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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. Take charge and focus on how we can meet critical needs to help clients deliver better health and human services outcomes. SIC Code 63,632. We are redesigning our programs and services to focus on you and your family. CONTACT:Elizabeth Bonet Gainwell Technologies972-556-5082elizabeth.bonet@gainwelltechnologies.com. Be part of a team that unleashes the power of leading-edge technologies to The secure portal requires log in credentials that will allow access to specific patient information. Gainwell Technologies LLC. Learn more atwww.naspovaluepoint.org. Build your career with Gainwell, an industry leader. Find out what skills and jobs are in high demand. Youll have the opportunity to grow your career in a company that values work flexibility, learning, and career development. Gainwell Technologies If you don't receive your credentials within 2-3 weeks, please call theirTechnology Support Center toll-free at1-800-884-3222. endobj Required Documents for those applying for new Submitter IDs. 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. 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. Youll add to your technical credentials and certifications while enjoying a generous, flexible vacation policy and educational assistance. Once you have received your Submitter ID and Password from Mediciad, please call the ClaimShuttle Support Team and set an appointment for a Mailbox setup and Test Transmission. Click here to join our private community of job We celebrate diversity and are dedicated to creating an inclusive environment for all employees. Gainwell Technologies is committed to a diverse, equitable, and inclusive workplace. 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. The award moves Ohio closer to realizing greater transparency and accountability in Medicaid's $3 billion pharmacy program. 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 Medicaid <>/Metadata 102 0 R/ViewerPreferences 103 0 R>> A Happy Friday message from a Satisfied User! Ohio Department of Medicaid | 50 West Town Street, Suite 400, Columbus, Ohio 43215, Consumer Hotline: 800-324-8680 | Provider Integrated Helpdesk: 800-686-1516, Gainwell Technologies selected to bring new level of accountability. Medicaid We are proud to be an Equal Opportunity Employer, where all qualified applicants will receive 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. at 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. HIPP Unit, Gainwell Technologies | Georgia Medicaid Once the Trading Partner Enrollment process has been completed, you should receive an email with your login and password for their test site. We can now process 276/277 requests (claim status). | Source: Attention All Providers: Nevada Medicaid Fiscal Agent Provider 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. How can you stand out? Medicaid Users may find helpful website links and documents within our online portal in the menu bar above. Posted: December 06, 2022. 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. Working at Gainwell carries its rewards. The reps even keep records of calls from the past, to ensure continuance of care. #LI- Medicaid Verify solution meets the defined requirements through scenario testing. WebGainwell provides several services to the Indiana Health Coverage Programs, including provider enrollment, customer service, eligibility verification systems, and fee-for-service ADL Caregivers <25 As always excellent, professional, knowledgeable customer service. We also have comprehensive leadership and technical development academies to help build your skills and capabilities. Ohio Department of Medicaid awards fiscal intermediary contract All salaried, full-time candidates are eligible for our generous, flexible vacation policy, a , and educational assistance. Our billers love the interface that ClaimShuttle provides and I would be happy to be a future reference if needed. 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 We believe nothing is impossible when you bring together people who care deeply about making healthcare work better for everyone. The configurable, nine-module system will transform how Kansas delivers healthcare solutions. The public facing portal includes access to reference material such as the Unified Preferred Drug List and criteria. 2023. The Ohio Department of Medicaid (ODM) today announced Gainwell Technologies was selected to be the agencys single pharmacy benefits manager (PBM). Posted: February 07, 2023. 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. We offer clients scalable and flexible solutions for their most complex challenges. Connect your passion with purpose, teaming with people who thrive on finding innovative solutions to some of healthcares biggest challenges. $61,700 to $99,200 Yearly. WebGainwell Technologies LLC is now hiring a Account General Manager - State Medicaid Management Services in Nevada. Want to receive job alerts for similar jobs? 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. You have already created a job alert with same filters. Gainwell Technologies brings a wealth of experience to strengthen ODMs pharmacy benefits delivery. 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. Full-Time. #LI- Medicaid. Gainwell is the market leader in providing Medicaid services. I have also been transferred to other staff, who helped me resolve issues in the most professional way. Top Competitors of Gainwell Technologies. Put your passion to work at Gainwell. To access the recording, pleaseclick here. It provides access to specific patient information and the ability to reach the SPBM Clinical help desk via web chat. Gainwell is experiencing very high call volumes related to prior authorizations. Works toward delivering a first draft solution to ETL for coding, by rapidly understanding which details about the mapping can be deferred. 