Top Competitors of Gainwell Technologies. This time it was warranted. The public facing portal includes access to reference material such as the Unified Preferred Drug List and criteria. We are proud to be an Equal 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. WebMedicaid Quality Reporting Medicaid State Plan Types of Services X Apply Basic Eligibility Fee-For-Service Hospital Presumptive Eligibility X Programs Adults Elderly Disabled Creates accurate mapping documents according to the mapping process. Our transformed Medicaid platform will provideincredible benefits to our state,our most vulnerable citizens,andourvalued providers. Please enable Cookies and reload the page. HMS was selected as a supplier for ValuePoints TPL service offerings, allowing states to gain more efficiency and savings by choosing one sole provider to manage all their data and TPL service needs. Works closely with configuration team and DBAS to ensure synchronicity of configuration to interfaces and mappings. Gainwell is the market leader in providing Medicaid services. 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. If you are at an office or shared network, you can ask the network administrator to run a scan across the network looking for misconfigured or infected devices. Learn more about Gainwell at our. 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. 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. 4 0 obj As an Experienced 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. Pharmacy providers and members may contact the Gainwell Customer Support Center by phone 833-491-0344, 24 hours a day, seven daysa week. Posted: December 06, 2022. Media ContactLacey Hautzinger, Gainwell Technologies469.284.7240Lacey.hautzinger@gainwelltechnologies.com, Schae Kane, NASPO ValuePointskane@naspovaluepoint.org, The National Association of State Procurement Officials (NASPO), Lacey.hautzinger@gainwelltechnologies.com. WebJoin to apply for the Experienced Business Analyst- Medicaid role at Gainwell Technologies. We are hiring a hardworking Senior Business Analyst - Medicaid to join our exceptional team at Gainwell Technologies LLC in Conway, AR. Questions may be directed to the EDI Helpdesk at 1 844-807-9449 or via the Contact Us link If you have already submitted a prior authorization, please refrain from sending in a duplicate Prior Authorization. Thank you very much for the help. endobj Please open this website in one of the following browsers: Chrome, Edge, Firefox, Safari. SIC Code 63,632. Working at Gainwell carries its rewards. The business domain includes Healthcare business processes, specifically focused on Medicaid and Medicare and CMS. On February 1, Ohio Medicaid launched the new electronic data interchange (EDI) and fiscal intermediary as part of our ongoing commitment to streamlining the provider administrative experience. Youll have an incredible opportunity to grow your career in a company that values work flexibility, learning, and career development. Copyright 2013 AXIOM Systems, Inc. All Rights Reserved. You can deactivate or delete job alerts by clicking the button below. Under My work is truly cut in half by using Claim Shuttle. Build your career with Gainwell, an industry leader. SeniorinCare <25 <$5M. Youll add to your technical credentials and certifications while enjoying a generous, flexible vacation policy and educational assistance. This launch also includes a new requirement to establish an OH|ID to access any of ODM's Ohio Medicaid Enterprise Systems (OMES). Youll add to your technical credentials and certifications while enjoying a generous, flexible vacation policy and educational assistance. Summary The Ohio Department of Medicaid (ODM) provides health care coverage to more than 3 million Ohioans through a network of more than 165,000 providers. View job listing details and apply now. 2 . Read more, Upgrade to Premium to view the number of applicants for this Job, Upgrade to Premium to start a conversation with Gainwell Technologies Llc. 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. NASPO ValuePoint delivers high value, reliable and competitively sourced cooperative contracts offering public entities outstanding prices, favorable terms and conditions and value-added services. Wonderful team that is always willing to assist with issues or concerns. Required Documents for those applying for new Submitter IDs. Take charge and focus on how we can meet critical needs to help clients deliver better health and human services outcomes. This single-vendor approach will result in lower total cost for TPL services and fully streamlines the process by filling in gaps that previously required multiple vendors and disparate point solutions. The following process must be followed prior to initiation of electronic claim submission or inquiry. This website provides information to members, pharmacies, prescribers, Managed Care Entities, and the public. Excellent service and I never give anyone "Excellent" scores on surveys. The secure portal requires log in credentials. I love it! Pharmacy Services. WebGainwell Technologies LLC is now hiring a Account General Manager - State Medicaid Management Services in Nevada. Gainwell Technologies. Youll have an incredible opportunity to grow your career in a company that values work flexibility, learning, and career development. We are redesigning our programs and services to focus on you and your family. Additionally, CMS cited the companys Step Edits process as a best practice, calling it bulletproof in federal certification review sessions. %PDF-1.7 Youll have an incredible opportunity to grow your career in a company that values work flexibility, learning, and career development. Gainwell is offering several options available below for your assistance: Gainwell Technologies and the Ohio Department of Medicaid (ODM) launched the Single Pharmacy Benefit Manager (SPBM) on October 1! 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 5+ 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. Gainwell Technologies LLC. Reno, NV. Everything about it (including your team) is great! I am so happy to have found you! Gainwell Technologies is committed to a diverse, equitable, and inclusive workplace. 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. 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. Working at Gainwell carries its rewards. Learn more about Gainwell at our and visit our for all available job role openings. A Happy Friday message from a Satisfied User! 