I have also been transferred to other staff, who helped me resolve issues in the most professional way. We offer clients scalable and flexible solutions for their most complex challenges. The Kansas Medicaid platform implementation sets the standard for states adopting modular The portal also gives the user the ability to reach the SPBM Clinical help desk via web chat. Under The rep and supervisor went out of their way to get the issue resolved. WebSummary. Here are the details on this position. WebOnsite, remote or Hybrid options may be available from US locations. Gainwell empowers you show youre a pro and help clients deliver better health and human services outcomes using innovative technology and solutions. 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. Gainwell Technologies brings a wealth of experience to strengthen ODMs pharmacy benefits delivery. Department of Medicaid logo, return to home page. Before selecting you as my provider, I called approximately 8 competitors.Your staff's knowledge and attitude far surpassed the others. 2 0 obj 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. Creates accurate mapping documents according to the mapping process. For training registration instructions,click here.. Our transformed Medicaid platform will provideincredible benefits to our state,our most vulnerable citizens,andourvalued providers. 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. We also have comprehensive leadership and technical development academies to help build your skills and capabilities. ADL Caregivers <25 4 0 obj 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. Works toward delivering a first draft solution to ETL for coding, by rapidly understanding which details about the mapping can be deferred. WebJoin to apply for the Experienced Business Analyst- Medicaid role at Gainwell Technologies. Take charge and focus on how we can meet critical needs to help clients deliver better health and human services outcomes. Working at Gainwell carries its rewards. Before beginning the enrollment or re-enrollment process, gather all information needed to complete an application. To access the recording, pleaseclick here. Build your career with Gainwell, an industry leader. Youll have the opportunity to grow your career in a company that values work flexibility, learning, and career development. Working at Gainwell carries its rewards. We believe nothing is impossible when you bring together people who care deeply about making healthcare work better for everyone. 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. Gainwell is the market leader in providing Medicaid services. 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 Learn more about Gainwell at our and visit our for all available job role openings. Welcome to Youll have the opportunity to grow your career in a company that values work flexibility, learning, and career development. Be part of a team that unleashes the power of leading-edge technologies to Previous experience with a Medicaid Management System or with major operations-related components of an Medicaid Management System or other large healthcare systems and Users may find helpful website links and documents within our online portal in the menu bar above. $63,130 to $78,957 Yearly. 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 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. I make phone calls a lot and I find few companies as engaged as yours. 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. For decades, HMS has been a leader in providing cost containment solutions to state Medicaid agencies, said Paul Saleh, President and CEO of Gainwell. Learn more about Gainwell at our and visit our for all available job role openings. Md]|k >i0NVxC?',X#g*. <>/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>> A lock or https:// means you've safely connected to the .gov website. Build your career with Gainwell, an industry leader. Refines mapping documents, adding more detail, and filling out deferred material as questions are resolved. The reps even keep records of calls from the past, to ensure continuance of care. We are redesigning our programs and services to focus on you and your family. 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. We can now process 276/277 requests (claim status). Uses SQL, data models, data element dictionary and schema to perform data and business analysis. 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. 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 at. Gainwell technologies brings a wealth of experience to strengthen ODM's pharmacy benefits delivery. We also have a variety of leadership and technical development academies to help build your skills and capabilities. 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. 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. San Francisco, CA. This launch also includes a new requirement to establish an OH|ID to access any of ODM's Ohio Medicaid Enterprise Systems (OMES). 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. Selecting Gainwell as our partner in administering a clinically driven, outcomes-oriented pharmacy program enables us to take advantage of their previous successes.. Gainwell Technologies LLC. I love it! Youll have the opportunity to grow your career in a company that values work flexibility, learning, and career development. Posted: December 06, 2022. La Med. TTY: 711. stream Please enable Cookies and reload the page. Put your passion to work at Gainwell. The award moves Ohio closer to realizing greater transparency and accountability in Medicaid's $3 billion pharmacy program. 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. June 14, 2022 08:00 ET , Pharmacy Web Portal training recording now available. Managed Care Entity Web Portal training recording now available. We celebrate diversity and are dedicated to creating an inclusive environment for all employees. Find out what skills and jobs are in high demand. The pay range for this position is $61,700.00 - $88,200.00 per year, however, the base pay offered may vary depending on geographic region, internal equity, job-related knowledge, skills, and experience among other factors. Posted: February 07, 2023. Please use the same Learning Management System (LMS) credentials set up during your registration to log in. 