View this and more full-time & part-time jobs in San Francisco, CA on 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. Put your passion to work at Gainwell. Verify solution meets the defined requirements through scenario testing. Gainwell Technologies and the Ohio Department of Medicaid (ODM) launched the Single Pharmacy Benefit Manager (SPBM) on October 1! Posted: February 07, 2023. 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 and visit our for all available job role openings. , 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. Viewing this training is important for managed care entities to learn about the many tools available on both the public facing and secure portal. A most unexpected experience: Someone who knows and is helpful. 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. Your role in our mission Analyze and document current business processes and determine new processes to solve complex Healthcare initiatives. To access the recording, pleaseclick here. Here are the details on this position.. If this is a transaction you would like to utilize please make sure to enroll with the payer. Gainwell Technologies is committed to a diverse, equitable, and inclusive workplace. I just transmitted my first batch of electronic claims through Claim Shuttle! Please enter a Name and Password so you can update your Job Alerts in the future. Gainwell operates as a standalone company with over 7,500 employees who support clients across 42 U.S. states and territories. Youll be joining a company where collaboration, innovation, and inclusion fuel our growth. The public facing portal includes access to reference material such as the Unified Preferred Drug List and criteria. WebGainwell Technologies Provider Services 1-800-776-6334: Click here for ICD 10 Resources. View job listing details and apply now. Since 2010, Gainwell has achieved 16 Centers for Medicare and Medicaid Services (CMS) certifications more than all other vendors within the same time period. About Gainwell Technologies LLCGainwell Technologies is the leading provider of technology solutions that are vital to the administration and operations of health and human services programs. To access the recording, pleaseclick here. WebOur CMS-certified Medicaid Management solutions are modular, intelligent and cloud-based, and they cover all your management needs. WebSummary. 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 LLC 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. Uses SQL, data models, data element dictionary and schema to perform data and business analysis. Registration for SPBM Web Portal training is now open for all members. 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. We believe nothing is impossible when you bring together people who care deeply about making healthcare work better for everyone. ADL Caregivers <25 Full-Time. 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. All salaried, full-time candidates are eligible for our generous, flexible vacation policy, a 401(k) employer match, comprehensive health benefits , and educational assistance. Welcome to the new Ohio Medicaid pharmacyservices onlineportal. 2023. 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. WebApply for a Gainwell Technologies LLC Data Mapping Lead job in San Francisco, CA. Copyright 2023 Grabjobs Pte.Ltd. WebSummary. Be part of a team that unleashes the power of leading-edge technologies to Here are the details on this position. 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. Theresult is a comprehensive platform that is a model for statesseeking to transform their Medicaid programs.. endobj We also have a variety of leadership and technical development academies to help build your skills and capabilities. 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. Department of Medicaid logo, return to home page. 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 secure portal requires log in credentials that will allow access to specific patient information. This new platform will drive efficiency and quality, improving our ability to serve our members and providers.. For decades, HMS has been a leader in providing cost containment solutions to state Medicaid agencies, said Paul Saleh, President and CEO of Gainwell. 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. Youll be joining a company where collaboration, innovation, and inclusion fuel our growth. It provides services for 29 state Medicaid programs, processes more than 195 million pharmacy claims a year, and answers 6.6 million provider and recipient phone calls annually on behalf of state health care customers. WebMedicaid Data Analyst SME - Gainwell Technologies - San Francisco CA - data-analyst, san-francisco----ca, gainwell-technologies. 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. Top Competitors of Gainwell Technologies. 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. Register today for SPBM Web Portal training! Just as you promised, I was up and running within 20 minutes of our initial conversation. ODM received six competitive offers in response to the single PBM request for proposal. The secure portal requires log in credentials. For insights into what you need to know, visit managedcare.medicaid.ohio.gov/providers. . Posted: February 07, 2023. The ease of use and user-friendly environment is awesome. Learn more about Gainwell at our and visit our for all available job role openings. Youll add to your technical credentials and certifications while enjoying a generous, flexible vacation policy and educational assistance. PrescriberWeb Portal training recording now available. Thank you for your excellence! Please use the same Learning Management System (LMS) credentials set up during your registration to log in.. 