contracts.
  • Support SIT and UAT by validating data accuracy, business compliance, and end‑to‑end interoperability.

Requirements

  • Knowledge of Microsoft Excel advanced features such as macros and/or relational database software
  • Ability to clearly and concisely translate technical requirements to a non-technical audience
  • Support governance reviews, standards compliance, and documentation required by state Medicaid programs and CMS

Nice to have

  • Experience supporting CMS interoperability initiatives (Patient Access API, Provider Directory API, PA API)
  • Familiarity with integration platforms and tools:
  • Postman, Swagger/OpenAPI
  • Interface engines (Mirth, Rhapsody)
  • Cloud‑based integration services
  • Experience working on Medicaid transformation or modular MMIS modernization projects
  • Key Skills & Attributes
  • Strong systems thinking and architectural mindset
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This listing is sourced directly from Gainwell Technologies LLC's careers page and normalized into a canonical job model.