WebSummary. This new platform will drive efficiency and quality, improving our ability to serve our members and providers.. You have already created a job alert with same filters. 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. Youll have an incredible opportunity to grow your career in a company that values work flexibility, learning, and career development. Here are the details on this position. 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. 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. If you don't receive your credentials within 2-3 weeks, please call theirTechnology Support Center toll-free at. Gainwell is experiencing very high call volumes related to prior authorizations. Before selecting you as my provider, I called approximately 8 competitors.Your staff's knowledge and attitude far surpassed the others. 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. Put your passion to work at Gainwell. Share sensitive information only on official, secure websites. The configurable, nine-module system will transform how Kansas delivers healthcare solutions. 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. TYSONS, Va., June 14, 2022 (GLOBE NEWSWIRE) -- Gainwell announced today that HMS, a Gainwell Technologies company, has been selected to provide 2 . $63,130 to $78,957 Yearly. Put your passion to work at Gainwell. Connect your passion with purpose, teaming with people who thrive on finding innovative solutions to some of healthcares biggest challenges. Learn more atwww.naspovaluepoint.org. {XOdE$p,Z0Hd(,.#3#LAs3DL~Z R2fX{jm.?VX.B^ `0?gLgpi:#[4d@Sa6 3C[-Z%,i0=z"YF8=kXh*b8\U^&}pm2Z|nL]Cm\ x)n'x2.ozUxil;3AcUf%9M`3pV1%iS&>gBj22W Gainwell Technologies is committed to a diverse, equitable, and inclusive workplace. Learn more atgainwelltechnologies.com. Joy Home Care <25 <$5M. 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. 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 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. Everything about it (including your team) is great! SeniorinCare <25 <$5M. Interface with the technical team to ensure designs are understood and properly implemented. 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. 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! Build your career with Gainwell, an industry leader. We believe nothing is impossible when you bring together people who care deeply about making healthcare work better for everyone. We also have a variety of leadership and technical development academies to help build your skills and capabilities. All salaried, full-time candidates are eligible for our generous, flexible vacation policy, a 401(k) employer match, comprehensive health benefits , and educational assistance. WebGainwell Technologies offerings including Medicaid Management Information Systems (MMIS), fiscal agent services, program integrity, care management, immunization registry, and eligibility services. 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. Please enable Cookies and reload the page. Apply online instantly. Have never had any problems and this is the easiest claim site. Supports the ETL developers based on the mappings created. Summary Managed Care Entity Web Portal training recording now available. Gainwell technologies brings a wealth of experience to strengthen ODM's pharmacy benefits delivery. 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. 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). endobj Full-Time. We also have comprehensive leadership and technical development academies to help build your skills and capabilities. WebWhat you should expect in this role. Since 2010, Gainwell has achieved 16 Centers for Medicare Youll have the opportunity to grow your career in a company that values work flexibility, learning, and career development. Youll add to your technical credentials and certifications while enjoying a generous, flexible vacation policy and educational assistance. I am a very small company, and have actually now reduced my overhead by going with you guys! 3 . Working at Gainwell carries its rewards. #LI- Medicaid. This is a soft launch of the SPBM onlineportal with limited features. Take charge and focus on how we can meet critical needs to help clients deliver better health and human services outcomes. 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. Analyze and document current business processes and determine new processes to solve complex Healthcare initiatives. Last name. View job listing details and apply now. Ohio Medicaid achieves its health care mission with the strong support and collaboration of our stakeholder partners - state health and human services agencies, associations, advocacy groups, and individuals who help us administer the program today and modernize it for the next generation of healthcare. We can now process 276/277 requests (claim status). WebSummary. The reps even keep records of calls from the past, to ensure continuance of care. Gainwell Technologies LLC. My question is, "Why didn't I find out about Claim Shuttle earlier?!?" If you don't receive your credentials within 2-3 weeks, please call theirTechnology Support Center toll-free at1-800-884-3222. P.L. Put your passion to work at Gainwell. 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. 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. We also have comprehensive leadership and technical development academies to help build your skills and capabilities. We are proud to be an Equal Opportunity Employer, where all qualified applicants will receive Verify solution meets the defined requirements through scenario testing. New Extensions for Gainwell Technologies Provider Representatives 12/7/2020 PDF Version TO: All Providers RE: New Extensions for Gainwell Technologies Provider Representatives Effective Wednesday, December 9, 2020, Gainwell Technologies Provider Representatives may be reached by dialing 855-523-9170, then dialing a new 7 Connect your passion with purpose, teaming with people who thrive on finding innovative solutions tosome of healthcares biggest challenges. Build your career with Gainwell, an industry leader. 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. 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. It's great to have immediate help and knowledgeable support! Build your career with Gainwell, an industry leader. 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. How can you stand out? Youll be joining a company where collaboration, innovation, and inclusion fuel our growth. 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. 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. 