Last name. Gainwell Technologies is committed to a diverse, equitable, and inclusive workplace. We offer clients scalable and flexible solutions for their most complex challenges. The single PBM is part of a larger overhaul of the Medicaid program designed to put the needs of Medicaid members first and bring visibility to the use of state dollars. As always excellent, professional, knowledgeable customer service. Gainwell Technologies LLC Account General Manager - State 6+ years of associated work experience in a software development environment, Practical ability with Microsoft Office as well as SQL, Demonstrated ability to independently manage multiple responsibilities, prioritize tasks and meet deadlines, Excellent written and verbal communication, Ability to perform in lead Business Analyst role on projects, Position open to candidates residing in Arkansas, El Paso, TX or Puerto Rico. It provides access to specific patient information and the ability to reach the SPBM Clinical help desk via web chat. Together, as one team, we collaborated on every aspect of this program. Gainwell has already contracted with more than 2600 pharmacies. Viewing this training is important for managed care entities to learn about the many tools available on both the public facing and secure portal. Youll have the opportunity to grow your career in a company that values work flexibility, learning, and career development. Learn more about Gainwell at our and visit our for all available job role openings. 3 . The recorded SPBM WebPortal training is now available for pharmacies and pharmacy support staff. We are hiring a hardworking Senior Business Analyst - Medicaid to join our exceptional team at Gainwell Technologies LLC in Conway, AR. Web1-770-325-2331 1-866-211-0950 (toll free) Providers, Trading Partners, or Provider Agents: Problems with registration or logging into the website should be directed to the Gainwell Technologies Company Georgia Medicaid EDI Services group. All Rights Reserved. We believe nothing is impossible when you bring together people who care deeply about making healthcare work better for everyone. At issue was the lack of transparency. PNM will replace MITS provider enrollment and provider data management. Gainwell Technologies LLC Data Mapping Lead in San Francisco, Apply online instantly. https://www.linkedin.com/jobs/view/experienced-business-analyst-medicaid-at-gainwell-technologies-3480611811/?utm_campaign=google_jobs_apply&utm_source=google_jobs_apply&utm_medium=organic. We also have a variety of leadership and technical development academies to help build your skills and capabilities. The pay range for this position is $61,700.00 - $88,200.00 per year, however, the base pay offered may vary depending on geographic region, internal equity, job-related knowledge, skills, and experience among other factors. Take charge and focus on how we can meet critical needs to help clients deliver better health and human services outcomes. About NASPO and NASPO ValuePointThe National Association of State Procurement Officials (NASPO) is a non-profit association dedicated to advancing public procurement through leadership, excellence and integrity. Gainwell is the market leader in providing Medicaid services. It was nice to have a direct contact with the same representative until the problem was resolved. Tableau Report Developer Job in San Francisco, CA at Gainwell 2023. NASPO ValuePoint delivers high value, reliable and competitively sourced cooperative contracts offering public entities outstanding prices, favorable terms and conditions and value-added services. Registration for SPBM Web Portal training is now open for all members. Click OK to renew your session or Logout of the application. Under Show More. Working at Gainwell carries its rewards. % WebGainwell Technologies offerings including Medicaid Management Information Systems (MMIS), fiscal agent services, program integrity, care management, immunization registry, and eligibility services. Theresult is a comprehensive platform that is a model for statesseeking to transform their Medicaid programs.. Please enable Cookies and reload the page. Joint Statement Regarding Privacy Breach Connect your passion with purpose, teaming with people who thrive on finding innovative solutions tosome of healthcares biggest challenges. Additionally, CMS cited the companys Step Edits process as a best practice, calling it bulletproof in federal certification review sessions. It provides services for 29 state Medicaid programs, processes more than 195 million pharmacy claims a year, and answers 6.6 million provider and recipient phone calls annually on behalf of state health care customers. Gainwell Technologies LLC SeniorinCare <25 <$5M. Ohio Medicaid Previous TYSONS