Advisor Technical Business Analyst - Medicaid FHIR Architecture & Interoperability

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Date:
Oct 1, 2026

Location:

Any city, TN, US, 99999

Work Mode:
Virtual (Exception only)

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.

As an Advisor Technical Business Analyst
- Medicaid FHIR Architecture & Interoperability 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.

Gainwell Technologies is seeking a Technical Business Analyst with deep Medicaid experience and strong FHIR architecture expertise to support large‑scale Medicaid modernization and interoperability initiatives. This role sits at the intersection of state Medicaid policy, enterprise architecture, and modern data exchange standards and plays a key part in translating complex Medicaid data and workflows into scalable, FHIR‑based solutions.

The ideal candidate has hands‑on experience with Provider+, FHIR architecture, profiling, and data translation
, and can operate as a trusted advisor to architects, engineers, and state clients—ensuring interoperability solutions are compliant, sustainable, and aligned to CMS and Gainwell standards.

Medicaid & Interoperability Architecture

• Serve as a FHIR‑focused technical business analyst supporting Gainwell’s Medicaid interoperability and data exchange solutions.
• Translate state Medicaid business requirements, CMS mandates, and client‑specific policies into FHIR‑aligned technical requirements.
• 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

Stakeholder & Client Engagement

• Serve as a technical translator between Medicaid business stakeholders, state agencies, and engineering teams.
• Clearly explain FHIR architecture and interoperability concepts to non‑technical audiences.
• Support governance reviews, standards compliance, and documentation required by state Medicaid programs and CMS

• Lead analysis and documentation for mapping Medicaid data to and from FHIR (R4), including:
  • MMIS data models FHIR
  • X12 (270/271, 834, 837, 835) FHIR
  • HL7 v2 FHIR
• 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.
• Ensure FHIR implementations align with:
  • CMS Interoperability and Prior Authorization rules
  • Patient Access and Provider Directory API requirements
  • Gainwell reusable integration assets and patterns

• Produce clear, detailed technical artifacts, including:
  • FHIR data mapping documents
  • API and integration use cases
  • Sequence diagrams and process flows
  • Acceptance criteria and validation rules
• Actively collaborate with:
  • Integration and platform engineers
  • Enterprise and solution architects
  • State Medicaid SMEs and external vendors
• Review and validate transformation logic,…