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. Gainwell operates as a standalone company with over 7,500 employees who support clients across 42 U.S. states and territories. Gainwell Technologies is the leading provider of cloud technology solutions vital to the administration and operations of health and human services programs. | Source: 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 Registration for SPBM Web Portal training is now open for all members. Works closely with configuration team and DBAS to ensure synchronicity of configuration to interfaces and mappings. Additionally, PNM training is now available for providers in a variety of formats, including virtual, in-person, and self-paced. Click OK to renew your session or Logout of the application. We are redesigning our programs and services to focus on you and your family. WebApply for a Gainwell Technologies LLC Data Mapping Lead job in San Francisco, CA. WebJoin to apply for the Experienced Business Analyst- Medicaid role at Gainwell Technologies. Play a critical part in ensuring Gainwell is meeting our clients objectives in important areas. The following process must be followed prior to initiation of electronic claim submission or inquiry. The changes we make will help you more easily access information, locate health care providers, and receive quality care. Gainwell is the market leader in providing Medicaid services. 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. My work is truly cut in half by using Claim Shuttle. WebGainwell Technologies Provider Services 1-800-776-6334: Click here for ICD 10 Resources. Reno, NV. Members will have access to a training video on Oct. 1. GrabJobs is the no1 job portal in the US, connecting you to thousands of jobs fast! A gold mine!! At issue was the lack of transparency. Pharmacy providers and members may contact the Gainwell Customer Support Center by phone 833-491-0344, 24 hours a day, seven daysa week. Wonderful team that is always willing to assist with issues or concerns. As aData Mapping Leadat 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. Youll have the opportunity to grow your career in a company that values work flexibility, learning, and career development. Top Competitors of Gainwell Technologies. %PDF-1.7 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. Additionally, CMS cited the companys Step Edits process as a best practice, calling it bulletproof in federal certification review sessions. All salaried, full-time candidates are eligible for our generous, flexible vacation policy, a , and educational assistance. https://www.dice.com/job-detail/eb49bd3b-53cd-43e7-89e4-fbf4c64a1d8c?utm_campaign=google_jobs_apply&utm_source=google_jobs_apply&utm_medium=organic. Put your passion to work at Gainwell. Show More. Thepublic facing portal includes access to reference material such as the Unified Preferred Drug List and criteria. 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 By Phone: 1-770-325-9590 1-877-261-8785 (toll free) 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. First name. 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. Since 2010, Gainwell has achieved 16 Centers for Medicare and Medicaid Services (CMS) certifications more than all other vendors within the same time period. We are proud to be an Equal To access the recording, pleaseclick here. Youll have an incredible opportunity to grow your career in a company that values work flexibility, learning, and career development. 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. Thanks for your honesty and integrity! 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. 2018, Chapter 136 and N.J.A.C. Thanks! 4 0 obj <> Build your career with Gainwell, an industry leader. 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. Reno, NV. Change Healthcare, Express Scripts, Gainwell Technologies, MagellanRx Management, Navitus Health Solutions, and RxAdvance each submitted responses. 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.. Youll add to your technical credentials and certifications while enjoying a generous, flexible vacation policy and educational assistance. This launch also includes a new requirement to establish an OH|ID to access any of ODM's Ohio Medicaid Enterprise Systems (OMES). Our transformed Medicaid platform will provideincredible benefits to our state,our most vulnerable citizens,andourvalued providers. Learn more at gainwelltechnologies.com. Here are the details on this position.. Users may find helpful website links and documents within our online portal in the menu bar above. The recorded SPBM Web Portal training is now available for Managed Care Entity Portal Administrators and staff. Pharmacy Services. Youll be joining a company where collaboration, innovation, and inclusion fuel our growth. 1 . Be part of a team that unleashes the power of leading-edge technologies to Your product is everything you said it was. Mississippi Division of Medicaid (ms.gov)) click on the MOVEit Portal at Mississippi Replacement Project (msxix.net) page. Your company feels young and fresh and it is a real pleasure being a client of yours. This website provides information to members, pharmacies, prescribers, Managed Care Entities, and the public. The award moves Ohio closer to realizing greater transparency and accountability in Medicaid's $3 billion pharmacy program. Find the best jobs in the US, apply in 1 click and get a job today! ODM received six competitive offers in response to the single PBM request for proposal. I love it! Claims and encounters? We also have a variety of leadership and technical development academies to help build your skills and capabilities. 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. From members and providers to managed care organizations and state agencies, this transformative system empowers stakeholders to get vital services more quickly and efficiently to drive better health outcomes. Learn more about Gainwell at our and visit our for all available job role openings. Department of Medicaid logo, return to home page. Just as you promised, I was up and running within 20 minutes of our initial conversation. 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. You can deactivate or delete job alerts by clicking the button below. endobj Be the first to receive the latest Nurse Full-Time Jobs in the US. PNM will replace MITS provider enrollment and provider data management. x\o7n~ Want to receive job alerts for similar jobs? I just wanted to let you know how impressed I am with this service. The Kansas Medicaid platform implementation sets the standard for states adopting modular solutions. Gainwell Technologies is committed to a diverse, equitable, and inclusive workplace. There simply is no comparison! 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. SPBM Clinical staff can also be reached via phone and email. The recorded SPBM Web Portal training is now available for prescribersand prescribersupport staff. Previous We celebrate diversity and are dedicated to creating an inclusive environment for all employees. A most unexpected experience: Someone who knows and is helpful. To access the recording, pleaseclick here. I always get the most fabulous service when calling or emailing!!! Youll have an incredible opportunity to grow your career in a company that values work flexibility, learning, and career development. WebSummaryAs a [ [Medicaid Senior Business Analyst ]] 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.
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