Find out what skills and jobs are in high demand. 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. SIC Code 63,632. Youll be joining a company where collaboration, innovation, and inclusion fuel our growth. | Source: Pharmacy providers and members may contact the Gainwell Customer Support Center by phone 833-491-0344, 24 hours a day, seven daysa week. 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 of our communities. We offer clients scalable and flexible solutions for their most complex challenges. 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. Thanks for your honesty and integrity! 2023. Gainwell Technologies LLC. At issue was the lack of transparency. All salaried, full-time candidates are eligible for our generous, flexible vacation policy, a , and educational assistance. Working at Gainwell carries its rewards. The secure portal requires log in credentials. 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. Learn more about Gainwell at our. Find the best jobs in the US, apply in 1 click and get a job today! We also have comprehensive leadership and technical development academies to help build your skills and capabilities. Refines mapping documents, adding more detail, and filling out deferred material as questions are resolved. Working at Gainwell carries its rewards. This website provides information to members, pharmacies, prescribers, Managed Care Entities, and the public. Supports the ETL developers based on the mappings created. 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 This launch also includes a new requirement to establish an OH|ID to access any of ODM's Ohio Medicaid Enterprise Systems (OMES). Youll add to your technical credentials and certifications while enjoying a generous, flexible vacation policy and educational assistance. Summary 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. As always excellent, professional, knowledgeable customer service. An official website of the State of Georgia. 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! Please share my thanks with everyone involved. We also have a variety of leadership and technical development academies to help build your skills and capabilities. The Ohio Department of Medicaid (ODM) today announced Gainwell Technologies was selected to be the agencys single pharmacy benefits manager (PBM). San Francisco, CA. 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. 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! View job listing details and apply now. The reps even keep records of calls from the past, to ensure continuance of care. Learn more atwww.naspovaluepoint.org. 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. Youll have an incredible opportunity to grow your career in a company that values work flexibility, learning, and career development. Take charge and focus on how we can meet critical needs to help clients deliver better health and human services outcomes. Last name. Provide business solutions, process improvements, business case and change consulting to the external client at functional and senior management level. 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 reached your maximum number of active job alerts. I have also been transferred to other staff, who helped me resolve issues in the most professional way. We believe nothing is impossible when you bring together people who care deeply about making healthcare work better for everyone. %PDF-1.7 The PNM Pre-Registration tool is available until Sept. 23 and will ease the transition and prevent disruptions to system access for providers ahead of go-live on Oct. 1. endobj Doing so meant structuring the program as a specialized managed care health plan that rewards the single PBM for patient wellness and health outcomes. Creates accurate mapping documents according to the mapping process. 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. Youll add to your technical credentials and certifications while enjoying a generous, flexible vacation policy and educational assistance. 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. We can now process 276/277 requests (claim status). Put your passion to work at Gainwell. The public facing portal includes access to reference material such as the Unified Preferred Drug List and criteria. Take charge and focus on how we can meet critical needs to help clients deliver better health and human services outcomes. Please enable Cookies and reload the page. WebGainwell provides several services to the Indiana Health Coverage Programs, including provider enrollment, customer service, eligibility verification systems, and fee-for-service The POSV will ensure incentives are properly and fairly aligned, self-dealing and steering are prevented, and monetary loopholes are closed. LA Dept of Health and Hospitals. Working at Gainwell carries its rewards. Youll be joining a company where collaboration, innovation, and inclusion fuel our growth. WebWhat you should expect in this role. Working at Gainwell carries its rewards. x\o7n~ | Source: Youll add to your technical credentials and certifications while enjoying a generous, flexible vacation policy and educational assistance. 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. 2 0 obj Share sensitive information only on official, secure websites. The Kansas Medicaid platform implementation sets the standard for states adopting modular solutions. We celebrate diversity and are dedicated to creating an inclusive environment for all employees. That is a direct consequence of your fantastic employees. NASPO is an organization that helps its members as public procurement leaders by promoting best practices, education, professional development, research and innovative procurement strategies. The pay range for this position is $38,400.00 - $54,900.00 per year, however, the base pay offered may vary depending on geographic <> This single-vendor approach will result in lower total cost for TPL services and fully streamlines the process by filling in gaps that previously required multiple vendors and disparate point solutions. Read on if you are looking for information specific to our current programs. As a Senior Business Analyst - Medicaid at Gainwell, you can contribute your skills as we harness the power of technology to help our clients improve the health and It is made up of the directors of the central purchasing offices in each of the 50 states, the District of Columbia and the territories of the United States. Youll have an incredible opportunity to grow your career in a company that values work flexibility, learning, and career development. We offer clients scalable and flexible solutions for their most complex challenges. Connect your passion with purpose, teaming with people who thrive on finding innovative solutions to some of healthcares biggest challenges. COLUMBUS, Ohio The Ohio Department of Medicaid (ODM) awards its fiscal intermediary (FI) service contract to Gainwell Technologies, taking another important Gainwell Technologies. {XOdE$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 . My work is truly cut in half by using Claim Shuttle. Top Competitors of Gainwell Technologies. WebOnsite, remote or Hybrid options may be available from US locations. $63,130 to $78,957 Yearly. 