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 $124,000.00 per year, however, the base pay offered may vary depending on geographic region, internal equity, job-related knowledge, skills, and experience among other factors. We also have a variety of leadership and technical development academies to help build your skills and capabilities. To allow providers an advanced opportunity to set up their OH|ID and associate their accounts, ODM has launched a PNM pre-registration site at:https://pnm-preregistration.omes.maximus.com. Md]|k >i0NVxC?',X#g*. Gainwell is offering several options available below for your assistance: Gainwell Technologies and the Ohio Department of Medicaid (ODM) launched the Single Pharmacy Benefit Manager (SPBM) on October 1! Media ContactLacey Hautzinger, Gainwell Technologies469.284.7240Lacey.hautzinger@gainwelltechnologies.com, Schae Kane, NASPO ValuePointskane@naspovaluepoint.org, The National Association of State Procurement Officials (NASPO), Lacey.hautzinger@gainwelltechnologies.com. {XOdE$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 Read on if you are looking for information specific to our current programs. Validates test plan results that satisfy the detailed design goals. 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.. 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. 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. 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. Gainwell Technologies is committed to a diverse, equitable, and inclusive workplace. For insights into what you need to know, visit managedcare.medicaid.ohio.gov/providers. You have successfully created a new job alert. First name. 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. 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. Are you a pharmacy or prescriber having issues registering for the secure SPBM Web Portal? We also have a variety of leadership and technical development academies to help build your skills and capabilities. We can now process 276/277 requests (claim status). I am a very small company, and have actually now reduced my overhead by going with you guys! Youll have an incredible opportunity to grow your career in a company that values work flexibility, learning, and career development. Change Healthcare, Express Scripts, Gainwell Technologies, MagellanRx Management, Navitus Health Solutions, and RxAdvance each submitted responses. 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. 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. Please enable Cookies and reload the page. Here are the details on this position.. La Med. Every time I call, it feels as if I am talking directly with the owner of the company. 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. Since 2010, Gainwell has achieved 16 Centers for Medicare and Medicaid Services (CMS) certifications more than all other vendors within the same time period. Please use the same Learning Management System (LMS) credentials set up during your registration to log in. Connect your passion with purpose, teaming with people who thrive on finding innovative solutions tosome of healthcares biggest challenges. Here are the details on this position. Thank you very much for the help. These capabilities make us a trusted partner for organizations seeking reliability, innovation and transformational outcomes. Check. An Ohio.gov website belongs to an official government organization in the State of Ohio. If you have already submitted a prior authorization, please refrain from sending in a duplicate Prior Authorization. All salaried, full-time candidates are eligible for our generous, flexible vacation policy, a , and educational assistance. Interface with the technical team to ensure designs are understood and properly implemented. We offer clients scalable and flexible solutions for their most complex challenges. 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. 3 0 obj WebJoin to apply for the Experienced Business Analyst- Medicaid role at Gainwell Technologies. WebSummary. LA Medicaid Managed Care Organization. Youll have an incredible opportunity to grow your career in a company that values work flexibility, learning, and career development. 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 Working at Gainwell carries its rewards. Youll add to your technical credentials and certifications while enjoying a generous, flexible vacation policy and educational assistance. Required Documents for those applying for new Submitter IDs. Currently, each of Ohio Medicaids six managed care organizations (MCOs) contracts with one or more PBM to manage prescription drug benefits. Since 2010, Gainwell has achieved 16 Centers for Medicare endobj Copyright 2023 Grabjobs Pte.Ltd. Gainwell has served Kansas for two decades, forming a deep relationship with the state built on trust and transparency. It provides access to specific patient information and the ability to reach the SPBM Clinical help desk via web chat. I make phone calls a lot and I find few companies as engaged as yours. Share sensitive information only on official, secure websites. 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. 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. There simply is no comparison! 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 Verify solution meets the defined requirements through scenario testing. 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. 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. Thank you for your patience as we continue to enhance the system. #LI- Medicaid 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. With more than 50 years of proven experience, Gainwell has a reputation for service excellence and unparalleled industry expertise. Learn more at gainwelltechnologies.com. Once implemented, the single PBM will eliminate costly duplicative administrative processes for ODM and providers alike. WebMedicaid Data Analyst SME - Gainwell Technologies - San Francisco CA - data-analyst, san-francisco----ca, gainwell-technologies. We also have comprehensive leadership and technical development academies to help build your skills and capabilities. Have never had any problems and this is the easiest claim site. This experience takes the partnership to an entirely new level. 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. Please share my thanks with everyone involved. Work as a liaison between the customer and the technical team to provide quality solutions for the customers needs. Clinical information that is available includesmember benefit and eligibility, pharmacy prescription claims activity, Rx prior authorizations, and Coordinated Services Program (CSP) status will be distributed to the MCEs, however, the portal will allow quicker access to the most current information. All Rights Reserved. Learn more about Gainwell at our company website and visit our Careers site for all available job role openings. 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. If you don't receive your credentials within 2-3 weeks, please call theirTechnology Support Center toll-free at1-800-884-3222. The pay range for this position is $86,800.00 $124,000.00 per year, however, the base pay Gainwell Technologies is committed to a diverse, equitable, and inclusive workplace. The public facing portal includes access to reference material such as the Unified Preferred Drug List and criteria. Gainwell Technologies LLC 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. 