Step 1: Enrollment via the "Trading Partner Enrollment" link on their website:https://portal-tpi.msxix.net/ms/provider/Home/tabid/135/Default.aspx, Please make sure your information matches what's in Medicaid's system, Please make sure the signature belongs to the authorized representative Medicaid has in their system for your company, Once you've completed enrollment, please write down the Trading Partner ID and password listed on that screen. We are working to process these as quickly as possible. 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. Put your passion to work 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. Connect your passion with purpose, teaming with people who thrive on finding innovative solutions to some of healthcares biggest challenges. All salaried, full-time candidates are eligible for our generous, flexible vacation policy, a , and educational assistance. The reps even keep records of calls from the past, to ensure continuance of care. Click here to join our private community of job View job listing details and apply now. Youll be joining a company where collaboration, innovation, and inclusion fuel our growth. Attention All Providers: Nevada Medicaid Fiscal Agent Build your career with Gainwell, an industry leader. Gainwell Technologies is committed to a diverse, equitable, and inclusive workplace. Joy Home Care <25 <$5M. Document requirements for business and system requirements. 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. Youll have the opportunity to grow your career in a company that values work flexibility, learning, and career development. It provides access to specific patient information and the ability to reach the SPBM Clinical help desk via web chat. We can now process Test files should consist of a variety of claims that represent the type of claims you will be submitting once production status is achieved. Please open this website in one of the following browsers: Chrome, Edge, Firefox, Safari. Since 2010, Gainwell has achieved 16 Centers for Medicare and Medicaid Services (CMS) certifications more than all other vendors within the same time period. There simply is no comparison! On February 1, Ohio Medicaid launched the new electronic data interchange (EDI) and fiscal intermediary as part of our ongoing commitment to streamlining the provider administrative experience. Gainwell is experiencing very high call volumes related to prior authorizations. We also have a variety of leadership and technical development academies to help build your skills and capabilities. Build your career with Gainwell, an industry leader. <>/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>> It provides access to specific patient information and the ability to reach the SPBM Clinical help desk via web chat. Gainwell Technologies Test Engineer - Medicaid Testing - Gainwell Technologies We are proud to be an Equal Opportunity Employer, where all qualified applicants will receive 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. 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. Your company feels young and fresh and it is a real pleasure being a client of yours. WebGainwell Technologies Provider Services 1-800-776-6334: Click here for ICD 10 Resources. WebSummary. 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. SIC Code 63,632. 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. Help the client innovate and formulate business solutions and technology enabled business models to implement CMS mandated or State directed initiatives. 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. Registration for SPBM Web Portal training is now open for all members. 5+ 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. Thank you for your excellence! With more than 50 years of proven experience, Gainwell has a reputation for service excellence and unparalleled industry expertise. Gainwell Technologies Selected to Provide Full Suite of This is a soft launch of the SPBM onlineportal with limited features. The secure portal requires log in credentials that will allow access to specific patient information. 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. June 14, 2022 08:00 ET TYSONS, Va., June 14, 2022 (GLOBE NEWSWIRE) -- Gainwell announced today that HMS, a Gainwell Technologies company, has been selected to provide Gainwell Technologies Full-Time. Learn more atwww.naspo.org. Find the best jobs in the US, apply in 1 click and get a job today! WebApply for a Gainwell Technologies LLC Data Mapping Lead job in San Francisco, CA. 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. {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 Refines mapping documents, adding more detail, and filling out deferred material as questions are resolved. The groundbreaking, cloud-based platform uses a service-oriented architecture to seamlessly connect all modules in a secure and dynamic environment. The rep and supervisor went out of their way to get the issue resolved. Once the Trading Partner Enrollment process has been completed, you should receive an email with your login and password for their test site. Medicaid 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. LA Medicaid Managed Care Organization. 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 Take charge and focus on how we can meet critical needs to help clients deliver better health and human services outcomes. Last name. Creates unit test cases for area of responsibility and updates technical specifications and mappings. We also have comprehensive leadership and technical development academies to help build your skills and capabilities. Here are the details on this position. The secure portal requires log in credentials. GrabJobs is the no1 job portal in the US, connecting you to thousands of jobs fast! Medicaid You have already created a job alert with same filters. COLUMBUS, Ohio The Ohio Department of Medicaid (ODM) today announced Gainwell Technologies was selected to be the agencys single pharmacy benefits manager (PBM). The award moves Ohio closer to realizing greater transparency and accountability in Medicaids $3 billion pharmacy program. The Kansas Medicaid platform implementation sets the standard for states adopting modular solutions. 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. 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. Analyze and document current business processes and determine new processes to solve complex Healthcare initiatives. Gainwell Technologies Posted: February 07, 2023. 