gainwell technologies medicaid gainwell technologies medicaid

$61,700 to $99,200 Yearly. The business domain includes Healthcare business processes, specifically focused on Medicaid and Medicare and CMS. These capabilities make us a trusted partner for organizations seeking reliability, innovation and transformational outcomes. Thank you very much for the help. Doing so meant structuring the program as a specialized managed care health plan that rewards the single PBM for patient wellness and health outcomes. 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. This comprehensive solution gives Kansas Medicaid the agility and interoperability it needs to deliver high-quality healthcare services while reducing costs. , Pharmacy Web Portal training recording now available. Thanks! WebMedicaid Data Analyst SME - Gainwell Technologies - San Francisco CA - data-analyst, san-francisco----ca, gainwell-technologies. Previous Gainwell Technologies and the Ohio Department of Medicaid (ODM) launched the Single Pharmacy Benefit Manager (SPBM) on October 1! 3 . %PDF-1.7 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. 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. With more than 50 years of proven experience, Gainwell has a reputation for service excellence and unparalleled industry expertise. 3 0 obj 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. All Rights Reserved. Md]|k >i0NVxC?',X#g*. Click OK to renew your session or Logout of the application. I was really concerned that this transition was going to be difficult and costly, but I was wrong on both counts. Learn more atwww.naspo.org. Work as a liaison between the customer and the technical team to provide quality solutions for the customers needs. Gainwell Technologies. 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. WebWhat you should expect in this role. Members will have access to a training video on Oct. 1. endobj 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 Questions may be directed to the EDI Helpdesk at 1 844-807-9449 or via the Contact Us link 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. We are redesigning our programs and services to focus on you and your family. 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. Supports the ETL developers based on the mappings created. October 18, 2022 09:30 ET WebGainwell provides several services to the Indiana Health Coverage Programs, including provider enrollment, customer service, eligibility verification systems, and fee-for-service Connect your passion with purpose, teaming with people who thrive on finding innovative solutions tosome of healthcares biggest challenges. We are proud to be an Equal Opportunity Employer, where all qualified applicants will receive 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. 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. Have never had any problems and this is the easiest claim site. Youll have an incredible opportunity to grow your career in a company that values work flexibility, learning, and career development. All Rights Reserved. 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. 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. With over 50 years of proven experience, Gainwell carries forward a reputation for technological innovation, service excellence, and unparalleled 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. Put your passion to work at Gainwell. The configurable, nine-module system will transform how Kansas delivers healthcare solutions. We also have comprehensive leadership and technical development academies to help build your skills and capabilities. {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 Youll have the opportunity to grow your career in a company that values work flexibility, learning, and career development. Additionally, PNM training is now available for providers in a variety of formats, including virtual, in-person, and self-paced. Document requirements for business and system requirements. 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. WebMedicaid Quality Reporting Medicaid State Plan Types of Services X Apply Basic Eligibility Fee-For-Service Hospital Presumptive Eligibility X Programs Adults Elderly Disabled NASPO ValuePoint delivers high value, reliable and competitively sourced cooperative contracts offering public entities outstanding prices, favorable terms and conditions and value-added services. A lock or https:// means you've safely connected to the .gov website. We also have comprehensive leadership and technical development academies to help build your skills and capabilities. 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. Learn more atwww.naspovaluepoint.org. Gainwell Technologies LLC. We also have comprehensive leadership and technical development academies to help build your skills and capabilities. Department of Medicaid logo, return to home page. Additionally, CMS cited the companys Step Edits process as a best practice, calling it bulletproof in federal certification review sessions. My work is truly cut in half by using Claim Shuttle. The single PBM is part of a larger overhaul of the Medicaid program designed to put the needs of Medicaid members first and bring visibility to the use of state dollars. 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. We take great pride in our strong relationship with Kansas, said Gainwell CEO Paul Saleh. The pay range for this position is $86,800.00 $124,000.00 per year, however, the base pay 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. Youll be joining a company where collaboration, innovation, and inclusion fuel our growth. Gainwell operates as a standalone company with over 7,500 employees who support clients across 42 U.S. states and territories. Claims and encounters? TennCare is committed to safeguarding the information of our members. It provides access to specific patient information and the ability to reach the SPBM Clinical help desk via web chat. How can you stand out? View this and more full-time & part-time jobs in San Francisco, CA on All salaried, full-time candidates are eligible for our generous, flexible vacation policy, a 401(k) employer match, comprehensive health benefits , and educational assistance. NASPO is an organization that helps its members as public procurement leaders by promoting best practices, education, professional development, research and innovative procurement strategies. Together, as one team, we collaborated on every aspect of this program. 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 the first to receive the latest Nurse Full-Time Jobs in the US. Theresult is a comprehensive platform that is a model for statesseeking to transform their Medicaid programs.. During the training, you will also learn about many exciting tools available on the SPBM Web Portal such as member eligibility, viewing prior authorization status, the ability to quickly speak with the SPBM help desk, and much more! Working at Gainwell carries its rewards. Please use the same Learning Management System (LMS) credentials set up during your registration to log in.. Creates unit test cases for area of responsibility and updates technical specifications and mappings. Please use the same Learning Management System (LMS) credentials set up during your registration to log in. WebJoin to apply for the Experienced Business Analyst- Medicaid role at Gainwell Technologies. The portal also gives the user the ability to reach the SPBM Clinical help desk via web chat. Gainwell Technologies is committed to a diverse, equitable, and inclusive workplace. WebSummary. Users may find helpful website links and documents within our online portal in the menu bar above. We are proud to be an Equal I just wanted to let you know how impressed I am with this service. Youll be joining a company where collaboration, innovation, and inclusion fuel our growth. % stream Gainwell empowers you show youre a pro and help clients deliver better health and human services outcomes using innovative technology and solutions. 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. 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. The award moves Ohio closer to realizing greater transparency and accountability in Medicaid's $3 billion pharmacy program. Through the SPBM, ODM gains increased accountability and ensures alignment with clinical and policy goals, while also improving transparency.