Reno, NV. 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. Copyright 2013 AXIOM Systems, Inc. All Rights Reserved. Medicaid Senior Business Analyst - Medicaid - Hiring Urgently at Gainwell 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 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. Currently, each of Ohio Medicaids six managed care organizations (MCOs) contracts with one or more PBM to manage prescription drug benefits. An official website of the State of Georgia. medicaid Mississippi Division of Medicaid (ms.gov)) click on the MOVEit Portal at Mississippi Replacement Project (msxix.net) page. Gainwell Technologies and the Ohio Department of Medicaid (ODM) launched the Single Pharmacy Benefit Manager (SPBM) on October 1! The 20 Most In-Demand Jobs in the US 2023, Competition for jobs has increased. WebGainwell Technologies offerings including Medicaid Management Information Systems (MMIS), fiscal agent services, program integrity, care management, immunization registry, and eligibility services. Youll be joining a company where collaboration, innovation, and inclusion fuel our growth. 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. Md]|k >i0NVxC?',X#g*. Under Learn more atwww.naspo.org. 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. The award moves Ohio closer to realizing greater transparency and accountability in Medicaids $3 billion pharmacy program. Gainwell Technologies LLC. endobj %PDF-1.7 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. NASPO ValuePoint delivers high value, reliable and competitively sourced cooperative contracts offering public entities outstanding prices, favorable terms and conditions and value-added services. The ease of use and user-friendly environment is awesome. Interface with the technical team to ensure designs are understood and properly implemented. There simply is no comparison! ODM received six competitive offers in response to the single PBM request for proposal. Name Changes to Gainwell Technologies Effective October 1, 2020, Veritas Capital purchased the Medicaid Fiscal Agent business from DXC Technology. WebGainwell provides several services to the Indiana Health Coverage Programs, including provider enrollment, customer service, eligibility verification systems, and fee-for-service Change Healthcare, Express Scripts, Gainwell Technologies, MagellanRx Management, Navitus Health Solutions, and RxAdvance each submitted responses. Register today for SPBM Web Portal training! Provide business solutions, process improvements, business case and change consulting to the external client at functional and senior management level. This new platform will drive efficiency and quality, improving our ability to serve our members and providers.. Here are the details on this position. Connect your passion with purpose, teaming with people who thrive on finding innovative solutions to some of healthcares biggest challenges. We also have a variety of leadership and technical development academies to help build your skills and capabilities. Claims and encounters? GrabJobs is the no1 job portal in the US, connecting you to thousands of jobs fast! The Customer Support Center is closed on Thanksgiving Day and Christmas. | Source: 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. CONTACT:Elizabeth Bonet Gainwell Technologies972-556-5082elizabeth.bonet@gainwelltechnologies.com. We also have comprehensive leadership and technical development academies to help build your skills and capabilities. We offer clients scalable and flexible solutions for their most complex challenges. Gainwell Technologies 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. We take great pride in our strong relationship with Kansas, said Gainwell CEO Paul Saleh. WebGainwell Technologies is committed to a diverse, equitable, and inclusive workplace. Posted: December 06, 2022. WebGainwell Technologies Provider Services 1-800-776-6334: Click here for ICD 10 Resources. 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! We celebrate diversity and are dedicated to creating an inclusive environment for all employees. Document requirements for business and system requirements. 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. 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. 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. Pharmacy Services. 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. Additionally, CMS cited the companys Step Edits process as a best practice, calling it bulletproof in federal certification review sessions. Be part of a team that unleashes the power of leading-edge Gainwell has served Kansas for two decades, forming a deep relationship with the state built on trust and transparency. To access the recording, pleaseclick here. HIPP Unit, Gainwell Technologies | Georgia Medicaid | Source: Take charge and focus on how we can meet critical needs to help clients deliver better health and human services outcomes. Just as you promised, I was up and running within 20 minutes of our initial conversation. We also have comprehensive leadership and technical development academies to help build your skills and capabilities. Gainwell Technologies is committed to a diverse, equitable, and inclusive workplace. Indiana Medicaid: Partners: Gainwell Technologies 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. Help the client innovate and formulate business solutions and technology enabled business models to implement CMS mandated or State directed initiatives. Please share my thanks with everyone involved. The POSV will ensure incentives are properly and fairly aligned, self-dealing and steering are prevented, and monetary loopholes are closed. Welcome to New Jersey Medicaid Headlines 3 - NJMMIS Thank you very much for the help. We also have comprehensive leadership and technical development academies to help build your skills and capabilities. Attention All Providers: Nevada Medicaid Fiscal Agent PNM will replace MITS provider enrollment and provider data management. La Med. Our billers love the interface that ClaimShuttle provides and I would be happy to be a future reference if needed. <>/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>> Medicaid You can also receive alerts via instant message. Hope Private In-Home Care <25 <$5M. 