gainwell technologies medicaid

The reps even keep records of calls from the past, to ensure continuance of care. This is a soft launch of the SPBM onlineportal with limited features. Ohio Medicaid is changing the way we do business. View job listing details and apply now. It was nice to have a direct contact with the same representative until the problem was resolved. 3 . Registration for SPBM Web Portal training is now open for all members. 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. Your customer support reps are the best!!! 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. Everything about it (including your team) is great! 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. Youll be joining a company where collaboration, innovation, and inclusion fuel our growth. Welcome to the new Ohio Medicaid pharmacyservices onlineportal. ODM received six competitive offers in response to the single PBM request for proposal. 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. SIC Code 63,632. Youll have an incredible opportunity to grow your career in a company that values work flexibility, learning, and career development. Work as a liaison between the customer and the technical team to provide quality solutions for the customers needs. WebGainwell Technologies offerings including Medicaid Management Information Systems (MMIS), fiscal agent services, program integrity, care management, immunization registry, and eligibility services. Completing the CAPTCHA proves you are a human and gives you temporary access to the web property. I just transmitted my first batch of electronic claims through Claim Shuttle! Selecting Gainwell as our partner in administering a clinically driven, outcomes-oriented pharmacy program enables us to take advantage of their previous successes.. , Pharmacy Web Portal training recording now available. PNM will replace MITS provider enrollment and provider data management. 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. 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). Thanks! Last name. Joy Home Care <25 <$5M. 2023 Snagajob.com, Inc. All rights reserved. With over 50 years of proven experience, Gainwell carries forward a reputation for technological innovation, service excellence, and unparalleled TYSONS, Va., June 14, 2022 (GLOBE NEWSWIRE) -- Gainwell announced today that HMS, a Gainwell Technologies company, has been selected to provide Medicaid Third Party Liability (TPL) services and solutions to state Medicaid agencies through the National Association of State Procurement Officials (NASPO) ValuePoint TPL Services contract. The recorded SPBM Web Portal training is now available for prescribersand prescribersupport staff. YKrvrM.-,[=*q}iP)w_y7y1ywIzz|~xI%G)OHL'I$i?O?E&+~|| OgV'8HZ4/=>}|kx? Viewing this training is important for managed care entities to learn about the many tools available on both the public facing and secure portal. We offer clients scalable and flexible solutions for their most complex challenges. We believe nothing is impossible when you bring together people who care deeply about making healthcare work better for everyone. 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. 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. Your product is everything you said it was. We also have a variety of leadership and technical development academies to help build your skills and capabilities. Youll have the opportunity to grow your career in a company that values work flexibility, learning, and career development. WebSummary. Together, as one team, we collaborated on every aspect of this program. Youll add to your technical credentials and certifications while enjoying a generous, flexible vacation policy and educational assistance. | Source: 3 0 obj Additionally, PNM training is now available for providers in a variety of formats, including virtual, in-person, and self-paced. 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. 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. Just as you promised, I was up and running within 20 minutes of our initial conversation. For decades, HMS has been a leader in providing cost containment solutions to state Medicaid agencies, said Paul Saleh, President and CEO of 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.. We can now process 276/277 requests (claim status). 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. $61,700 to $99,200 Yearly. That is a direct consequence of your fantastic employees. Youll add to your technical credentials and certifications while enjoying a generous, flexible vacation policy and educational assistance. Build your career with Gainwell, an industry leader. If you don't receive your credentials within 2-3 weeks, please call theirTechnology Support Center toll-free at1-800-884-3222. 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. A most unexpected experience: Someone who knows and is helpful. The POSV will ensure incentives are properly and fairly aligned, self-dealing and steering are prevented, and monetary loopholes are closed. Put your passion to work at Gainwell. October 18, 2022 09:30 ET This comprehensive solution gives Kansas Medicaid the agility and interoperability it needs to deliver high-quality healthcare services while reducing costs. 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. 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 Learn more at gainwelltechnologies.com. 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. Learn more about Gainwell at our company website and visit our Careers site for all available job role openings. endobj 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. Gainwell Technologies LLC. We are proud to be an Equal Opportunity Employer, where all qualified applicants will receive 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. ODM is building its next generation managed care program throughout 2021, including preparations to integrate and launch the strategic components of the program: the single PBM, POSV, fiscal intermediary, centralized credentialing, and the OhioRISE specialized managed care program for children with complex needs. 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. Gainwell is experiencing very high call volumes related to prior authorizations. SeniorinCare <25 <$5M. The business domain includes Healthcare business processes, specifically focused on Medicaid and Medicare and CMS. Learn more atgainwelltechnologies.com. We are hiring a hardworking Senior Business Analyst - Medicaid to join our exceptional team at Gainwell Technologies LLC in Conway, AR. 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. I am so happy to have found you! Pharmacy providers and members may contact the Gainwell Customer Support Center by phone 833-491-0344, 24 hours a day, seven daysa week. Please use the same Learning Management System (LMS) credentials set up during your registration to log in. endobj 2 . Please use the same Learning Management System (LMS) credentials set up during your registration to log in.. Build your career with Gainwell, an industry leader. We take great pride in our strong relationship with Kansas, said Gainwell CEO Paul Saleh. Your company feels young and fresh and it is a real pleasure being a client of yours. The rep and supervisor went out of their way to get the issue resolved. 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. Our billers love the interface that ClaimShuttle provides and I would be happy to be a future reference if needed. Gainwell empowers you show youre a pro and help clients deliver better health and human services outcomes using innovative technology and solutions. 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 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. 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. Play a critical part in ensuring Gainwell is meeting our clients objectives in important areas. 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.

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gainwell technologies medicaid