We also have a variety of leadership and technical development academies to help build your skills and capabilities. Reno, NV. WebSummary. 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. CONTACT:Elizabeth Bonet Gainwell Technologies972-556-5082elizabeth.bonet@gainwelltechnologies.com. Put your passion to work at Gainwell. Gainwell has served Kansas for two decades, forming a deep relationship with the state built on trust and transparency. Youll add to your technical credentials and certifications while enjoying a generous, flexible vacation policy and educational assistance. Completing the CAPTCHA proves you are a human and gives you temporary access to the web property. 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! Every time I call, it feels as if I am talking directly with the owner of the company. Gainwell Technologies LLC Gainwell Technologies LLC. PNM will replace MITS provider enrollment and provider data management. Youll have an incredible opportunity to grow your career in a company that values work flexibility, learning, and career development. Learn more at gainwelltechnologies.com. View similar Healthcare / Careworkers jobs below. endobj I was really concerned that this transition was going to be difficult and costly, but I was wrong on both counts. 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. With more than 50 years of proven experience, Gainwell has a reputation for service excellence and unparalleled industry expertise. 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. If you have already submitted a prior authorization, please refrain from sending in a duplicate Prior Authorization. June 14, 2022 08:00 ET 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. We offer clients scalable and flexible solutions for their most complex challenges. The Kansas Medicaid platform implementation sets the standard for states adopting modular solutions. 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. Have never had any problems and this is the easiest claim site. 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. NASPO ValuePoint is the cooperative purchasing division of the National Association of State Procurement Officials (NASPO), facilitating cooperative public procurement solicitations using a Lead State model. 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 Reno, NV. COLUMBUS, Ohio The Ohio Department of Medicaid (ODM) awards its fiscal intermediary (FI) service contract to Gainwell Technologies, taking another important step forward in delivering a person-centric next generation managed care program to Ohio. Provider 2 0 obj Additionally, CMS cited the companys Step Edits process as a best practice, calling it bulletproof in federal certification review sessions. $61,700 to $99,200 Yearly. Put your passion to work at Gainwell. Members will have access to a training video on Oct. 1. This is a soft launch of the SPBM onlineportal with limited features. 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. Youll have an incredible opportunity to grow your career in a company that values work flexibility, learning, and career development. Everything about it (including your team) is great! Gainwell is the market leader in providing Medicaid services. WebSummary. WebGainwell provides several services to the Indiana Health Coverage Programs, including provider enrollment, customer service, eligibility verification systems, and fee-for-service 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. 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. Thank you for your patience as we continue to enhance the system. All salaried, full-time candidates are eligible for our generous, flexible vacation policy, a , and educational assistance. How can you stand out? October 18, 2022 09:30 ET This time it was warranted. Build your career with Gainwell, an industry leader. <>/Metadata 102 0 R/ViewerPreferences 103 0 R>> Are you a pharmacy or prescriber having issues registering for the secure SPBM Web Portal? TennCare is committed to safeguarding the information of our members. Youll be joining a company where collaboration, innovation, and inclusion fuel our growth. This launch also includes a new requirement to establish an OH|ID to access any of ODM's Ohio Medicaid Enterprise Systems (OMES). COLUMBUS, Ohio The Ohio Department of Medicaid (ODM) awards its fiscal intermediary (FI) service contract to Gainwell Technologies, taking another important 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 Youll have the opportunity to grow your career in a company that values work flexibility, learning, and career development. We also have a variety of leadership and technical development academies to help build your skills and capabilities. Ohio Medicaid Here are the details on this position. Youll have an incredible opportunity to grow your career in a company that values work flexibility, learning, and career development. <> 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. Gainwell Technologies is committed to a diverse, equitable, and inclusive workplace. WebSummary. With over 50 years of proven experience, Gainwell carries forward a reputation for technological innovation, service excellence, and unparalleled stream A most unexpected experience: Someone who knows and is helpful. Please use the same Learning Management System (LMS) credentials set up during your registration to log in. Gainwell Technologies is committed to a diverse, equitable, and inclusive workplace. The newly designed program is targeted for launch in January 2022. WebExperience in Healthcare, such as Medicaid or Medicare required; Gainwell Technologies is committed to a diverse, equitable, and inclusive workplace. Learn more about Gainwell at our and visit our for all available job role openings. Read on if you are looking for information specific to our current programs. 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. Working at Gainwell carries its rewards. Analyze and document current business processes and determine new processes to solve complex Healthcare initiatives. 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. WebOur CMS-certified Medicaid Management solutions are modular, intelligent and cloud-based, and they cover all your management needs. The secure portal requires log in credentials. Before beginning the enrollment or re-enrollment process, gather all information needed to complete an application. The Ohio Department of Medicaid (ODM) today announced Gainwell Technologies was selected to be the agencys single pharmacy benefits manager (PBM). <>/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>> The recorded SPBM Web Portal training is now available for prescribersand prescribersupport staff. The rep and supervisor went out of their way to get the issue resolved. During the training, you will also learn about many exciting tools available on the SPBM Web Portal such as member eligibility, viewing prior authorization status, the ability to quickly speak with the SPBM help desk, and much more! #LI- Medicaid Build your career with Gainwell, an industry leader. All salaried, full-time candidates are eligible for our generous, flexible vacation policy, a , and educational assistance. 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. 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. Full-Time. Gainwell operates as a standalone company with over 7,500 employees who support clients across 42 U.S. states and territories. Since 1985, HMS has been the leader in TPL solutions for state Medicaid agencies. 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. TTY: 711. 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. Posted: February 07, 2023. SeniorinCare <25 <$5M. 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. Youll add to your technical credentials and certifications while enjoying a generous, flexible vacation policy and educational assistance. WebGainwell Technologies LLC is now hiring a Account General Manager - State Medicaid Management Services in Nevada. 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. If you don't receive your credentials within 2-3 weeks, please call theirTechnology Support Center toll-free at. SIC Code 63,632. Please enable Cookies and reload the page. The changes we make will help you more easily access information, locate health care providers, and receive quality care. 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. Learn more atgainwelltechnologies.com. Gainwell technologies brings a wealth of experience to strengthen ODM's pharmacy benefits delivery. Gainwell Technologies. That is a direct consequence of your fantastic employees. | Source: Ohio Medicaid is changing the way we do business. Learn more atwww.naspo.org. Gainwell Technologies LLC. 3 0 obj We can now process 276/277 requests (claim status). 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 add to your technical credentials and certifications while enjoying a generous, flexible vacation policy and educational assistance. , Ohio SPBM Prescribers, When submitting a prior authorization (PA) request via fax or mail, the prescriber is required to use the prior authorization forms found on the, Welcome to Ohio Medicaid Pharmacy Services Online Portal. WebApply for a Gainwell Technologies LLC Data Mapping Lead job in San Francisco, CA. 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. The public facing portal includes access to reference material such as the Unified Preferred Drug List and criteria. 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 be joining a company where collaboration, innovation, and inclusion fuel our growth. An official website of the State of Georgia. Refines mapping documents, adding more detail, and filling out deferred material as questions are resolved. 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. Creates accurate mapping documents according to the mapping process. An Ohio.gov website belongs to an official government organization in the State of Ohio. COLUMBUS, Ohio The Ohio Department of Medicaid (ODM) today announced Gainwell Technologies was selected to be the agencys single pharmacy benefits manager (PBM). 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.