I was really concerned that this transition was going to be difficult and costly, but I was wrong on both counts. Learn more about Gainwell at our and visit our for all available job role openings. Here are the details on this position. We also have a variety of leadership and technical development academies to help build your skills and capabilities. 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. Full-Time. Gainwell is the market leader in providing Medicaid services. 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. Put your passion to work at Gainwell. Be part of a team that unleashes the power of leading-edge Youll add to your technical credentials and certifications while enjoying a generous, flexible vacation policy and educational assistance. Youll have an incredible opportunity to grow your career in a company that values work flexibility, learning, and career development. My phone line was costing 4 TIMES MORE per month than the fee for using ClaimShuttle, and it couldn't have been easier to set up and get going. Apply online instantly. Gainwell empowers you show youre a pro and help clients deliver better health and human services outcomes using innovative technology and solutions. Last name. TennCare is committed to safeguarding the information of our members. With more than 50 years of proven experience, Gainwell has a reputation for service excellence and unparalleled industry expertise. Pharmacy Services. Change Healthcare, Express Scripts, Gainwell Technologies, MagellanRx Management, Navitus Health Solutions, and RxAdvance each submitted responses. Gainwell Technologies LLC This experience takes the partnership to an entirely new level. 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. To access the recording, pleaseclick here. | Source: Youll be joining a company where collaboration, innovation, and inclusion fuel our growth. 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. We believe nothing is impossible when you bring together people who care deeply about making healthcare work better for everyone. endobj This time it was warranted. Our billers love the interface that ClaimShuttle provides and I would be happy to be a future reference if needed. Youll add to your technical credentials and certifications while enjoying a generous, flexible vacation policy and educational assistance. #LI- Medicaid. 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. Every time I call, it feels as if I am talking directly with the owner of the company. Completing the CAPTCHA proves you are a human and gives you temporary access to the web property. https://www.dice.com/job-detail/eb49bd3b-53cd-43e7-89e4-fbf4c64a1d8c?utm_campaign=google_jobs_apply&utm_source=google_jobs_apply&utm_medium=organic. Read on if you are looking for information specific to our current programs. View job listing details and apply now. Put your passion to work at Gainwell. Find out what skills and jobs are in high demand. All salaried, full-time candidates are eligible for our generous, flexible vacation policy, a , and educational assistance. My work is truly cut in half by using Claim Shuttle. <> June 14, 2022 08:00 ET Youll have an incredible opportunity to grow your career in a company that values work flexibility, learning, and career development. 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 role in our mission Take charge and focus on how we can meet critical needs to help clients deliver better health and human services outcomes. Here are the details on this position.. To access the recording, pleaseclick here. 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. 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. 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. Share sensitive information only on official, secure websites. 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. ADL Caregivers <25 Welcome to the new Ohio Medicaid pharmacyservices onlineportal. Work as a liaison between the customer and the technical team to provide quality solutions for the customers needs. Gainwell Technologies and the Ohio Department of Medicaid (ODM) launched the Single Pharmacy Benefit Manager (SPBM) on October 1! With over 50 years of proven experience, Gainwell carries forward a reputation for technological innovation, service excellence, and unparalleled View job listing details and apply now. Thanks for your honesty and integrity! The secure portal requires log in credentials that will allow access to specific patient information. Required Documents for those applying for new Submitter IDs. If you have already submitted a prior authorization, please refrain from sending in a duplicate Prior Authorization. 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. Web1-770-325-2331 1-866-211-0950 (toll free) Providers, Trading Partners, or Provider Agents: Problems with registration or logging into the website should be directed to the Gainwell Technologies Company Georgia Medicaid EDI Services group. Theresult is a comprehensive platform that is a model for statesseeking to transform their Medicaid programs.. For insights into what you need to know, visit managedcare.medicaid.ohio.gov/providers. Ohio Medicaid is changing the way we do business. Viewing this training is important for managed care entities to learn about the many tools available on both the public facing and secure portal. All salaried, full-time candidates are eligible for our generous, flexible vacation policy, a , and educational assistance. ODM's goals for the SPBM are to improve management and administration of pharmacy benefits for Ohio Medicaid managed care members. At issue was the lack of transparency. All salaried, full-time candidates are eligible for our generous, flexible vacation policy, a , and educational assistance. Thank you for your patience as we continue to enhance the system. You have reached your maximum number of active job alerts. Hope Private In-Home Care <25 <$5M. 