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. Youll have an incredible opportunity to grow your career in a company that values work flexibility, learning, and career development. It's great to have immediate help and knowledgeable support! For insights into what you need to know, visit managedcare.medicaid.ohio.gov/providers. x\o7n~ NASPO is an organization that helps its members as public procurement leaders by promoting best practices, education, professional development, research and innovative procurement strategies. Youll have the opportunity to grow your career in a company that values work flexibility, learning, and career development. If you don't receive your credentials within 2-3 weeks, please call theirTechnology Support Center toll-free at1-800-884-3222. Ohio Medicaid is changing the way we do business. 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. WebSummary. Build your career with Gainwell, an industry leader. We also have a variety of leadership and technical development academies to help build your skills and capabilities. Build your career with Gainwell, an industry leader. My work is truly cut in half by using Claim Shuttle. Show More. 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. 2 0 obj 1 . Learn more about Gainwell at our and visit our for all available job role openings. Please use the same Learning Management System (LMS) credentials set up during your registration to log in. An Ohio.gov website belongs to an official government organization in the State of Ohio. Gainwell Technologies LLC Associate Field Technician in San Here are the details on this position.. I was really concerned that this transition was going to be difficult and costly, but I was wrong on both counts. NASPO ValuePoint is the cooperative purchasing division of the National Association of State Procurement Officials (NASPO), facilitating cooperative public procurement solicitations using a Lead State model. Doing so meant structuring the program as a specialized managed care health plan that rewards the single PBM for patient wellness and health outcomes. Youll add to your technical credentials and certifications while enjoying a generous, flexible vacation policy and educational assistance. 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. 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 has already Gainwell Technologies Ohio Medicaid With over 50 years of proven experience, Gainwell carries forward a reputation for technological innovation, service excellence, and unparalleled 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. $63,130 to $78,957 Yearly. 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. By Phone: 1-770-325-9590 1-877-261-8785 (toll free) Working at Gainwell carries its rewards. Claims and encounters? The Ohio Department of Medicaid (ODM) provides health care coverage to more than 3 million Ohioans through a network of more than 165,000 providers. Gainwell Technologies LLC Presents analysis and design recommendations to lead MITA teams, customer and/or vendors into the acceptance of the design. 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. Once implemented, the single PBM will eliminate costly duplicative administrative processes for ODM and providers alike. Take charge and focus on how we can meet critical needs to help clients deliver better health and human services outcomes. I just wanted to let you know how impressed I am with this service. NAICS Code 52,524. 2023. Gainwell Technologies LLC Medicaid Data Analyst SME Job in Put your passion to work at Gainwell. Youll have the opportunity to grow your career in a company that values work flexibility, learning, and career development. 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. Previous WebIf you have any questions regarding the enrollment instructions, please call the Mississippi Medicaid EDI Technology Support Center at: 1-800-884-3222. Read on if you are looking for information specific to our current programs. Gainwell Implements Fully Modular, Cloud-Based Medicaid The POSV will ensure incentives are properly and fairly aligned, self-dealing and steering are prevented, and monetary loopholes are closed. Reno, NV. %PDF-1.7 SeniorinCare <25 <$5M. LA Dept of Health and Hospitals. SPBM Clinical staff can also be reached via phone and email. Thanks! Neither ODM nor the state auditor could verify or refute the appropriate use of funds. Excellent service and I never give anyone "Excellent" scores on surveys. Want to receive job alerts for similar jobs? Play a critical part in ensuring Gainwell is meeting our clients objectives in important areas. The secure portal requires log in credentials. Users may find helpful website links and documents within our online portal in the menu bar above. Youll have an incredible opportunity to grow your career in a company that values work flexibility, learning, and career development. ODM expects to award the POSV vendor by summer 2021. Register today for SPBM Web Portal training! We also have comprehensive leadership and technical development academies to help build your skills and capabilities. 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 Thanks for your honesty and integrity! 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 Please accessthis job aidfor step-by-step instructions to sign up for a session. Gainwell Technologies is committed to a diverse, equitable, and inclusive workplace. 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. 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. Work as a liaison between the customer and the technical team to provide quality solutions for the customers needs. Members will have access to a training video on Oct. 1. Gainwell Technologies LLC Be part of a team that unleashes the power of leading-edge Have never had any problems and this is the easiest claim site. I love it! Supports the ETL developers based on the mappings created. Joint Statement Regarding Privacy Breach Working at Gainwell carries its rewards. Working at Gainwell carries its rewards. Gainwell Technologies LLC. . Gainwell is the market leader in providing Medicaid services. Your product is everything you said it was. 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. Ohio Department of Medicaid awards fiscal intermediary contract TennCare is committed to safeguarding the information of our members. The Ohio Department of Medicaid (ODM) today announced Gainwell Technologies was selected to be the agencys single pharmacy benefits manager (PBM). 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. View this and more full-time & part-time jobs in San Francisco, CA on Medicaid Please enable Cookies and reload the page. We believe nothing is impossible when you bring together people who care deeply about making healthcare work better for everyone. WebMedicaid Services. I keep having great experiences every time I call your company, finding a super friendly rep on the phone, helping me with any questions I have.