CORNER, Va., Oct. 18, 2022 (GLOBE NEWSWIRE) -- Gainwell Technologies (Gainwell), a leading innovator in healthcare technology solutions, designed and implemented Kansas new and completely modular Medicaid platform. The recorded SPBM Web Portal training is now available for prescribersand prescribersupport staff. Posted: February 07, 2023. My phone line was costing 4 TIMES MORE per month than the fee for using ClaimShuttle, and it couldn't have been easier to set up and get going. Gainwell empowers you show youre a pro and help clients deliver better health and human services outcomes using innovative technology and solutions. Clipped from: https://www.linkedin.com/jobs/view/experienced-business-analyst-medicaid-at-gainwell-technologies-3480611811/?utm_campaign=google_jobs_apply&utm_source=google_jobs_apply&utm_medium=organic. We are proud to be 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), sexual orientation, gender identity, gender expression, age, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics. Youll have an incredible opportunity to grow your career in a company that values work flexibility, learning, and career development. I always get the most fabulous service when calling or emailing!!! Copyright 2013 AXIOM Systems, Inc. All Rights Reserved. Reno, NV. Supports unit Testing, System Integration Testing, System Testing, and user Acceptance Testing. We believe nothing is impossible when you bring together people who care deeply about making healthcare work better for everyone. LA Dept of Health and Hospitals. Medicaid Management - Gainwell Technologies The pay range for this position is $63,100.00 $90,200.00 per year, however, the base pay offered may vary depending on geographic region, internal equity, job-related knowledge, skills, and experience among other factors. Works toward delivering a first draft solution to ETL for coding, by rapidly understanding which details about the mapping can be deferred. Find out what skills and jobs are in high demand. WebMedicaid Services. I am a very small company, and have actually now reduced my overhead by going with you guys! COLUMBUS, Ohio The Ohio Department of Medicaid (ODM) awards its fiscal intermediary (FI) service contract to Gainwell Technologies, taking another important ODM received six competitive offers in response to the single PBM request for proposal. Since the start of the DeWine administration, ODM has launched several initiatives to drive transparency, reduce pharmacy costs, and simplify provider administration, said Maureen Corcoran, ODM director. Currently, each of Ohio Medicaids six managed care organizations (MCOs) contracts with one or more PBM to manage prescription drug benefits. Name Changes to Gainwell Technologies Effective October 1, 2020, Veritas Capital purchased the Medicaid Fiscal Agent business from DXC Technology. You can deactivate or delete job alerts by clicking the button below. Thank you for your patience as we continue to enhance the system. Thank you for your excellence! $63,130 to $78,957 Yearly. 2018, Chapter 136 and N.J.A.C. This experience takes the partnership to an entirely new level. Just as you promised, I was up and running within 20 minutes of our initial conversation. WebMississippi Division of Medicaid Date: August 17, 2022 Plan Name/Group Name: Mississippi Division of Medicaid BIN: 025151 PCN: DRMSTEST - TEST DRMSPROD PROD Processor: Gainwell Technologies Effective as of: August 2022 NCPDP Telecommunication Standard Version/Release #: D.0 NCPDP Data Dictionary Version Date: April 2022 Our transformed Medicaid platform will provideincredible benefits to our state,our most vulnerable citizens,andourvalued providers. Once the Trading Partner Enrollment process has been completed, you should receive an email with your login and password for their test site. Home page - OH MCD SPBM.Web - Ohio Be part of a team that unleashes the power of leading-edge technologies to Gainwell has served Kansas for two decades, forming a deep relationship with the state built on trust and transparency. Working at Gainwell carries its rewards. WebMedicaid Quality Reporting Medicaid State Plan Types of Services X Apply Basic Eligibility Fee-For-Service Hospital Presumptive Eligibility X Programs Adults Elderly Disabled endobj As a result, health care providers are subject to meeting unique, time-consuming processes required by each MCO to prescribe important, sometimes life-sustaining medications. Youll have an incredible 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, We believe nothing is impossible when you bring together people who care deeply about making healthcare work better for everyone. I just transmitted my first batch of electronic claims through Claim Shuttle! Youll be joining a company where