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. Works closely with configuration team and DBAS to ensure synchronicity of configuration to interfaces and mappings. The Kansas Medicaid platform implementation sets the standard for states adopting modular solutions. Learn more about Gainwell at our and visit our for all available job role openings. Wonderful team that is always willing to assist with issues or concerns. Since 2010, Gainwell has achieved 16 Centers for Medicare Working at Gainwell carries its rewards. All Rights Reserved. Youll add to your technical credentials and certifications while enjoying a generous, flexible vacation policy and educational assistance. Thepublic facing portal includes access to reference material such as the Unified Preferred Drug List and criteria. SIC Code 63,632. WebGainwell Technologies LLC is now hiring a Account General Manager - State Medicaid Management Services in Nevada. 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. We also have comprehensive leadership and technical development academies to help build your skills and capabilities. La Med. PrescriberWeb Portal training recording now available. Build your career with Gainwell, an industry leader. The POSV will ensure incentives are properly and fairly aligned, self-dealing and steering are prevented, and monetary loopholes are closed. Mississippi Division of Medicaid (ms.gov)) click on the MOVEit Portal at Mississippi Replacement Project (msxix.net) page. 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. My question is, "Why didn't I find out about Claim Shuttle earlier?!?" Before beginning the enrollment or re-enrollment process, gather all information needed to complete an application. 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. CONTACT:Elizabeth Bonet Gainwell [email protected]. I am a very small company, and have actually now reduced my overhead by going with you guys! Working at Gainwell carries its rewards. endobj I just transmitted my first batch of electronic claims through Claim Shuttle! WebJoin to apply for the Experienced Business Analyst- Medicaid role at Gainwell Technologies. Learn more about Gainwell at our. SeniorinCare <25 <$5M. 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. WebGainwell Technologies LLC is now hiring a Account General Manager - State Medicaid Management Services in Nevada. Works toward delivering a first draft solution to ETL for coding, by rapidly understanding which details about the mapping can be deferred. Department of Medicaid logo, return to home page. 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. Please use the same Learning Management System (LMS) credentials set up during your registration to log in.. The award moves Ohio closer to realizing greater transparency and accountability in Medicaids $3 billion pharmacy program. 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. 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. 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. We also have a variety of leadership and technical development academies to help build your skills and capabilities. Supports unit Testing, System Integration Testing, System Testing, and user Acceptance Testing. #LI- Medicaid 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. Other companies could learn from you. Excellent service and I never give anyone "Excellent" scores on surveys. WebGainwell Technologies is committed to a diverse, equitable, and inclusive workplace. 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. The portal also gives the user the ability to reach the SPBM Clinical help desk via web chat. WebSummary. Gainwell Technologies LLC The public facing portal includes access to reference material such as the Unified Preferred Drug List and criteria. 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. Learn more atwww.naspo.org. 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. Copyright 2013 AXIOM Systems, Inc. All Rights Reserved. COLUMBUS, Ohio The Ohio Department of Medicaid (ODM) awards its fiscal intermediary (FI) service contract to Gainwell Technologies, taking another important Provide business solutions, process improvements, business case and change consulting to the external client at functional and senior management level. Show More. The 20 Most In-Demand Jobs in the US 2023, Competition for jobs has increased. 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! Users may find helpful website links and documents within our online portal in the menu bar above. WebMedicaid Services. Full-Time. 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. 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 | Source: 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 It provides access to specific patient information and the ability to reach the SPBM Clinical help desk via web chat. This launch also includes a new requirement to establish an OH|ID to access any of ODM's Ohio Medicaid Enterprise Systems (OMES). Register today for SPBM Web Portal training! 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. You have successfully created a new job alert. 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. 