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. Learn more about Ohio's largest state agency and the ways in which we continue to improve wellness and health outcomes for the individuals and families we serve. I just transmitted my first batch of electronic claims through Claim Shuttle! Put your passion to work at Gainwell. Additionally, PNM training is now available for providers in a variety of formats, including virtual, in-person, and self-paced. Here are the details on this position. Put your passion to work at Gainwell. | Source: 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. Be part of a team that unleashes the power of leading-edge Working at Gainwell carries its rewards. My work is truly cut in half by using Claim Shuttle. Provide business solutions, process improvements, business case and change consulting to the external client at functional and senior management level. Through the SPBM, ODM gains increased accountability and ensures alignment with clinical and policy goals, while also improving transparency. We are proud to be an Equal Youll add to your technical credentials and certifications while enjoying a generous, flexible vacation policy and educational assistance. Additionally, CMS cited the companys Step Edits process as a best practice, calling it bulletproof in federal certification review sessions. The recorded SPBM WebPortal training is now available for pharmacies and pharmacy support staff. An official website of the State of Georgia. Reno, NV. Ohio Medicaid WebGainwell Technologies offerings including Medicaid Management Information Systems (MMIS), fiscal agent services, program integrity, care management, immunization registry, and eligibility services. This is a soft launch of the SPBM onlineportal with limited features. 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. 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. Excellent service and I never give anyone "Excellent" scores on surveys. WebGainwell Technologies LLC is now hiring a Account General Manager - State Medicaid Management Services in Nevada. At issue was the lack of transparency. 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. The secure portal requires log in credentials. 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. Gainwell Technologies is committed to a diverse, equitable, and inclusive workplace. Show More. We also have comprehensive leadership and technical development academies to help build your skills and capabilities. Previous All salaried, full-time candidates are eligible for our generous, flexible vacation policy, a 401(k) employer match, comprehensive health benefits , and educational assistance. 1 0 obj We believe nothing is impossible when you bring together people who care deeply about making healthcare work better for everyone. As always excellent, professional, knowledgeable customer service. 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. Youll have the opportunity to grow your career in a company that values work flexibility, learning, and career development. 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. Learn more about Gainwell at our and visit our for all available job role openings. Provider 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. To access the recording, pleaseclick here. , 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. Mississippi Division of Medicaid (ms.gov)) click on the MOVEit Portal at Mississippi Replacement Project (msxix.net) page. 2018, Chapter 136 and N.J.A.C. Click here to join our private community of job For training registration instructions,click here.. Wonderful team that is always willing to assist with issues or concerns. We also have a variety of leadership and technical development academies to help build your skills and capabilities. WebSummary. Before beginning the enrollment or re-enrollment process, gather all information needed to complete an application. The public facing portal includes access to reference material such as the Unified Preferred Drug List and criteria. We are working to process these as quickly as possible. Thanks for your honesty and integrity! 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. We also have comprehensive leadership and technical development academies to help build your skills and capabilities. By Phone: 1-770-325-9590 1-877-261-8785 (toll free) 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. 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. If you don't receive your credentials within 2-3 weeks, please call theirTechnology Support Center toll-free at. 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 $224 million by Medicaid. We also have comprehensive leadership and technical development academies to help build your skills and capabilities. Viewing this training is important for pharmacists and their support staff to learn about the many tools available on both the public facing and secure portal. Gainwell Technologies LLC. COLUMBUS, Ohio The Ohio Department of Medicaid (ODM) today announced Gainwell Technologies was selected to be the agencys single pharmacy benefits manager (PBM). We celebrate diversity and are dedicated to creating an inclusive environment for all employees. Put your passion to work at Gainwell. Gainwell is experiencing very high call volumes related to prior authorizations. This website provides information to members, pharmacies, prescribers, Managed Care Entities, and the public. Gainwell Technologies LLC https://www.linkedin.com/jobs/view/experienced-business-analyst-medicaid-at-gainwell-technologies-3480611811/?utm_campaign=google_jobs_apply&utm_source=google_jobs_apply&utm_medium=organic. SPBM Clinical staff can also be reached via phone and email. YKrvrM.-,[=*q}iP)w_y7y1ywIzz|~xI%G)OHL'I$i?O?E&+~|| OgV'8HZ4/=>}|kx? Hope Private In-Home Care <25 <$5M. The award moves Ohio closer to realizing greater transparency and accountability in Medicaids $3 billion pharmacy program. Theresult is a comprehensive platform that is a model for statesseeking to transform their Medicaid programs.. It's great to have immediate help and knowledgeable support! Help the client innovate and formulate business solutions and technology enabled business models to implement CMS mandated or State directed initiatives. We believe nothing is impossible when you bring together people who care deeply about making healthcare work better for everyone. 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 Gainwell Technologies and the Ohio Department of Medicaid (ODM) launched the Single Pharmacy Benefit Manager (SPBM) on October 1! 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. Your product is everything you said it was. Thanks! With more than 50 years of proven experience, Gainwell has a reputation for service excellence and unparalleled industry expertise. https://www.dice.com/job-detail/eb49bd3b-53cd-43e7-89e4-fbf4c64a1d8c?utm_campaign=google_jobs_apply&utm_source=google_jobs_apply&utm_medium=organic. Top Competitors of Gainwell Technologies. Learn more atgainwelltechnologies.com. I am so happy to have found you! Youll be joining a company where collaboration, innovation, and inclusion fuel our growth. 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 I just wanted to let you know how impressed I am with this service. We also have a variety of leadership and technical development academies to help build your skills and capabilities. 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. Working at Gainwell carries its rewards. Everything about it (including your team) is great! We offer clients scalable and flexible solutions for their most complex challenges. Your role in our mission 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 celebrate diversity and are dedicated to creating an inclusive environment for all employees. We also have comprehensive leadership and technical development academies to help build your skills and capabilities. We take great pride in our strong relationship with Kansas, said Gainwell CEO Paul Saleh. A Happy Friday message from a Satisfied User!
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