collaboration, innovation, and inclusion fuel our growth. Mississippi Medicaid has created the following guide on how to enroll:Trading Partner Enrollment and Registration ProcessIf the link above does not work properly, please download the guide from here:medicaid.ms.gov/edi-technical-documents/If you have any questions regarding the enrollment instructions, please call the Mississippi Medicaid EDI Technology Support Center at: 1-800-884-3222. A lock or https:// means you've safely connected to the .gov website. Some of the key benefits to Kansas include: A Strategic PartnershipKansas is proud of what we have accomplished through our strategic partnership with Gainwell, said Kansas Medicaid Director Sarah Fertig. Gainwell has already Copyright 2023 Grabjobs Pte.Ltd. Welcome to the new Ohio Medicaid pharmacyservices onlineportal. Share sensitive information only on official, secure websites. This is a soft launch of the SPBM onlineportal with limited features. As a Test Engineer - Medicaid Testing at Gainwell, you will be a part of an innovative healthcare technology company with a mission to serve the healthcare needs of our communities. We are redesigning our programs and services to focus on you and your family. As a Senior Business Analyst - Medicaid 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 communitys most vulnerable. The pay range for this position is $63,100.00 - $90,200.00 per year, however, the base pay offered may vary depending on geographic region, internal equity, job-related knowledge, skills, and experience among other factors. The public facing portal includes access to reference material such as the Unified Preferred Drug List and criteria. WebAs a Medicaid Data Analyst SME 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 In addition to HMS benchmark fees, our recoveries and savings for states and MCOs surpassed $1.5 billion in recoveries and an additional $2.5 billion in savings in 2021 providing clients with best-in-class ROI. I keep having great experiences every time I call your company, finding a super friendly rep on the phone, helping me with any questions I have. Gainwell technologies brings a wealth of experience to strengthen ODM's pharmacy benefits delivery. Medicaid Hope Private In-Home Care <25 <$5M. Reno, NV. Thanks for your honesty and integrity! endobj Learn more about Ohio's largest state agency and the ways in which we continue to improve wellness and health outcomes for the individuals and families we serve. 10:52B establish the New Jersey County Option Ohio Medicaid Data Analyst SME - Gainwell Technologies Youll have an incredible opportunity to grow your career in a company that values work flexibility, learning, and career development. | Source: Ohio Department of Medicaid awards fiscal intermediary contract To access the recording, pleaseclick here. WebWhat you should expect in this role. As a Senior Business Analyst - Medicaid 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 communitys most vulnerable. With more than 50 years of proven experience, Gainwell has a reputation for service excellence and unparalleled industry expertise. Learn more about Gainwell at our and visit our for all available job role openings. You have already created a job alert with same filters. Validates test plan results that satisfy the detailed design goals. Supports the ETL developers based on the mappings created. Medicaid Indiana Medicaid: Partners: Gainwell Technologies As aData Mapping Leadat Gainwell, you can contribute your skills as we harness the power of technology to help our clients improve the health andwell-being of the members they serve a communitys most vulnerable. Posted: February 07, 2023. The pay range for this position is $86,800.00 $124,000.00 per year, however, the base pay offered may vary depending on geographic region, internal equity, job-related knowledge, skills, and experience among other factors. Gainwell Technologies is committed to a diverse, equitable, and inclusive workplace. Creates unit test cases for area of responsibility and updates technical specifications and mappings. Gainwell Technologies is committed to a diverse, equitable, and inclusive workplace. Learn more about Gainwell at our. Joy Home Care <25 <$5M. Other companies could learn from you. A gold mine!! <> Work as a liaison between the customer and the technical team to provide quality solutions for the customers needs. 