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. The pay range for this position is $86,800.00 $124,000.00 per year, however, the base pay Working at Gainwell carries its rewards. A lock or https:// means you've safely connected to the .gov website. You can deactivate or delete job alerts by clicking the button below. Web1-770-325-2331 1-866-211-0950 (toll free) Providers, Trading Partners, or Provider Agents: Problems with registration or logging into the website should be directed to the Gainwell Technologies Company Georgia Medicaid EDI Services group. For training registration instructions,click here.. We are hiring a hardworking Senior Business Analyst - Medicaid to join our exceptional team at Gainwell Technologies LLC in Conway, AR. SPBM Clinical staff can also be reached via phone and email. We celebrate diversity and are dedicated to creating an inclusive environment for all employees. Validates test plan results that satisfy the detailed design goals. The Ohio Department of Medicaid (ODM) today announced Gainwell Technologies was selected to be the agencys single pharmacy benefits manager (PBM). 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. Learn more atgainwelltechnologies.com. Hope Private In-Home Care <25 <$5M. First name. 2 . I am so happy to have found you! This comprehensive solution gives Kansas Medicaid the agility and interoperability it needs to deliver high-quality healthcare services while reducing costs. All salaried, full-time candidates are eligible for our generous, flexible vacation policy, a , and educational assistance. The public facing portal includes access to reference material such as the Unified Preferred Drug List and criteria. WebGainwell Technologies is committed to a diverse, equitable, and inclusive workplace. Ohio Medicaid is changing the way we do business. 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 be joining a company where collaboration, innovation, and inclusion fuel our growth. Connect your passion with purpose, teaming with people who thrive on finding innovative solutions to some of healthcares biggest challenges. This website provides information to members, pharmacies, prescribers, Managed Care Entities, and the public. x\o7n~ WebIf you have any questions regarding the enrollment instructions, please call the Mississippi Medicaid EDI Technology Support Center at: 1-800-884-3222. Name Changes to Gainwell Technologies Effective October 1, 2020, Veritas Capital purchased the Medicaid Fiscal Agent business from DXC Technology. WebSummary. As always excellent, professional, knowledgeable customer service. %PDF-1.7 2 0 obj We can now process 276/277 requests (claim status). Creates unit test cases for area of responsibility and updates technical specifications and mappings. TennCare, Gainwell Technologies LLC and Axis Direct, Inc. announced today that they have notified approximately 3,300 Medicaid members in the State of Tennessee of a privacy issue that may have impacted their protected health information. Your customer support reps are the best!!! GrabJobs is the no1 job portal in the US, connecting you to thousands of jobs fast! Find out what skills and jobs are in high demand. You have already created a job alert with same filters. The reps even keep records of calls from the past, to ensure continuance of care. Please follow the Enrollment Instructions below to become an electronic submitter for Mississippi Medicaid. Be the first to receive the latest Nurse Full-Time Jobs in the US. Before selecting you as my provider, I called approximately 8 competitors.Your staff's knowledge and attitude far surpassed the others. Working at Gainwell carries its rewards. The award moves Ohio closer to realizing greater transparency and accountability in Medicaids $3 billion pharmacy program. Please open this website in one of the following browsers: Chrome, Edge, Firefox, Safari. Doing so meant structuring the program as a specialized managed care health plan that rewards the single PBM for patient wellness and health outcomes. You have reached your maximum number of active job alerts. Members will have access to a training video on Oct. 1. Gainwell Technologies brings a wealth of experience to strengthen ODMs pharmacy benefits delivery. Youll add to your technical credentials and certifications while enjoying a generous, flexible vacation policy and educational assistance. All salaried, full-time candidates are eligible for our generous, flexible vacation policy, a , and educational assistance. Here are the details on this position.. Show More. The secure portal requires log in credentials. Working at Gainwell carries its rewards. Learn more about Gainwell at our company website and visit our Careers site for all available job role openings. 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! WebGainwell Technologies LLC is now hiring a Account General Manager - State Medicaid Management Services in Nevada. Click OK to renew your session or Logout of the application. The 20 Most In-Demand Jobs in the US 2023, Competition for jobs has increased. The portal also gives the user the ability to reach the SPBM Clinical help desk via web chat. Gainwell Technologies. These capabilities make us a trusted partner for organizations seeking reliability, innovation and transformational outcomes. Gainwell is the market leader in providing Medicaid services. Work as a liaison between the customer and the technical team to provide quality solutions for the customers needs. $63,130 to $78,957 Yearly. 