We are working to process these as quickly as possible. Click OK to renew your session or Logout of the application. 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. Learn more at gainwelltechnologies.com. Play a critical part in ensuring Gainwell is meeting our clients objectives in important areas. The business domain includes Healthcare business processes, specifically focused on Medicaid and Medicare and CMS. Experience and knowledge with HCPCS and ICD procedure codes and ICD diagnosis code is a plus, 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, Fully remote, only US location options will be considered. Put your passion to work at Gainwell. View similar Healthcare / Careworkers jobs below. 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. WebOur CMS-certified Medicaid Management solutions are modular, intelligent and cloud-based, and they cover all your management needs. . 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. Home page - OH MCD SPBM.Web - Ohio WebMedicaid Quality Reporting Medicaid State Plan Types of Services X Apply Basic Eligibility Fee-For-Service Hospital Presumptive Eligibility X Programs Adults Elderly Disabled Gainwell is the market leader in providing Medicaid services. Medicaid 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. 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. Name Changes to Gainwell Technologies Effective October 1, 2020, Veritas Capital purchased the Medicaid Fiscal Agent business from DXC Technology. WebMedicaid Data Analyst SME - Gainwell Technologies - San Francisco CA - data-analyst, san-francisco----ca, gainwell-technologies. Your company feels young and fresh and it is a real pleasure being a client of yours. Build your career with Gainwell, an industry leader. Completing the CAPTCHA proves you are a human and gives you temporary access to the web property. With over 50 years of proven experience, Gainwell carries forward a reputation for technological innovation, service excellence, and unparalleled Analyze and document current business processes and determine new processes to solve complex Healthcare initiatives. Youll have an incredible opportunity to grow your career in a company that values work flexibility, learning, and career development. Gainwell Technologies LLC Data Mapping Lead in San Francisco, Posted: February 07, 2023. Youll have the opportunity to grow your career in a company that values work flexibility, learning, and career development. Your product is everything you said it was. Every time I call, it feels as if I am talking directly with the owner of the company. We celebrate diversity and are dedicated to creating an inclusive environment for all employees. GrabJobs is the no1 job portal in the US, connecting you to thousands of jobs fast! With more than 50 years of proven experience, Gainwell has a reputation for service excellence and unparalleled industry expertise. Gainwell Technologies. We are redesigning our programs and services to focus on you and your family. 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. Learn more about Gainwell at our and visit our for all available job role openings. 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. 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. Works toward delivering a first draft solution to ETL for coding, by rapidly understanding which details about the mapping can be deferred. Gainwell Technologies LLC , 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. Gainwell Technologies is committed to a diverse, equitable, and inclusive workplace. #LI- Medicaid A gold mine!! The recorded SPBM Web Portal training is now available for Managed Care Entity Portal Administrators and staff. All salaried, full-time candidates are eligible for our generous, flexible vacation policy, a , and educational assistance. $63,130 to $78,957 Yearly. Gainwell Technologies is committed to a diverse, equitable, and inclusive workplace. You have already created a job alert with same filters. Build your career with Gainwell, an industry leader. Gainwell Technologies selected to bring new level of ODM received six competitive offers in response to the single PBM request for proposal. Gainwell Technologies is the leading provider of cloud technology solutions vital to the administration and operations of health and human services programs. Please follow the Enrollment Instructions below to become an electronic submitter for Mississippi Medicaid. My work is truly cut in half by using Claim Shuttle. , Pharmacy Web Portal training recording now available. Learn more atwww.naspo.org. For training registration instructions,click here.. endobj Theresult is a comprehensive platform that is a model for statesseeking to transform their Medicaid programs.. Newly Formed Gainwell Technologies Named PBM for Youll have an incredible opportunity to grow your career in a company that values work flexibility, learning, and career development. All salaried, full-time candidates are eligible for our generous, flexible vacation policy, a , and educational assistance. Currently, each of Ohio Medicaids six managed care organizations (MCOs) contracts with one or more PBM to manage prescription drug benefits. We can now process 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. If you don't receive your credentials within 2-3 weeks, please call theirTechnology Support Center toll-free at. 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. 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 are proud to be an Equal Md]|k >i0NVxC?',X#g*. Be part of a team that unleashes the power of leading-edge technologies to 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 Pharmacy providers and members may contact the Gainwell Customer Support Center by phone 833-491-0344, 24 hours a day, seven daysa week. Please share my thanks with everyone involved. 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. Gainwell Technologies brings a wealth of experience to strengthen ODMs pharmacy benefits delivery. The secure portal requires log in credentials that will allow access to specific patient information. Gainwell Technologies LLC Associate Field Technician in San Gainwell Technologies Put your passion to work at Gainwell. Registration for SPBM Web Portal training is now open for all members. Test files should consist of a variety of claims that represent the type of claims you will be submitting once production status is achieved. https://www.dice.com/job-detail/eb49bd3b-53cd-43e7-89e4-fbf4c64a1d8c?utm_campaign=google_jobs_apply&utm_source=google_jobs_apply&utm_medium=organic. Please use the same Learning Management System (LMS) credentials set up during your registration to log in. 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 enter a Name and Password so you can update your Job Alerts in the future. Attention All Providers: Nevada Medicaid Fiscal Agent The pay range for this position is $86,800.00 $124,000.00 per year, however, the base pay COLUMBUS, Ohio The Ohio Department of Medicaid (ODM) today announced Gainwell Technologies was selected to be the agencys single pharmacy benefits manager (PBM). This new platform will drive efficiency and quality, improving our ability to serve our members and providers.. You can deactivate or delete job alerts by clicking the button below. Senior Business Analyst - Medicaid - Hiring Urgently at Gainwell 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.
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