2 0 obj Have never had any problems and this is the easiest claim site. 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. The public facing portal includes access to reference material such as the Unified Preferred Drug List and criteria. The secure portal requires log in credentials. Claims and encounters? Test Engineer - Healthcare/Medicaid Testing Job in Reno, NV at WebExperience in Healthcare, such as Medicaid or Medicare required; Gainwell Technologies is committed to a diverse, equitable, and inclusive workplace. Top Competitors of Gainwell Technologies. Works toward delivering a first draft solution to ETL for coding, by rapidly understanding which details about the mapping can be deferred. With over 50 years of proven experience, Gainwell carries forward a reputation for technological innovation, service excellence, and unparalleled Please use the same Learning Management System (LMS) credentials set up during your registration to log in.. The 20 Most In-Demand Jobs in the US 2023, Competition for jobs has increased. Attention All Providers: Nevada Medicaid Fiscal Agent Test Engineer - Medicaid Testing - Gainwell Technologies Gainwell Technologies ODM expects to award the POSV vendor by summer 2021. 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. Provide business solutions, process improvements, business case and change consulting to the external client at functional and senior management level. NASPO ValuePoint delivers high value, reliable and competitively sourced cooperative contracts offering public entities outstanding prices, favorable terms and conditions and value-added services. We also have comprehensive leadership and technical development academies to help build your skills and capabilities. Take charge and focus on how we can meet critical needs to help clients deliver better health and human services outcomes. Before beginning the enrollment or re-enrollment process, gather all information needed to complete an application. COLUMBUS, Ohio The Ohio Department of Medicaid (ODM) today announced Gainwell Technologies was selected to be the agencys single pharmacy benefits manager (PBM). You have successfully created a new job alert. WebOur CMS-certified Medicaid Management solutions are modular, intelligent and cloud-based, and they cover all your management needs. Gainwell Technologies LLC. Youll be joining a company where collaboration, innovation, and inclusion fuel our growth. Gainwell empowers you show youre a pro and help clients deliver better health and human services outcomes using innovative technology and solutions. We also have comprehensive leadership and technical development academies to help build your skills and capabilities. Gainwell Technologies LLC We can now process Presents analysis and design recommendations to lead MITA teams, customer and/or vendors into the acceptance of the design. Once the Trading Partner Enrollment process has been completed, you should receive an email with your login and password for their test site. | Source: Additionally, CMS cited the companys Step Edits process as a best practice, calling it bulletproof in federal certification review sessions. I just wanted to let you know how impressed I am with this service. October 18, 2022 09:30 ET Be part of a team that unleashes the power of leading-edge 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. Joint Statement Regarding Privacy Breach TYSONS, Va., June 14, 2022 (GLOBE NEWSWIRE) -- Gainwell announced today that HMS, a Gainwell Technologies company, has been selected to provide YKrvrM.-,[=*q}iP)w_y7y1ywIzz|~xI%G)OHL'I$i?O?E&+~|| OgV'8HZ4/=>}|kx? We are hiring a hardworking Senior Business Analyst - Medicaid to join our exceptional team at Gainwell Technologies LLC in Conway, AR. 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! x\o7n~ All Rights Reserved. All salaried, full-time candidates are eligible for our generous, flexible vacation policy, a , and educational assistance. 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. P.L. Clipped from: https://www.dice.com/job-detail/eb49bd3b-53cd-43e7-89e4-fbf4c64a1d8c?utm_campaign=google_jobs_apply&utm_source=google_jobs_apply&utm_medium=organic. Gainwell Technologies 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. Thank you for your excellence! We are working to process these as quickly as possible. 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.Please have 25 test claims ready for testing. The ease of use and user-friendly environment is awesome. WebGainwell Technologies LLC is now hiring a Account General Manager - State Medicaid Management Services in Nevada. Creates accurate mapping documents according to the mapping process. Put your passion to work at Gainwell. Youll have an incredible opportunity to grow your career in a company that values work flexibility, learning, and career development. We celebrate diversity and are dedicated to creating an inclusive environment for all employees. 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 1 . View job listing details and apply now. An Ohio.gov website belongs to an official government organization in the State of Ohio. 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. Senior Business Analyst - Medicaid - Hiring Urgently at Gainwell Creates unit test cases for area of responsibility and updates technical specifications and mappings. Youll have an incredible opportunity to grow your career in a company that values work flexibility, learning, and career development. 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. 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. Home page - OH MCD SPBM.Web - Ohio All salaried, full-time candidates are eligible for our generous, flexible vacation policy, a , and educational assistance. 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. 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. Pharmacy Services. 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. The rep and supervisor went out of their way to get the issue resolved. 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. 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! Joy Home Care <25 <$5M. At issue was the lack of transparency. The portal also gives the user the ability to reach the SPBM Clinical help desk via web chat. Gainwell has already Medicaid PNM will replace MITS provider enrollment and provider data management. To access the recording, pleaseclick here. Every time I call, it feels as if I am talking directly with the owner of the company. Your customer support reps are the best!!! This experience takes the partnership to an entirely new level. . 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. Full-Time. Read on if you are looking for information specific to our current programs. Here are the details on this position.. Medicaid Everything about it (including your team) is great! Put your passion to work at Gainwell. <> 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.. Find the best jobs in the US, apply in 1 click and get a job today! I have also been transferred to other staff, who helped me resolve issues in the most professional way. Medicaid Medicaid 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
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