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. Pharmacy Services. We believe nothing is impossible when you bring together people who care deeply about making healthcare work better for everyone. The configurable, nine-module system will transform how Kansas delivers healthcare solutions. Youll add to your technical credentials and certifications while enjoying a generous, flexible vacation policy and educational assistance. 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. Your company feels young and fresh and it is a real pleasure being a client of yours. We celebrate diversity and are dedicated to creating an inclusive environment for all employees. WebWhat you should expect in this role. Have never had any problems and this is the easiest claim site. Change Healthcare, Express Scripts, Gainwell Technologies, MagellanRx Management, Navitus Health Solutions, and RxAdvance each submitted responses. WebMedicaid Quality Reporting Medicaid State Plan Types of Services X Apply Basic Eligibility Fee-For-Service Hospital Presumptive Eligibility X Programs Adults Elderly Disabled Please share my thanks with everyone involved. We believe nothing is impossible when you bring together people who care deeply about making healthcare work better for everyone. Youll have the opportunity to grow your career in a company that values work flexibility, learning, and career development. 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. Supports the ETL developers based on the mappings created. This experience takes the partnership to an entirely new level. We offer clients scalable and flexible solutions for their most complex challenges. Learn more at gainwelltechnologies.com. Put your passion to work at Gainwell. Claims and encounters? The recorded SPBM Web Portal training is now available for prescribersand prescribersupport staff. 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. Reno, NV. A gold mine!! Together, as one team, we collaborated on every aspect of this program. The newly designed program is targeted for launch in January 2022. The award moves Ohio closer to realizing greater transparency and accountability in Medicaid's $3 billion pharmacy program. Required Documents for those applying for new Submitter IDs. 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. Put your passion to work at Gainwell. 3 . 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. Gainwell has already contracted with more than 2600 pharmacies. We also have a variety of leadership and technical development academies to help build your skills and capabilities. 4 0 obj 1 0 obj Presents analysis and design recommendations to lead MITA teams, customer and/or vendors into the acceptance of the design. ODM's goals for the SPBM are to improve management and administration of pharmacy benefits for Ohio Medicaid managed care members. Managed Care Entities (MCE) including Managed Care Organizations (MCO) and the Prepaid Inpatient Health Plan (PIHP), which is also known as OhioRISE, will be given access to the SPBM online portal to view clinical profile information about members that are actively enrolled in their associated MCE. We believe nothing is impossible when you bring together people who care deeply about making healthcare work better for everyone. LA Dept of Health and Hospitals. Every time I call, it feels as if I am talking directly with the owner of the company. Pharmacy providers and members may contact the Gainwell Customer Support Center by phone 833-491-0344, 24 hours a day, seven daysa week. With more than 50 years of proven experience, Gainwell has a reputation for service excellence and unparalleled industry expertise. Gainwell Technologies is committed to a diverse, equitable, and inclusive workplace. 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. Please use the same Learning Management System (LMS) credentials set up during your registration to log in. 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. Build your career with Gainwell, an industry leader. These capabilities make us a trusted partner for organizations seeking reliability, innovation and transformational outcomes. Youll have the opportunity to grow your career in a company that values work flexibility, learning, and career development. With over 50 years of proven experience, Gainwell carries forward a reputation for technological innovation, service excellence, and unparalleled Build your career with Gainwell, an industry leader. 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.. $63,130 to $78,957 Yearly. https://www.dice.com/job-detail/eb49bd3b-53cd-43e7-89e4-fbf4c64a1d8c?utm_campaign=google_jobs_apply&utm_source=google_jobs_apply&utm_medium=organic. If you're asked to log in with an OHID - the state's best-of-breed digital identity - your privacy, data, and personal information are protected by all federal and state digital security guidelines. Please enable Cookies and reload the page. 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. 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. 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. Additionally, PNM training is now available for providers in a variety of formats, including virtual, in-person, and self-paced.
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