10:52B establish the New Jersey County Option The pay range for this position is $61,700.00 - $88,200.00 per year, however, the base pay offered may vary depending on geographic region, internal equity, job-related knowledge, skills, and experience among other factors. A detailed description of how to complete each of the enrollment steps and a list of information to have on hand before starting the enrollment application is available at: The Provider Network Management (PNM) module is going live in parallel with the Single Pharmacy Benefit Manager (SPBM) on Oct. 1. , 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. Thanks! Youll have an incredible opportunity to grow your career in a company that values work flexibility, learning, and career development. Gainwell Technologies LLC. 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. The configurable, nine-module system will transform how Kansas delivers healthcare solutions. We also have comprehensive 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. 2 . Youll have the opportunity to grow your career in a company that values work flexibility, learning, and career development. This is a soft launch of the SPBM onlineportal with limited features. The Kansas Medicaid platform implementation sets the standard for states adopting modular We also have a variety of leadership and technical development academies to help build your skills and capabilities. Summary 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. Build your career with Gainwell, an industry leader. 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 Gainwell Technologies LLC. Pharmacy providers and members may contact the Gainwell Customer Support Center by phone 833-491-0344, 24 hours a day, seven daysa week. Just as you promised, I was up and running within 20 minutes of our initial conversation. These capabilities make us a trusted partner for organizations seeking reliability, innovation and transformational outcomes. 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. Claims and encounters? Connect your passion with purpose, teaming with people who thrive on finding innovative solutions tosome of healthcares biggest challenges. Please enable Cookies and reload the page. 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 The following process must be followed prior to initiation of electronic claim submission or inquiry. 1 . 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. It provides access to specific patient information and the ability to reach the SPBM Clinical help desk via web chat. 2018, Chapter 136 and N.J.A.C. 1 0 obj Learn more at gainwelltechnologies.com. The award moves Ohio closer to realizing greater transparency and accountability in Medicaids $3 billion pharmacy program. Joy Home Care <25 <$5M. Put your passion to work at Gainwell. 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. WebOur CMS-certified Medicaid Management solutions are modular, intelligent and cloud-based, and they cover all your management needs. The business domain includes Healthcare business processes, specifically focused on Medicaid and Medicare and CMS. 3 0 obj Reno, NV. LA Dept of Health and Hospitals. 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. WebWhat you should expect in this role. Thank you for your excellence! 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. WebGainwell Technologies Provider Services 1-800-776-6334: Click here for ICD 10 Resources. Copyright 2023 Grabjobs Pte.Ltd. 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! The rep and supervisor went out of their way to get the issue resolved. This new platform will drive efficiency and quality, improving our ability to serve our members and providers.. We also have a variety of leadership and technical development academies to help build your skills and capabilities. Help the client innovate and formulate business solutions and technology enabled business models to implement CMS mandated or State directed initiatives. The Ohio Department of Medicaid (ODM) today announced Gainwell Technologies was selected to be the agencys single pharmacy benefits manager (PBM). 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. Connect your passion with purpose, teaming with people who thrive on finding innovative solutions to some of healthcares biggest challenges. This website provides information to members, pharmacies, prescribers, Managed Care Entities, and the public. I have also been transferred to other staff, who helped me resolve issues in the most professional way. Find the best jobs in the US, apply in 1 click and get a job today! You can deactivate or delete job alerts by clicking the button below. Please accessthis job aidfor step-by-step instructions to sign up for a session. Build your career with Gainwell, an industry leader. Play a critical part in ensuring Gainwell is meeting our clients objectives in important areas. A Happy Friday message from a Satisfied User! 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. View similar Healthcare / Careworkers jobs below. Are you a pharmacy or prescriber having issues registering for the secure SPBM Web Portal? WebIf you have any questions regarding the enrollment instructions, please call the Mississippi Medicaid EDI Technology Support Center at: 1-800-884-3222. 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 have an incredible opportunity to grow your career in a company that values work flexibility, learning, and career development. x\o7n~ Document requirements for business and system requirements.