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. Youll add to your technical credentials and certifications while enjoying a generous, flexible vacation policy and educational assistance. Here are the details on this position.. Medicaid This time it was warranted. Youll add to your technical credentials and certifications while enjoying a generous, flexible vacation policy and educational assistance. WebMedicaid Data Analyst SME - Gainwell Technologies - San Francisco CA - data-analyst, san-francisco----ca, gainwell-technologies. We can now process x\o7n~ Welcome to Youll add to your technical credentials and certifications while enjoying a generous, flexible vacation policy and educational assistance. HIPP Unit, Gainwell Technologies | Georgia Medicaid Put your passion to work at Gainwell. A detailed description of how to complete each of the enrollment steps and a list of information to have on hand before starting the enrollment application is available at: The Provider Network Management (PNM) module is going live in parallel with the Single Pharmacy Benefit Manager (SPBM) on Oct. 1. stream 2 0 obj Youll have the opportunity to grow your career in a company that values work flexibility, learning, and career development. Please use the same Learning Management System (LMS) credentials set up during your registration to log in.. View job listing details and apply now. If this is a transaction you would like to utilize please make sure to enroll with the payer. Please enter a Name and Password so you can update your Job Alerts in the future. Gainwell Technologies Analyze and document current business processes and determine new processes to solve complex Healthcare initiatives. The Ohio Department of Medicaid (ODM) today announced Gainwell Technologies was selected to be the agencys single pharmacy benefits manager (PBM). Gainwell is experiencing very high call volumes related to prior authorizations. Youll have an incredible opportunity to grow your career in a company that values work flexibility, learning, and career development. With more than 50 years of proven experience, Gainwell has a reputation for service excellence and unparalleled industry expertise. Find the best jobs in the US, apply in 1 click and get a job today! Managed Care Entity Web Portal training recording now available. It provides access to specific patient information and the ability to reach the SPBM Clinical help desk via web chat. This comprehensive solution gives Kansas Medicaid the agility and interoperability it needs to deliver high-quality healthcare services while reducing costs. We also have a variety of leadership and technical development academies to help build your skills and capabilities. Questions may be directed to the EDI Helpdesk at 1 844-807-9449 or via the Contact Us link Take charge and focus on how we can meet critical needs to help clients deliver better health and human services outcomes. Thank you very much for the help. Full-Time. , Pharmacy Web Portal training recording now available. The Customer Support Center is closed on Thanksgiving Day and Christmas. Play a critical part in ensuring Gainwell is meeting our clients objectives in important areas. Doing so meant structuring the program as a specialized managed care health plan that rewards the single PBM for patient wellness and health outcomes. Uses SQL, data models, data element dictionary and schema to perform data and business analysis. We celebrate diversity and are dedicated to creating an inclusive environment for all employees. Every time I call, it feels as if I am talking directly with the owner of the company. Check. Coordinate workstreams and teams on IT projects to align solutions with client business priorities, Demonstrate your knowledge as SME and liaison for clients and internally between technical and non-technical workers to transform requirements into real results, Delegate work across teams, and coach and monitor project team members to plan, design and improve complex business processes and modifications, Streamline workflows across clients and technical personnel to determine, document and oversee carrying out system requirements, Support quality control as you approve and validate test results to verify that all requirements have been met, Nine or more years of experience working as a business analyst or requirements translator between technical and non-technical personnel, with 3 or more years of Medicaid and Medicare experience preferred, 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, Skills working with business processes and re-engineering, Curiosity to solve complex problems and strong interpersonal skills to interact with and influence clients and team members, A caring team leader who motivates and coaches less experienced resources, Opportunities to travel through your work (0-10%), Onsite, remote or Hybrid options may be available from US locations, The pay range for this position is $86,800.00 $124,000.00 per year, however, the base pay offered may vary depending on geographic region, internal equity, job-related knowledge, skills, and experience among other factors.