WebJoin to apply for the Experienced Business Analyst- Medicaid role at Gainwell Technologies. We also have a variety of leadership and technical development academies to help build your skills and capabilities. Connect your passion with purpose, teaming with people who thrive on finding innovative solutions tosome of healthcares biggest challenges. 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. Once implemented, the single PBM will eliminate costly duplicative administrative processes for ODM and providers alike. Gainwell Technologies is committed to a diverse, equitable, and inclusive workplace. The Kansas Medicaid platform implementation sets the standard for states adopting modular solutions. Youll add to your technical credentials and certifications while enjoying a generous, flexible vacation policy and educational assistance. The public facing portal includes access to reference material such as the Unified Preferred Drug List and criteria. Build your career with Gainwell, an industry leader. Learn more about Gainwell at our and visit our for all available job role openings. Posted: December 06, 2022. Gainwell Technologies and the Ohio Department of Medicaid (ODM) launched the Single Pharmacy Benefit Manager (SPBM) on October 1! 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. #LI- Medicaid The secure portal requires log in credentials. WebSummary. Ohio Medicaid is changing the way we do business. The reps even keep records of calls from the past, to ensure continuance of care. GrabJobs is the no1 job portal in the US, connecting you to thousands of jobs fast! WebMedicaid Services. SPBM Clinical staff can also be reached via phone and email. TYSONS, Va., June 14, 2022 (GLOBE NEWSWIRE) -- Gainwell announced today that HMS, a Gainwell Technologies company, has been selected to provide These capabilities make us a trusted partner for organizations seeking reliability, innovation and transformational outcomes. Completing the CAPTCHA proves you are a human and gives you temporary access to the web property. 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. To access the recording, pleaseclick here. $61,700 to $99,200 Yearly. Coordinate workstreams and teams on IT projects to align solutions with client business priorities, Demonstrate your knowledge as SME and liaison for clients and internally between technical and non-technical workers to transform requirements into real results, Delegate work across teams, and coach and monitor project team members to plan, design and improve complex business processes and modifications, Streamline workflows across clients and technical personnel to determine, document and oversee carrying out system requirements, Support quality control as you approve and validate test results to verify that all requirements have been met. Youll have an incredible opportunity to grow your career in a company that values work flexibility, learning, and career development. WebOur CMS-certified Medicaid Management solutions are modular, intelligent and cloud-based, and they cover all your management needs. The recorded SPBM Web Portal training is now available for Managed Care Entity Portal Administrators and staff. A detailed description of how to complete each of the enrollment steps and a list of information to have on hand before starting the enrollment application is available at: The Provider Network Management (PNM) module is going live in parallel with the Single Pharmacy Benefit Manager (SPBM) on Oct. 1. We believe nothing is impossible when you bring together people who care deeply about making healthcare work better for everyone. Please enter a Name and Password so you can update your Job Alerts in the future. YKrvrM.-,[=*q}iP)w_y7y1ywIzz|~xI%G)OHL'I$i?O?E&+~|| OgV'8HZ4/=>}|kx? Additionally, CMS cited the companys Step Edits process as a best practice, calling it bulletproof in federal certification review sessions. Be part of a team that unleashes the power of leading-edge technologies to This time it was warranted. Pharmacy providers and members may contact the Gainwell Customer Support Center by phone 833-491-0344, 24 hours a day, seven daysa week. We offer clients scalable and flexible solutions for their most complex challenges. It's great to have immediate help and knowledgeable support! Registration for SPBM Web Portal training is now open for all members. Users may find helpful website links and documents within our online portal in the menu bar above. 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. #LI- Medicaid. 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. Change Healthcare, Express Scripts, Gainwell Technologies, MagellanRx Management, Navitus Health Solutions, and RxAdvance each submitted responses. In 2019, the Ohio General Assembly instructed ODM to adopt a single PBM following release of a 2018 Health Data Solutions (HDS) report stating the PBMs were paid $224 million by Medicaid. 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. 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. Working at Gainwell carries its rewards. Full-Time. 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. Your role in our mission 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. There simply is no comparison! We are working to process these as quickly as possible. 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. LA Medicaid Managed Care Organization. We also have comprehensive leadership and technical development academies to help build your skills and capabilities. <> 3 . Gainwell Technologies. Connect your passion with purpose, teaming with people who thrive on finding innovative solutions tosome of healthcares biggest challenges. The public facing portal includes access to reference material such as the Unified Preferred Drug List and criteria. A Happy Friday message from a Satisfied User! Under Together, as one team, we collaborated on every aspect of this program. , Pharmacy Web Portal training recording now available. Youll have the opportunity to grow your career in a company that values work flexibility, learning, and career development. CONTACT:Elizabeth Bonet Gainwell Technologies972-556-5082elizabeth.bonet@gainwelltechnologies.com. Since 1985, HMS has been the leader in TPL solutions for state Medicaid agencies. Working at Gainwell carries its rewards. 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 Youll add to your technical credentials and certifications while enjoying a generous, flexible vacation policy and educational assistance. <>/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>> I always get the most fabulous service when calling or emailing!!! We also have comprehensive leadership and technical development academies to help build your skills and capabilities. Neither ODM nor the state auditor could verify or refute the appropriate use of funds. Uses SQL, data models, data element dictionary and schema to perform data and business analysis. Thepublic facing portal includes access to reference material such as the Unified Preferred Drug List and criteria. All salaried, full-time candidates are eligible for our generous, flexible vacation policy, a 401(k) employer match, comprehensive health benefits , and educational assistance. ODM's goals for the SPBM are to improve management and administration of pharmacy benefits for Ohio Medicaid managed care members. Put your passion to work at Gainwell. The configurable, nine-module system will transform how Kansas delivers healthcare solutions. The rep and supervisor went out of their way to get the issue resolved. 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. Gainwell Technologies LLC. Currently, each of Ohio Medicaids six managed care organizations (MCOs) contracts with one or more PBM to manage prescription drug benefits. Full-Time. Thank you for your excellence! 3 0 obj Works toward delivering a first draft solution to ETL for coding, by rapidly understanding which details about the mapping can be deferred. To bolster accountability in the pharmacy program, Ohio Medicaid soon will select a pharmacy operational support vendor (POSV) tasked with auditing the single PBM. 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. 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. Mississippi Medicaid has created the following guide on how to enroll: Once the Trading Partner Enrollment process has been completed, you should receive an email with your login and password for their test site. WebSummary. Show More. Working at Gainwell carries its rewards. Build your career with Gainwell, an industry leader. This is a soft launch of the SPBM onlineportal with limited features. Provider Gainwell Technologies. Name Changes to Gainwell Technologies Effective October 1, 2020, Veritas Capital purchased the Medicaid Fiscal Agent business from DXC Technology. Click OK to renew your session or Logout of the application. Be part of a team that unleashes the power of leading-edge 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. WebMedicaid Quality Reporting Medicaid State Plan Types of Services X Apply Basic Eligibility Fee-For-Service Hospital Presumptive Eligibility X Programs Adults Elderly Disabled Youll have the opportunity to grow your career in a company that values work flexibility, learning, and career development. 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.

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