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. 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. 2023 Snagajob.com, Inc. All rights reserved. This is a soft launch of the SPBM onlineportal with limited features. 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. If you are at an office or shared network, you can ask the network administrator to run a scan across the network looking for misconfigured or infected devices. 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 Be part of a team that unleashes the power of leading-edge To bolster accountability in the pharmacy program, Ohio Medicaid soon will select a pharmacy operational support vendor (POSV) tasked with auditing the single PBM. 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. Help the client innovate and formulate business solutions and technology enabled business models to implement CMS mandated or State directed initiatives. Gainwell operates as a standalone company with over 7,500 employees who support clients across 42 U.S. states and territories. A gold mine!! Here are the details on this position. endobj Gainwell Technologies is the leading provider of cloud technology solutions vital to the administration and operations of health and human services programs. 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. 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. Gainwell Technologies is committed to a diverse, equitable, and inclusive workplace. 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. Working at Gainwell carries its rewards. Build your career with Gainwell, an industry leader. Build your career with Gainwell, an industry leader. Neither ODM nor the state auditor could verify or refute the appropriate use of funds. The following process must be followed prior to initiation of electronic claim submission or inquiry. 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! Posted: February 07, 2023. Youll be joining a company where collaboration, innovation, and inclusion fuel our growth. Reno, NV. Youll be joining a company where collaboration, innovation, and inclusion fuel our growth. Check. The changes we make will help you more easily access information, locate health care providers, and receive quality care. Working at Gainwell carries its rewards. Youll add to your technical credentials and certifications while enjoying a generous, flexible vacation policy and educational assistance. Learn more atwww.naspovaluepoint.org. Register today for SPBM Web Portal training! %PDF-1.7 Test files should consist of a variety of claims that represent the type of claims you will be submitting once production status is achieved. Here are the details on this position. 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. 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. A Happy Friday message from a Satisfied User! Put your passion to work at Gainwell. endobj If this is a transaction you would like to utilize please make sure to enroll with the payer. Additionally, CMS cited the companys Step Edits process as a best practice, calling it bulletproof in federal certification review sessions. An official website of the State of Georgia. Please open this website in one of the following browsers: Chrome, Edge, Firefox, Safari. Our billers love the interface that ClaimShuttle provides and I would be happy to be a future reference if needed. Viewing this training is important for managed care entities to learn about the many tools available on both the public facing and secure portal. Since 2010, Gainwell has achieved 16 Centers for Medicare and Medicaid Services (CMS) certifications more than all other vendors within the same time period. This time it was warranted. It was nice to have a direct contact with the same representative until the problem was resolved. 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. If you don't receive your credentials within 2-3 weeks, please call theirTechnology Support Center toll-free at1-800-884-3222. Thanks for your honesty and integrity! Gainwell Technologies is committed to a diverse, equitable, and inclusive workplace. Please use the same Learning Management System (LMS) credentials set up during your registration to log in. Apply online instantly. Gainwell is experiencing very high call volumes related to prior authorizations. I just transmitted my first batch of electronic claims through Claim Shuttle! 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. Youll be joining a company where collaboration, innovation, and inclusion fuel our growth. Works closely with configuration team and DBAS to ensure synchronicity of configuration to interfaces and mappings. Work as a liaison between the customer and the technical team to provide quality solutions for the customers needs. WebSummary. This comprehensive solution gives Kansas Medicaid the agility and interoperability it needs to deliver high-quality healthcare services while reducing costs. We also have a variety of leadership and technical development academies to help build your skills and capabilities. NAICS Code 52,524. The Kansas Medicaid platform implementation sets the standard for states adopting modular solutions. You can deactivate or delete job alerts by clicking the button below. October 18, 2022 09:30 ET I am a very small company, and have actually now reduced my overhead by going with you guys! Ohio Medicaid is changing the way we do business. Youll be joining a company where collaboration, innovation, and inclusion fuel our growth. WebSummary. Gainwell Technologies. We are hiring a hardworking Senior Business Analyst - Medicaid to join our exceptional team at Gainwell Technologies LLC in Conway, AR. Put your passion to work at Gainwell. Youll have an incredible opportunity to grow your career in a company that values work flexibility, learning, and career development. We celebrate diversity and are dedicated to creating an inclusive environment for all employees. 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. Pharmacy Services. WebMedicaid Data Analyst SME - Gainwell Technologies - San Francisco CA - data-analyst, san-francisco----ca, gainwell-technologies.