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. Together, as one team, we collaborated on every aspect of this program. Connect your passion with purpose, teaming with people who thrive on finding innovative solutions tosome of healthcares biggest challenges. Once the Trading Partner Enrollment process has been completed, you should receive an email with your login and password for their test site. Gainwell operates as a standalone company with over 7,500 employees who support clients across 42 U.S. states and territories. Gainwell Technologies is committed to a diverse, equitable, and inclusive workplace. Gainwell is the market leader in providing Medicaid services. The configurable, nine-module system will transform how Kansas delivers healthcare solutions. SPBM Clinical staff can also be reached via phone and email. The ease of use and user-friendly environment is awesome. Posted: February 07, 2023. 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. Are you a pharmacy or prescriber having issues registering for the secure SPBM Web Portal? PrescriberWeb Portal training recording now available. Gainwell empowers you show youre a pro and help clients deliver better health and human services outcomes using innovative technology and solutions. Required Documents for those applying for new Submitter IDs. <> WebMississippi Division of Medicaid Date: August 17, 2022 Plan Name/Group Name: Mississippi Division of Medicaid BIN: 025151 PCN: DRMSTEST - TEST DRMSPROD PROD Processor: Gainwell Technologies Effective as of: August 2022 NCPDP Telecommunication Standard Version/Release #: D.0 NCPDP Data Dictionary Version Date: April 2022 The rep and supervisor went out of their way to get the issue resolved. Gainwell Technologies and the Ohio Department of Medicaid (ODM) launched the Single Pharmacy Benefit Manager (SPBM) on October 1! Click here to join our private community of job WebSummary. The pay range for this position is $86,800.00 $124,000.00 per year, however, the base pay Every time I call, it feels as if I am talking directly with the owner of the company. You should receive an email with that information as well, Step 2: Register as a Trading Partner via the "Register Now" link:https://portal-tpi.msxix.net/ms/provider/Home/tabid/135/Default.aspx, Please make sure to select "Trading Partner" on the first screen, On the following screen you will need to enter the Trading Partner ID you received from Step 1 and enter your zip code, Please write down the User ID and Password you create on the next screen, After completing the rest of the required fields on this page, you will receive an email that contains a secure link to complete registration. 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. Apply online instantly. 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. Youll have the opportunity to grow your career in a company that values work flexibility, learning, and career development. The secure portal requires log in credentials that will allow access to specific patient information. We also have a variety of leadership and technical development academies to help build your skills and capabilities. 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. Verify solution meets the defined requirements through scenario testing. 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. 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. stream Full-Time. 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. Working at Gainwell carries its rewards. For insights into what you need to know, visit managedcare.medicaid.ohio.gov/providers. Members will have access to a training video on Oct. 1. We also have a variety of leadership and technical development academies to help build your skills and capabilities. Youll be joining a company where collaboration, innovation, and inclusion fuel our growth. , Pharmacy Web Portal training recording now available. If you don't receive your credentials within 2-3 weeks, please call theirTechnology Support Center toll-free at1-800-884-3222. View job listing details and apply now. 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. Gainwell Technologies is committed to a diverse, equitable, and inclusive workplace. Here are the details on this position.. Learn more atwww.naspo.org. Working at Gainwell carries its rewards. It's great to have immediate help and knowledgeable support! Full-Time. I was really concerned that this transition was going to be difficult and costly, but I was wrong on both counts. 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. I am a very small company, and have actually now reduced my overhead by going with you guys! 3 0 obj Gainwell Technologies is committed to a diverse, equitable, and inclusive workplace. The Customer Support Center is closed on Thanksgiving Day and Christmas. <>/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>> We also have comprehensive leadership and technical development academies to help build your skills and capabilities. Mississippi Medicaid has created the following guide on how to enroll:Trading Partner Enrollment and Registration ProcessIf the link above does not work properly, please download the guide from here:medicaid.ms.gov/edi-technical-documents/If you have any questions regarding the enrollment instructions, please call the Mississippi Medicaid EDI Technology Support Center at: 1-800-884-3222.