Learn more atgainwelltechnologies.com. WebGainwell Technologies offerings including Medicaid Management Information Systems (MMIS), fiscal agent services, program integrity, care management, immunization registry, and eligibility services. 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. Put your passion to work at Gainwell. Gainwell Implements Fully Modular, Cloud-Based Medicaid Ohio Medicaid achieves its health care mission with the strong support and collaboration of our stakeholder partners - state health and human services agencies, associations, advocacy groups, and individuals who help us administer the program today and modernize it for the next generation of healthcare. The business domain includes Healthcare business processes, specifically focused on Medicaid and Medicare and CMS. Build your career with Gainwell, an industry leader. WebWhat you should expect in this role. Gainwell has already contracted with more than 2600 pharmacies. Medicaid Management - Gainwell Technologies 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. New Extensions for Gainwell Technologies Provider Representatives 12/7/2020 PDF Version TO: All Providers RE: New Extensions for Gainwell Technologies Provider Representatives Effective Wednesday, December 9, 2020, Gainwell Technologies Provider Representatives may be reached by dialing 855-523-9170, then dialing a new 7 Gainwell Technologies Youll have the opportunity to grow your career in a company that values work flexibility, learning, and career development. The secure portal requires log in credentials that will allow access to specific patient information. The Ohio Department of Medicaid (ODM) today announced Gainwell Technologies was selected to be the agencys single pharmacy benefits manager (PBM). Gainwell Technologies LLC Account General Manager - State Gainwell empowers you show youre a pro and help clients deliver better health and human services outcomes using innovative technology and solutions. Connect your passion with purpose, teaming with people who thrive on finding innovative solutions to some of healthcares biggest challenges. 2023 Snagajob.com, Inc. All rights reserved. <> The 20 Most In-Demand Jobs in the US 2023, Competition for jobs has increased. Gainwell Technologies WebAs 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 4 0 obj 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 As always excellent, professional, knowledgeable customer service. San Francisco, CA. It's great to have immediate help and knowledgeable support! 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. WebIf you have any questions regarding the enrollment instructions, please call the Mississippi Medicaid EDI Technology Support Center at: 1-800-884-3222. All Rights Reserved. First name. All salaried, full-time candidates are eligible for our generous, flexible vacation policy, a , and educational assistance. WebGainwell Technologies Provider Services 1-800-776-6334: Click here for ICD 10 Resources. 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. . %PDF-1.7 All salaried, full-time candidates are eligible for our generous, flexible vacation policy, a , and educational assistance. For insights into what you need to know, visit managedcare.medicaid.ohio.gov/providers. Users may find helpful website links and documents within our online portal in the menu bar above. WebAs 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. This experience takes the partnership to an entirely new level. We also have a variety of leadership and technical development academies to help build your skills and capabilities. Medicaid Summary Provider Gainwell Technologies LLC. La Med. ODM's goals for the SPBM are to improve management and administration of pharmacy benefits for Ohio Medicaid managed care members. We celebrate diversity and are dedicated to creating an inclusive environment for all employees. Put your passion to work at Gainwell. You should receive an email with that information as well, Step 2: Register as a Trading Partner via the "Register Now" link:https://portal-tpi.msxix.net/ms/provider/Home/tabid/135/Default.aspx, Please make sure to select "Trading Partner" on the first screen, On the following screen you will need to enter the Trading Partner ID you received from Step 1 and enter your zip code, Please write down the User ID and Password you create on the next screen, After completing the rest of the required fields on this page, you will receive an email that contains a secure link to complete registration. WebJoin to apply for the Experienced Business Analyst- Medicaid role at Gainwell Technologies. Senior Business Analyst Medicaid Gainwell Technologies Have never had any problems and this is the easiest claim site. I was really concerned that this transition was going to be difficult and costly, but I was wrong on both counts. 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 With more than 50 years of proven experience, Gainwell has a reputation for service excellence and unparalleled industry expertise. endobj The Kansas Medicaid platform implementation sets the standard for states adopting modular solutions. <>/Metadata 102 0 R/ViewerPreferences 103 0 R>> Learn more atwww.naspo.org. The Customer Support Center is closed on Thanksgiving Day and Christmas. SPBM Clinical staff can also be reached via phone and email. 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 Experience in Healthcare, such as Medicaid or Medicare required, Distinguished Data Engineer, Card Commercialization (Remote Eligible), Engineering Manager, SkySat Data Pipeline, Do Not Sell or Share My Personal Information. Mississippi Medicaid has created the following guide on how to enroll: Once the Trading Partner Enrollment process has been completed, you should receive an email with your login and password for their test site. Doing so meant structuring the program as a specialized managed care health plan that rewards the single PBM for patient wellness and health outcomes. Please share my thanks with everyone involved. The award moves Ohio closer to realizing greater transparency and accountability in Medicaids $3 billion pharmacy program. <>/Font<>/XObject<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/Annots[ 15 0 R 21 0 R 29 0 R 30 0 R 31 0 R] /MediaBox[ 0 0 612 792] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>> GrabJobs is the no1 job portal in the US, connecting you to thousands of jobs fast! Once implemented, the single PBM will eliminate costly duplicative administrative processes for ODM and providers alike. We are hiring a hardworking Senior Business Analyst - Medicaid to join our exceptional team at Gainwell Technologies LLC in Conway, AR. Learn more at gainwelltechnologies.com. Required Documents for those applying for new Submitter IDs. Creates unit test cases for area of responsibility and updates technical specifications and mappings. $61,700 to $99,200 Yearly. 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. Gainwell Technologies To access the recording, pleaseclick here. Senior Business Analyst - Medicaid - Hiring Urgently at Gainwell We take great pride in our strong relationship with Kansas, said Gainwell CEO Paul Saleh. Our billers love the interface that ClaimShuttle provides and I would be happy to be a future reference if needed. All salaried, full-time candidates are eligible for our generous, flexible vacation policy, a , and educational assistance. LA Dept of Health and Hospitals. Play a critical part in ensuring Gainwell is meeting our clients objectives in important areas. medicaid
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