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. The Kansas Medicaid platform implementation sets the standard for states adopting modular The rep and supervisor went out of their way to get the issue resolved. June 14, 2022 08:00 ET A pioneer in protecting the integrity of Medicaid programs through comprehensive TPL solutions and services, HMS has been awarded contracts for all five categories: Commercial Recoupment, Recovery, Hospital-Physician, MCO Come-Behind Billing and TPL Systems Module. 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. The pay range for this position is $38,400.00 - $54,900.00 per year, however, the base pay offered may vary depending on geographic Youll be joining a company where collaboration, innovation, and inclusion fuel our growth. 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 <> 3 . Test claims will not be processed for payment but will be validated against production files; therefore, they must contain valid patient procedure, diagnosis, and provider information. Gainwell Technologies LLC 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. Thank you for your patience as we continue to enhance the system. The Customer Support Center is closed on Thanksgiving Day and Christmas. 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. A gold mine!! Additionally, PNM training is now available for providers in a variety of formats, including virtual, in-person, and self-paced. COLUMBUS, Ohio The Ohio Department of Medicaid (ODM) today announced Gainwell Technologies was selected to be the agencys single pharmacy benefits manager (PBM). 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 Build your career with Gainwell, an industry leader. Gainwell Technologies LLC Medicaid Data Analyst SME Job in We also have a variety of leadership and technical development academies to help build your skills and capabilities. Youll add to your technical credentials and certifications while enjoying a generous, flexible vacation policy and educational assistance. Senior Business Analyst - Medicaid - Hiring Urgently 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. 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. Tableau Report Developer Job in San Francisco, CA at Gainwell Have never had any problems and this is the easiest claim site. WebSummary. Test files should consist of a variety of claims that represent the type of claims you will be submitting once production status is achieved. If you're asked to log in with an OHID - the state's best-of-breed digital identity - your privacy, data, and personal information are protected by all federal and state digital security guidelines. Creates accurate mapping documents according to the mapping process. Learn more about Gainwell at our and visit our for all available job role openings. The Ohio Department of Medicaid (ODM) today announced Gainwell Technologies was selected to be the agencys single pharmacy benefits manager (PBM). 1 0 obj Play a critical part in ensuring Gainwell is meeting our clients objectives in important areas. Experience and knowledge with HCPCS and ICD procedure codes and ICD diagnosis code is a plus, 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, Fully remote, only US location options will be considered. You have successfully created a new job alert. WebGainwell Technologies offerings including Medicaid Management Information Systems (MMIS), fiscal agent services, program integrity, care management, immunization registry, and eligibility services. Provide business solutions, process improvements, business case and change consulting to the external client at functional and senior management level. Clinical information that is available includesmember benefit and eligibility, pharmacy prescription claims activity, Rx prior authorizations, and Coordinated Services Program (CSP) status will be distributed to the MCEs, however, the portal will allow quicker access to the most current information. Gainwell Technologies % If you have already submitted a prior authorization, please refrain from sending in a duplicate Prior Authorization. WebWhat you should expect in this role. Medicaid Management - Gainwell Technologies Learn more about Gainwell at our and visit our for all available job role openings. 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. There simply is no comparison! View job listing details and apply now. . NASPO ValuePoint delivers high value, reliable and competitively sourced cooperative contracts offering public entities outstanding prices, favorable terms and conditions and value-added services. Theresult is a comprehensive platform that is a model for statesseeking to transform their Medicaid programs.. All salaried, full-time candidates are eligible for our generous, flexible vacation policy, a 401(k) employer match, comprehensive health benefits , and educational assistance. We also have comprehensive leadership and technical development academies to help build your skills and capabilities. That is a direct consequence of your fantastic employees. Supports unit Testing, System Integration Testing, System Testing, and user Acceptance Testing. To access the recording, pleaseclick here. It was nice to have a direct contact with the same representative until the problem was resolved. The changes we make will help you more easily access information, locate health care providers, and receive quality care. Since 2010, Gainwell has achieved 16 Centers for Medicare and Medicaid Services (CMS) certifications more than all other vendors within the same time period. NASPO is an organization that helps its members as public procurement leaders by promoting best