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. Working at Gainwell carries its rewards. <> We also have comprehensive leadership and technical development academies to help build your skills and capabilities. Gainwell Technologies is committed to a diverse, equitable, and inclusive workplace. Gainwell is experiencing very high call volumes related to prior authorizations. Gainwell Technologies is committed to a diverse, equitable, and inclusive workplace. Youll have the opportunity to grow your career in a company that values work flexibility, learning, and career development. <>/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>> WebOnsite, remote or Hybrid options may be available from US locations. Want to receive job alerts for similar jobs? About Gainwell Technologies LLCGainwell Technologies is the leading provider of technology solutions that are vital to the administration and operations of health and human services programs. To allow providers an advanced opportunity to set up their OH|ID and associate their accounts, ODM has launched a PNM pre-registration site at:https://pnm-preregistration.omes.maximus.com. The newly designed program is targeted for launch in January 2022. 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. We believe nothing is impossible when you bring together people who care deeply about making healthcare work better for everyone. NASPO is an organization that helps its members as public procurement leaders by promoting best practices, education, professional development, research and innovative procurement strategies. For insights into what you need to know, visit managedcare.medicaid.ohio.gov/providers. Share sensitive information only on official, secure websites. Completing the CAPTCHA proves you are a human and gives you temporary access to the web property. The reps even keep records of calls from the past, to ensure continuance of care. These capabilities make us a trusted partner for organizations seeking reliability, innovation and transformational outcomes. The recorded SPBM WebPortal training is now available for pharmacies and pharmacy support staff. This contract win further validates the long-standing quality, effectiveness and innovation of our TPL solutions and they are invaluable in continuing to keep our nations healthcare programs protected and strong.. 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. Our billers love the interface that ClaimShuttle provides and I would be happy to be a future reference if needed. Youll have the opportunity to grow your career in a company that values work flexibility, learning, and career development. We are working to process these as quickly as possible. It provides access to specific patient information and the ability to reach the SPBM Clinical help desk via web chat. Every time I call, it feels as if I am talking directly with the owner of the company. We also have a variety of leadership and technical development academies to help build your skills and capabilities. Thepublic facing portal includes access to reference material such as the Unified Preferred Drug List and criteria. Work as a liaison between the customer and the technical team to provide quality solutions for the customers needs. For training registration instructions,click here.. Since 1985, HMS has been the leader in TPL solutions for state Medicaid agencies. 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. Posted: February 07, 2023. 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. Click here to join our private community of job ODM received six competitive offers in response to the single PBM request for proposal. Creates unit test cases for area of responsibility and updates technical specifications and mappings. The Customer Support Center is closed on Thanksgiving Day and Christmas. This new platform will drive efficiency and quality, improving our ability to serve our members and providers.. Find out what skills and jobs are in high demand. 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. Youll be joining a company where collaboration, innovation, and inclusion fuel our growth. Gainwell Technologies LLC. I was really concerned that this transition was going to be difficult and costly, but I was wrong on both counts. WebSummaryAs a [ [Medicaid Senior Business Analyst ]] 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. Thank you for your excellence! The auditor stated, we cannot be content to accept a black box in the delivery of public services. Ohio Medicaid and other state agencies had no means to audit potential steerage or conflicts of interest. With over 50 years of proven experience, Gainwell carries forward a reputation for technological innovation, service excellence, and unparalleled Previous experience with a Medicaid Management System or with major operations-related components of an Medicaid Management System or other large healthcare systems and The recorded SPBM Web Portal training is now available for Managed Care Entity Portal Administrators and staff. Connect your passion with purpose, teaming with people who thrive on finding innovative solutions tosome of healthcares biggest challenges. Gainwell Technologies. Gainwell Technologies LLC. Your role in our mission Take charge and focus on how we can meet critical needs to help clients deliver better health and human services outcomes. Youll add to your technical credentials and certifications while enjoying a generous, flexible vacation policy and educational assistance. We believe nothing is impossible when you bring together people who care deeply about making healthcare work better for everyone. x\o7n~ The groundbreaking, cloud-based platform uses a service-oriented architecture to seamlessly connect all modules in a secure and dynamic environment. Log in to the member secure portal to view your: Your guide to Medicaid and other information about your Medicaid benefits can be found in the Member section of the Medicaid Managed Care Plan websites., The Gainwell Notice of Privacy Practices is available. We believe nothing is impossible when you bring together people who care deeply about making healthcare work better for everyone. We believe nothing is impossible when you bring together people who care deeply about making healthcare work better for everyone. Verify solution meets the defined requirements through scenario testing. 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. $63,130 to $78,957 Yearly. Name Changes to Gainwell Technologies Effective October 1, 2020, Veritas Capital purchased the Medicaid Fiscal Agent business from DXC Technology. San Francisco, CA. The secure portal requires log in credentials. October 18, 2022 09:30 ET Gainwell Technologies brings a wealth of experience to strengthen ODMs pharmacy benefits delivery. ODM expects to award the POSV vendor by summer 2021. Working at Gainwell carries its rewards. Learn more atwww.naspovaluepoint.org. We celebrate diversity and are dedicated to creating an inclusive environment for all employees. By Phone: 1-770-325-9590 1-877-261-8785 (toll free) LA Dept of Health and Hospitals. Refines mapping documents, adding more detail, and filling out deferred material as questions are resolved. 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.