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Youll add to your technical credentials and certifications while enjoying a generous, flexible vacation policy and educational assistance. 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. Additionally, CMS cited the companys Step Edits process as a best practice, calling it bulletproof in federal certification review sessions. Our transformed Medicaid platform will provideincredible benefits to our state,our most vulnerable citizens,andourvalued providers. Share sensitive information only on official, secure websites. We celebrate diversity and are dedicated to creating an inclusive environment for all employees. 2018, Chapter 136 and N.J.A.C. Gainwell Technologies View job listing details and apply now. https://pnm-preregistration.omes.maximus.com, OH_MCD_PBM_Network@gainwelltechnologies.com, Myers and Stauffer (PPAC) - Ohio Medicaid Pharmacy, Chapter 5160-26 - Ohio Administrative Code | Ohio Laws, Single Pharmacy Benefit Manager (SPBM) Secure Web Portal Provider Registration FAQ is available, Provider Registration Manual is available, Provider Registration Process training video is available, Check provider enrollment application status, You can also call or visit your local county office for help with benefits at 1-844-640-OHIO (6446). Theresult is a comprehensive platform that is a model for statesseeking to transform their Medicaid programs.. Gainwell Technologies I am so happy to have found you! Indiana Medicaid: Partners: Gainwell Technologies , Pharmacy Web Portal training recording now available. Test Engineer - Medicaid Testing - Gainwell Technologies Ohio Department of Medicaid awards fiscal intermediary contract LA Medicaid Managed Care Organization. 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. Learn more atwww.naspovaluepoint.org. Be part of a team that unleashes the power of leading-edge technologies to Working at Gainwell carries its rewards. 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. Here are the details on this position. 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 Doing so meant structuring the program as a specialized managed care health plan that rewards the single PBM for patient wellness and health outcomes. Your company feels young and fresh and it is a real pleasure being a client of yours. Creates accurate mapping documents according to the mapping process. Uses SQL, data models, data element dictionary and schema to perform data and business analysis. The secure portal requires log in credentials. 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. A lock or https:// means you've safely connected to the .gov website. Neither ODM nor the state auditor could verify or refute the appropriate use of funds. Posted: December 06, 2022. WebApply for a Gainwell Technologies LLC Data Mapping Lead job in San Francisco, CA. Experienced Business Analyst- Medicaid | Gainwell Technologies Please accessthis job aidfor step-by-step instructions to sign up for a session. We also have comprehensive leadership and technical development academies to help build your skills and capabilities. Gainwell Technologies selected to bring new level of Find out what skills and jobs are in high demand. Gainwell Technologies is the leading provider of cloud technology solutions vital to the administration and operations of health and human services programs. Youll be joining a company where collaboration, innovation, and inclusion fuel our growth. Last name. Managed Care Entities (MCE) including Managed Care Organizations (MCO) and the Prepaid Inpatient Health Plan (PIHP), which is also known as OhioRISE, will be given access to the SPBM online portal to view clinical profile information about members that are actively enrolled in their associated MCE. 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. 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. Attention All Providers: Nevada Medicaid Fiscal Agent Md]|k >i0NVxC?',X#g*. The recorded SPBM Web Portal training is now available for prescribersand prescribersupport staff. MMIS Replacement Project (MRP) - Mississippi Division of Work as a liaison between the customer and the technical team to provide quality solutions for the customers needs. Gainwell Technologies hiring Medicaid Data Analyst SME in San WebOnsite, remote or Hybrid options may be available from US locations. Medicaid $61,700 to $99,200 Yearly. We are redesigning our programs and services to focus on you and your family. Excellent service and I never give anyone "Excellent" scores on surveys. 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. Put your passion to work at Gainwell. Learn more atgainwelltechnologies.com. ClaimShuttle - Mississippi Medicaid: Gainwell Technologies You can also receive alerts via instant message. 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. Working at Gainwell carries its rewards. 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.. With over 50 years of proven experience, Gainwell carries forward a reputation for technological innovation, service excellence, and unparalleled 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. Ohio Medicaid Gainwell Technologies LLC Medicaid 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. 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. Gainwell technologies brings a wealth of experience to strengthen ODM's pharmacy benefits delivery. 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. 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 All salaried, full-time candidates are eligible for our generous, flexible vacation policy, a , and educational assistance. All salaried, full-time candidates are eligible for our generous, flexible vacation policy, a , and educational assistance. Completing the CAPTCHA proves you are a human and gives you temporary access to the web property. 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. Members will have access to a training video on Oct. 1. 