practices, education, professional development, research and innovative procurement strategies. WebGainwell Technologies Provider Services 1-800-776-6334: Click here for ICD 10 Resources. Other companies could learn from you. With more than 50 years of proven experience, Gainwell has a reputation for service excellence and unparalleled industry expertise. LA Dept of Health and Hospitals. I love it! You can also receive alerts via instant message. Experienced Business Analyst- Medicaid | Gainwell Technologies 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. If this is a transaction you would like to utilize please make sure to enroll with the payer. Interface with the technical team to ensure designs are understood and properly implemented. The award moves Ohio closer to realizing greater transparency and accountability in Medicaids $3 billion pharmacy program. Youll be joining a company where collaboration, innovation, and inclusion fuel our growth. https://www.dice.com/job-detail/eb49bd3b-53cd-43e7-89e4-fbf4c64a1d8c?utm_campaign=google_jobs_apply&utm_source=google_jobs_apply&utm_medium=organic. We believe nothing is impossible when you bring together people who care deeply about making healthcare work better for everyone. All salaried, full-time candidates are eligible for our generous, flexible vacation policy, a , and educational assistance. WebApply for a Gainwell Technologies LLC Data Mapping Lead job in San Francisco, CA. Show More. Medicaid Data Analyst SME - Gainwell Technologies Youll have the opportunity to grow your career in a company that values work flexibility, learning, and career development. Youll be joining a company where collaboration, innovation, and inclusion fuel our growth. Claims and encounters? Since 1985, HMS has been the leader in TPL solutions for state Medicaid agencies. Home page - OH MCD SPBM.Web - Ohio Check. Data Mapping Lead - Gainwell Technologies LLC Together, as one team, we collaborated on every aspect of this program. My work is truly cut in half by using Claim Shuttle. We celebrate diversity and are dedicated to creating an inclusive environment for all employees. All salaried, full-time candidates are eligible for our generous, flexible vacation policy, a , and educational assistance. View this and more full-time & part-time jobs in San Francisco, CA on Viewing this training is important for pharmacists and their support staff to learn about the many tools available on both the public facing and secure portal. Working at Gainwell carries its rewards. ODM received six competitive offers in response to the single PBM request for proposal. Please use the same Learning Management System (LMS) credentials set up during your registration to log in.. 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. 3 0 obj 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. 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. All salaried, full-time candidates are eligible for our generous, flexible vacation policy, a , and educational assistance. 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. Last name. Everything about it (including your team) is great! Please enter a Name and Password so you can update your Job Alerts in the future. 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. TennCare, Gainwell Technologies LLC and Axis Direct, Inc. announced today that they have notified approximately 3,300 Medicaid members in the State of Tennessee of a privacy issue that may have impacted their protected health information. Put your passion to work at Gainwell. View job listing details and apply now. Gainwell empowers you show youre a pro and help clients deliver better health and human services outcomes using innovative technology and solutions. Working at Gainwell carries its rewards. The pay range for this position is $86,800.00 $124,000.00 per year, however, the base pay WebOnsite, remote or Hybrid options may be available from US locations. 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. It is made up of the directors of the central purchasing offices in each of the 50 states, the District of Columbia and the territories of the United States. Working at Gainwell carries its rewards. Senior Business Analyst Medicaid Gainwell Technologies If you are on a personal connection, like at home, you can run an anti-virus scan on your device to make sure it is not infected with malware. Apply online instantly. Gainwell Technologies LLC. Gainwell Technologies This is a soft launch of the SPBM onlineportal with limited features. Gainwell Technologies hiring Professional PHM Data Sciences The secure portal requires log in credentials. Department of Medicaid logo, return to home page. We also have comprehensive leadership and technical development academies to help build your skills and capabilities. Please use the same Learning Management System (LMS) credentials set up during your registration to log in. Here are the details on this position. Thanks! Viewing this training is important for managed care entities to learn about the many tools available on both the public facing and secure portal. $63,130 to $78,957 Yearly. We believe nothing is impossible when you bring together people who care deeply about making healthcare work better for everyone. NAICS Code 52,524. 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. Gainwell operates as a standalone company with over 7,500 employees who support clients across 42 U.S. states and territories. We can now process 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. Click OK to renew your session or Logout of the application. I always get the most fabulous service when calling or emailing!!! We also have comprehensive leadership and technical development academies to help build your skills and capabilities.
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