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. Every time I call, it feels as if I am talking directly with the owner of the company. 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. 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. 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. You have reached your maximum number of active job alerts. Medicaid requires two test batches be successfully submitted in order to receive production approval. View job listing details and apply now. Working at Gainwell carries its rewards. , Pharmacy Web Portal training recording now available. We can now process 276/277 requests (claim status). 10:52B establish the New Jersey County Option I always get the most fabulous service when calling or emailing!!! This comprehensive solution gives Kansas Medicaid the agility and interoperability it needs to deliver high-quality healthcare services while reducing costs. Gainwell Technologies is committed to a diverse, equitable, and inclusive workplace. We celebrate diversity and are dedicated to creating an inclusive environment for all employees. Medicaid You have successfully created a new job alert. Gainwell Technologies LLC COLUMBUS, Ohio The Ohio Department of Medicaid (ODM) awards its fiscal intermediary (FI) service contract to Gainwell Technologies, taking another important step forward in delivering a person-centric next generation managed care program to Ohio. 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. Gainwell Technologies is committed to a diverse, equitable, and inclusive workplace. You have already created a job alert with same filters. Posted: February 07, 2023. Put your passion to work at Gainwell. Learn more at gainwelltechnologies.com. 2023 Snagajob.com, Inc. All rights reserved. TTY: 711. All salaried, full-time candidates are eligible for our generous, flexible vacation policy, a , and educational assistance. Test files should consist of a variety of claims that represent the type of claims you will be submitting once production status is achieved. Gainwell has already contracted with more than 2600 pharmacies. June 14, 2022 08:00 ET 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. Youll have an incredible opportunity to grow your career in a company that values work flexibility, learning, and career development. The business domain includes Healthcare business processes, specifically focused on Medicaid and Medicare and CMS. The secure portal requires log in credentials that will allow access to specific patient information. At issue was the lack of transparency. 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! 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. Working at Gainwell carries its rewards. I just transmitted my first batch of electronic claims through Claim Shuttle! I love it! Last name. You can deactivate or delete job alerts by clicking the button below. The newly designed program is targeted for launch in January 2022. 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. We believe nothing is impossible when you bring together people who care deeply about making healthcare work better for everyone. The Kansas Medicaid platform implementation sets the standard for states adopting modular solutions. Summary We also have comprehensive leadership and technical development academies to help build your skills and capabilities. This launch also includes a new requirement to establish an OH|ID to access any of ODM's Ohio Medicaid Enterprise Systems (OMES). Please use the same Learning Management System (LMS) credentials set up during your registration to log in. Youll add to your technical credentials and certifications while enjoying a generous, flexible vacation policy and educational assistance. Working at Gainwell carries its rewards. 4 0 obj 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 WebWhat you should expect in this role. We celebrate diversity and are dedicated to creating an inclusive environment for all employees. ODM expects to award the POSV vendor by summer 2021. Validates test plan results that satisfy the detailed design goals. Youll have the opportunity to grow your career in a company that values work flexibility, learning, and career development. Test Engineer - Medicaid Testing - Gainwell Technologies Please enter a Name and Password so you can update your Job Alerts in the future. I am a very small company, and have actually now reduced my overhead by going with you guys! 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. Additionally, PNM training is now available for providers in a variety of formats, including virtual, in-person, and self-paced. WebIf you have any questions regarding the enrollment instructions, please call the Mississippi Medicaid EDI Technology Support Center at: 1-800-884-3222. If you don't receive your credentials within 2-3 weeks, please call theirTechnology Support Center toll-free at. Build your career with Gainwell, an industry leader. The public facing portal includes access to reference material such as the Unified Preferred Drug List and criteria. 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. For decades, HMS has been a leader in providing cost containment solutions to state Medicaid agencies, said Paul Saleh, President and CEO of Gainwell.
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