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. Youll add to your technical credentials and certifications while enjoying a generous, flexible vacation policy and educational assistance. Previous experience with a Medicaid Management System or with major operations-related components of an Medicaid Management System or other large healthcare systems and Youll add to your technical credentials and certifications while enjoying a generous, flexible vacation policy and educational assistance. The groundbreaking, cloud-based platform uses a service-oriented architecture to seamlessly connect all modules in a secure and dynamic environment. Help the client innovate and formulate business solutions and technology enabled business models to implement CMS mandated or State directed initiatives. Validates test plan results that satisfy the detailed design goals. The pay range for this position is $86,800.00 $124,000.00 per year, however, the base pay 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. Build your career with Gainwell, an industry leader. Youll add to your technical credentials and certifications while enjoying a generous, flexible vacation policy and educational assistance. 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. WebGainwell Technologies is committed to a diverse, equitable, and inclusive workplace. COLUMBUS, Ohio The Ohio Department of Medicaid (ODM) today announced Gainwell Technologies was selected to be the agencys single pharmacy benefits manager (PBM). Gainwell Technologies LLC Data Mapping Lead in San Francisco, WebJoin to apply for the Experienced Business Analyst- Medicaid role at Gainwell Technologies. 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. 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! Additionally, PNM training is now available for providers in a variety of formats, including virtual, in-person, and self-paced. Youll have the opportunity to grow your career in a company that values work flexibility, learning, and career development. The changes we make will help you more easily access information, locate health care providers, and receive quality care. WebSummary. The following process must be followed prior to initiation of electronic claim submission or inquiry. Gainwell Technologies is committed to a diverse, equitable, and inclusive workplace. Since 2010, Gainwell has achieved 16 Centers for Medicare 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. A gold mine!! Thanks! Please join the Gainwell Ohio SPBM training staff to learn the difference between the public and the secure portals, including how to register for the secure portal. The ease of use and user-friendly environment is awesome. Newly Formed Gainwell Technologies Named PBM for https://www.dice.com/job-detail/eb49bd3b-53cd-43e7-89e4-fbf4c64a1d8c?utm_campaign=google_jobs_apply&utm_source=google_jobs_apply&utm_medium=organic. View similar Healthcare / Careworkers jobs below. Here are the details on this position. 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. A Happy Friday message from a Satisfied User! Put your passion to work at Gainwell. Thank you for your excellence! 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. 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 These capabilities make us a trusted partner for organizations seeking reliability, innovation and transformational outcomes. All salaried, full-time candidates are eligible for our generous, flexible vacation policy, a 401(k) employer match, comprehensive health benefits , and educational assistance. Thank you for your patience as we continue to enhance the system. COLUMBUS, Ohio The Ohio Department of Medicaid (ODM) today announced Gainwell Technologies was selected to be the agencys single pharmacy benefits manager (PBM). Tableau Report Developer Job in San Francisco, CA at Gainwell For insights into what you need to know, visit managedcare.medicaid.ohio.gov/providers. Required Documents for those applying for new Submitter IDs. The secure portal requires log in credentials. 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. TYSONS, Va., June 14, 2022 (GLOBE NEWSWIRE) -- Gainwell announced today that HMS, a Gainwell Technologies company, has been selected to provide Medicaid Third Party Liability (TPL) services and solutions to state Medicaid agencies through the National Association of State Procurement Officials (NASPO) ValuePoint TPL Services contract. We can now process At issue was the lack of transparency. 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. | Source: 10:52B establish the New Jersey County Option The 20 Most In-Demand Jobs in the US 2023, Competition for jobs has increased. Under 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. Gainwell has already contracted with more than 2600 pharmacies. I was really concerned that this transition was going to be difficult and costly, but I was wrong on both counts. The recorded SPBM WebPortal training is now available for pharmacies and pharmacy support staff. We celebrate diversity and are dedicated to creating an inclusive environment for all employees. 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 Put your passion to work at Gainwell. 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. We also have a variety of leadership and technical development academies to help build your skills and capabilities. It provides access to specific patient information and the ability to reach the SPBM Clinical help desk via web chat. <> Youll have an incredible opportunity to grow your career in a company that values work flexibility, learning, and career development. #LI- Medicaid October 18, 2022 09:30 ET The Ohio Department of Medicaid (ODM) today announced Gainwell Technologies was selected to be the agencys single pharmacy benefits manager (PBM). All Rights Reserved. Your product is everything you said it was. Medicaid Medicaid Data Analyst SME - Gainwell Technologies Please enter a Name and Password so you can update your Job Alerts in the future. If you don't receive your credentials within 2-3 weeks, please call theirTechnology Support Center toll-free at. Gainwell Technologies is committed to a diverse, equitable, and inclusive workplace. Gainwell Technologies <>/Metadata 102 0 R/ViewerPreferences 103 0 R>>

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